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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - same facility typically have at least some individual drug preferences of type or dose and may label drugs
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/tuberculosis-infection-screening-immunization-1996
February 11, 2014 - Share to Facebook
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Final Recommendation Statement
Tuberculosis Infection, Including Bacille Calmette-Guérin Immunization: Screening, 1996
February 11, 2014
Recommendations made …
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www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
January 01, 2024 - The number of drugs and complexity of medication
regimens found among home health patients pose significant … However, the number of drugs and the complexity of medication
regimens found among home health patients
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hcup-us.ahrq.gov/db/nation/kid/KID_Sources_and_Restrictions_2000.pdf
January 01, 2000 - Microsoft Word - KID_Sources_and_Restrictions_2000.doc
Sources of KID Data and State-Specific Restrictions
2000
HCUP KID (1/28/03) 1 Sources of KID Data and
State-Specific Restrictions
AZ Arizona Department of Health Services
No restrictions
CA Office of Statewide Health Planning & …
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psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - Discharge Against Medical Advice
Citation Text:
Hwang SW. Discharge Against Medical Advice. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/gWJU-ZynehGyLBVYtDmMow
May 01, 2009 - This study suggests that drugs—including
penicillin—have a limited role in causing both
CL/P and PCP,
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/bariatric-surgery_research.pdf
June 01, 2010 - medication,
Effective Health Care Program Research Report Number 28
6
particularly for those drugs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bayley.pdf
January 01, 2004 - Drugs Aging 1993;3(4):
358–62.
11. Nikolaus T, Kruse W, Bach M, et al.
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psnet.ahrq.gov/issue/quality-initiative-system-wide-reduction-serious-medication-events-through-targeted
April 10, 2024 - Study
A quality initiative: a system-wide reduction in serious medication events through targeted simulation training.
Citation Text:
Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. S…
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psnet.ahrq.gov/issue/going-covid-19-gemba-using-observation-and-high-reliability-strategies-achieve-safety-time
May 12, 2021 - Commentary
Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis.
Citation Text:
Thull-Freedman J, Mondoux S, Stang A, et al. Going to the COVID-19 Gemba: Using observation and high reliability strategies to achieve safety in…
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psnet.ahrq.gov/issue/decreasing-prescribing-errors-during-pediatric-emergencies-randomized-simulation-trial
October 08, 2013 - Study
Decreasing prescribing errors during pediatric emergencies: a randomized simulation trial.
Citation Text:
Larose G, Levy A, Bailey B, et al. Decreasing Prescribing Errors During Pediatric Emergencies: A Randomized Simulation Trial. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-320…
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psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
November 04, 2020 - Study
Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study.
Citation Text:
Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection …
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psnet.ahrq.gov/issue/breast-cancer-screening-denmark-cohort-study-tumor-size-and-overdiagnosis
July 10, 2018 - Study
Classic
Breast cancer screening in Denmark: a cohort study of tumor size and overdiagnosis.
Citation Text:
Jørgensen KJ, Gøtzsche PC, Kalager M, et al. Breast Cancer Screening in Denmark: A Cohort Study of Tumor Size and Overdiagnosis. Ann Intern Med. 2017…
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psnet.ahrq.gov/issue/comparative-accuracy-diagnosis-collective-intelligence-multiple-physicians-vs-individual
January 23, 2017 - Study
Emerging Classic
Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians.
Citation Text:
Barnett ML, Boddupalli D, Nundy S, et al. Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple…
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psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
March 23, 2012 - Review
Classic
Failure to follow-up test results for ambulatory patients: a systematic review.
Citation Text:
Callen JL, Westbrook JI, Georgiou A, et al. Failure to Follow-Up Test Results for Ambulatory Patients: A Systematic Review. J Gen Intern Med. 2011;27(10…
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psnet.ahrq.gov/issue/knowledge-retention-after-simulated-crisis-importance-independent-practice-and-simulated
September 13, 2017 - Study
Knowledge retention after simulated crisis: importance of independent practice and simulated mortality.
Citation Text:
Burnett G, Goldberg A, DeMaria S, et al. Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. Br J Anaesth. 2019…
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psnet.ahrq.gov/issue/medication-errors-during-simulated-paediatric-resuscitations-prospective-observational-human
February 23, 2022 - Study
Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis.
Citation Text:
Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliabilit…
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psnet.ahrq.gov/issue/role-knowledge-and-reasoning-processes-predictors-resident-physicians-susceptibility
March 18, 2020 - Study
Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment.
Citation Text:
Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processe…
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psnet.ahrq.gov/issue/allocation-physician-time-ambulatory-practice-time-and-motion-study-four-specialties
August 26, 2020 - Study
Classic
Allocation of physician time in ambulatory practice: a time and motion study in four specialties.
Citation Text:
Sinsky CA, Colligan L, Li L, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Ann …