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effectivehealthcare.ahrq.gov/sites/default/files/ch-7-user-guide-to-ocer_130129.pdf
March 29, 2012 - For example, consider two drugs used
to treat hypertension—calcium channel blockers
(CCB) and diuretics … Selective prescribing led to overestimation of the
benefits of lipid-lowering drugs.
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effectivehealthcare.ahrq.gov/products/rheumatoid-arthritis-2007/research
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effectivehealthcare.ahrq.gov/products/stent-clopidogrel-practice/research
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effectivehealthcare.ahrq.gov/products/off-label-use-research-priorities/research
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd3.html
March 01, 2013 - For severe behavior challenges (e.g., gangs, drugs) discussion focuses on safety plans/crisis plans (
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digital.ahrq.gov/sites/default/files/docs/lesson/08-0063-ef-ambulatory-cpoe.pdf
May 01, 2008 - Ambulatory Computerized Provider Order Entry (CPOE)
Ambulatory Computerized
Provider Order Entry (CPOE)
Findings from the AHRQ
Health IT Portfolio
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahr q.gov HEALTH IT
http://www.ahrq.gov
Ambulatory Computerized
Provider Order…
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www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
January 01, 2024 - Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS)
Final Report
APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS)
Principal Investigator: Wilson D. Pace, MD*
Key Personnel: David West, PhD *
Deborah S. Main, PhD*
John Westfall, MD*
Daniel Harris, PhD**
Organizational Aff…
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - often mitigated by having two people independently check for accuracy (we already do this for high-risk drugs
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-slides.pptx
September 01, 2022 - February 8, 2018. https://www.fda.gov/drugs/special-features/use-caution-when-giving-cough-and-cold-products-kids
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/engaging-and-educating
January 01, 2024 - harm reduction resources that support safer drug use, including a Naloxone Finder for people who use 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/Kravitz.pdf
February 09, 2005 - Warfarin is being prescribed to more than two million Americans and is
among the most hazardous of drugs
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digital.ahrq.gov/ahrq-funded-projects/virtual-patient-advocate-reduce-ambulatory-adverse-drug-events/citation/fps
January 01, 2023 - FPs lower hospital readmission rates and costs.
Citation
Chetty VK, Culpepper L, Phillips RL Jr, et al. FPs lower hospital readmission rates and costs. Am Fam Physician 2011 May 1;83(9):1054. PMID: 21534517.
Link
https://www.ncbi.nlm.nih.gov/pubmed/21534517
Principal Investigator
Jac…
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psnet.ahrq.gov/node/37889/psn-pdf
July 02, 2008 - Minimising treatment-associated risks in systemic cancer
therapy.
July 2, 2008
Jaehde U, Liekweg A, Simons S, et al. Minimising treatment-associated risks in systemic cancer therapy.
Pharm World Sci. 2008;30(2):161-8.
https://psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
This …
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psnet.ahrq.gov/node/40228/psn-pdf
February 16, 2011 - Hydrocodone bitartrate and acetaminophen tablets,
phenobarbital tablets by Qualitest: recall—incorrect
package labeling.
February 16, 2011
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 7, 2011.
https://psnet.ahrq.gov/issue/hydrocodone-bitartrate-and-acetaminophen-tablets-pheno…
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psnet.ahrq.gov/node/43204/psn-pdf
May 21, 2014 - Be an Active Member of Your Health Care Team.
May 21, 2014
US Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/be-active-member-your-health-care-team
This fact sheet describes five ways patients can contribute to and ensure safe medication use, including
speaking up about medical history, asking que…
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psnet.ahrq.gov/node/34002/psn-pdf
March 17, 2011 - Utah DoH Patient Safety Initiatives.
March 17, 2011
Center for Health Data, Utah Department of Health, PO Box 144004, Salt Lake City, UT 84114.
https://psnet.ahrq.gov/issue/utah-doh-patient-safety-initiatives
Utah established a number of collaborative initiatives to understand the nature and occurrence of adverse
…
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psnet.ahrq.gov/node/35787/psn-pdf
July 01, 2009 - Hospital Bed System Dimensional and Assessment
Guidance to Reduce Entrapment.
July 1, 2009
Rockville MD: Center for Devices and Radiological Health, Food and Drug Administration; 2006.
https://psnet.ahrq.gov/issue/hospital-bed-system-dimensional-and-assessment-guidance-reduce-
entrapment
This document provides ba…
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psnet.ahrq.gov/node/36270/psn-pdf
October 21, 2010 - Between a rock and a hard place: disclosing medical
errors.
October 21, 2010
Crone KG, Muraski MB, Skeel JD, et al. Between a rock and a hard place: disclosing medical errors. Clin
Chem. 2006;52(9):1809-14.
https://psnet.ahrq.gov/issue/between-rock-and-hard-place-disclosing-medical-errors
The authors share a case…
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psnet.ahrq.gov/node/41807/psn-pdf
October 31, 2012 - Sterile compounding tragedy is a symptom of a broken
system on many levels.
October 31, 2012
ISMP Medication Safety Alert! Acute Care Edition. October 18, 2012;17:1-4.
https://psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels
This piece reviews risks associated with the use …
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psnet.ahrq.gov/node/37643/psn-pdf
May 02, 2018 - Resolving human conflicts when questions about the
safety of medical orders arise.
May 2, 2018
ISMP Medication Safety Alert! Acute care edition. March 13, 2008.
https://psnet.ahrq.gov/issue/resolving-human-conflicts-when-questions-about-safety-medical-orders-arise
This article describes how concerns about drug saf…