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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - Study
Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.
Citation Text:
Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…
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digital.ahrq.gov/population/individuals-end-life-care-needs
January 01, 2023 - Individuals with End-of-Life Care Needs
A Demonstration Project: Assessing the Significance and Impact of Utilizing a Novel Telemedicine Application in the Delivery of Community-Based Palliative Care in a Rural Seriously Ill Population - Final Report
Citation
Bull J. A Demonst…
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psnet.ahrq.gov/issue/preventing-potentially-inappropriate-medication-use-hospitalized-older-patients-computerized
November 16, 2022 - Study
Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.
Citation Text:
Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients wi…
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psnet.ahrq.gov/issue/implementation-world-health-organization-trauma-care-checklist-program-11-centers-across
November 16, 2022 - Study
Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures.
Citation Text:
Lashoher A, Schneider EB, Juillard C, et al. Implementation of the World Health Organization Trauma Care Chec…
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digital.ahrq.gov/principal-investigator/gurwitz-jerry
January 01, 2023 - Gurwitz, Jerry
Factors associated with ordering laboratory monitoring of high-risk medications.
Citation
Fischer SH, Tjia J, Reed G, et al. Factors associated with ordering laboratory monitoring of high-risk medications. J Gen Intern Med 2014 Dec;29(12):1589-98. PMID: 24965280…
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digital.ahrq.gov/funding-mechanism/transforming-healthcare-quality-through-information-technology-thqit
January 01, 2023 - Transforming Healthcare Quality Through Information Technology (THQIT) - Implementation Grants
A hospital-randomized controlled trial of an educational quality improvement intervention in rural and small community hospitals in Texas following implementation of information technology.
…
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psnet.ahrq.gov/issue/can-electronic-prescribing-system-detect-doctors-who-are-more-likely-make-serious-prescribing
June 30, 2011 - Study
Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?
Citation Text:
Coleman JJ, Hemming K, Nightingale PG, et al. Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error? J…
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psnet.ahrq.gov/issue/burden-opioid-related-mortality-united-states
June 02, 2021 - Study
Classic
The burden of opioid-related mortality in the United States.
Citation Text:
Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States. JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217…
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psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
May 26, 2021 - Study
Classic
The $17.1 billion problem: the annual cost of measurable medical errors.
Citation Text:
Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…
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psnet.ahrq.gov/issue/analysis-clinical-decision-support-system-malfunctions-case-series-and-survey
April 29, 2018 - Study
Analysis of clinical decision support system malfunctions: a case series and survey.
Citation Text:
Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093…
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psnet.ahrq.gov/issue/identification-serious-and-reportable-events-home-care-delphi-survey-develop-consensus
November 27, 2013 - Study
Identification of serious and reportable events in home care: a Delphi survey to develop consensus.
Citation Text:
Doran DM, Baker R, Szabo C, et al. Identification of serious and reportable events in home care: a Delphi survey to develop consensus. Int J Health Care Qual. 2014;26(…
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psnet.ahrq.gov/issue/effect-restriction-number-concurrently-open-records-electronic-health-record-wrong-patient
July 09, 2018 - Study
Emerging Classic
Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial.
Citation Text:
Adelman JS, Applebaum JR, Schechter CB, et al. Effect of Restriction…
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psnet.ahrq.gov/issue/patients-and-doctors-views-and-experiences-patient-safety-trajectory-breast-cancer-care
December 08, 2021 - Study
Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care.
Citation Text:
Forrest C, O'Sullivan MJ, Ryan M, et al. Patients' and doctors’ views and experiences of the patient safety trajectory of breast cancer care. Breast. 2024;75:103699. …
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psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
February 16, 2022 - Review
The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging.
Citation Text:
Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…
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digital.ahrq.gov/ahrq-funded-projects/knowledge-engineering-decision-support-osteoporosis/annual-summary/2012
January 01, 2012 - Knowledge Engineering for Decision Support in Osteoporosis - 2012
Project Name
Knowledge Engineering for Decision Support in Osteoporosis
Principal Investigator
Lafleur, Joanne
Organization
University of Utah
Funding Mechanism
PAR: HS09-085: Mentored Clinical Scient…
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digital.ahrq.gov/ahrq-funded-projects/knowledge-engineering-decision-support-osteoporosis/annual-summary/2010
January 01, 2010 - Knowledge Engineering for Decision Support in Osteoporosis - 2010
Project Name
Knowledge Engineering for Decision Support in Osteoporosis
Principal Investigator
Lafleur, Joanne
Organization
University of Utah
Funding Mechanism
PAR: HS09-085: Mentored Clinical Scient…
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effectivehealthcare.ahrq.gov/system/files/docs/acute-diverticulitis-topic-nomination.pdf
August 13, 2018 - Yes, this topic represents health care drugs and
interventions available in the U.S.
1b.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
July 18, 2008 - or fatal.18 In this group, the medications most involved with preventable ADEs were
cardiovascular drugs
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psnet.ahrq.gov/node/38107/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-29
This monthly selection of medication error reports describes a case of misidentifying home medications for
a hospitalized patient, how character space limitations in medication admin…
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psnet.ahrq.gov/node/43268/psn-pdf
June 11, 2014 - Medication Safety Program.
June 11, 2014
Atlanta, GA: Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/medication-safety-program
This Web site provides information for providers and patients to reduce risks related to adverse drug
events, including links to fact sheets, research, and govern…