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psnet.ahrq.gov/node/47345/psn-pdf
January 27, 2019 - Fixed-dose combination antihypertensives and risk of
medication errors.
January 27, 2019
Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors.
Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492.
https://psnet.ahrq.gov/issue/fixed-dose-combination-antihype…
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psnet.ahrq.gov/node/867645/psn-pdf
July 01, 2022 - A call to action for anticoagulation stewardship.
July 1, 2022
Burnett AE, Barnes GD. A call to action for anticoagulation stewardship. Res Pract Thromb Haemost.
2022;6(5):e12757. doi:10.1002/rth2.12757.
https://psnet.ahrq.gov/issue/call-action-anticoagulation-stewardship
Anticoagulants are high-risk medications d…
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psnet.ahrq.gov/node/44566/psn-pdf
October 14, 2015 - FDA Advise-ERR: avoid using the error-prone
abbreviation, TPA.
October 14, 2015
ISMP Medication Safety Alert! Acute Care Edition. September 24, 2015;20:1,4-5.
https://psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa
Describing incidents involving abbreviation confusion for ACTIVASE (alt…
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psnet.ahrq.gov/node/40861/psn-pdf
October 19, 2011 - Registered nurses' judgments of the classification and
risk level of patient care errors.
October 19, 2011
Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of
patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097/NCQ.0b013e31820f4c57.
https://ps…
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psnet.ahrq.gov/node/44241/psn-pdf
November 09, 2015 - The overlooked danger of delirium in hospitals.
November 9, 2015
Boodman SG. The Atlantic. June 7, 2015.
https://psnet.ahrq.gov/issue/overlooked-danger-delirium-hospitals
Delirium is a common unintended consequence of hospitalization, most often following a surgical
procedure. This magazine article discusses chara…
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psnet.ahrq.gov/node/37414/psn-pdf
April 19, 2011 - Medical and nursing staff highly value clinical
pharmacists in the emergency department.
April 19, 2011
Fairbanks RJ, Hildebrand JM, Kolstee KE, et al. Medical and nursing staff highly value clinical pharmacists
in the emergency department. Emergency Medicine Journal. 2007;24(10). doi:10.1136/emj.2006.044313.
http…
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics-3
January 01, 2023 - Do package inserts reflect symptoms experienced in practice?: assessment using an automated phone pharmacovigilance system with varenicline and zolpidem in a primary care setting.
Citation
Haas JS, Amato M, Marinacci L, et al. Do package inserts reflect symptoms experienced in practice?: assessment u…
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psnet.ahrq.gov/node/43029/psn-pdf
March 12, 2014 - ISMP Canada identifies themes associated with fatal
medication events in the home.
March 12, 2014
ISMP Medication Safety Alert! Acute Care Edition. February 27, 2014;19:1-4.
https://psnet.ahrq.gov/issue/ismp-canada-identifies-themes-associated-fatal-medication-events-home
Summarizing results from a Canadian study …
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psnet.ahrq.gov/node/73926/psn-pdf
October 06, 2021 - Good for You, Good for Us, Good for Everybody.
October 6, 2021
Ridge K. London, England: Crown Copyright; 2021. September 22, 2021.
https://psnet.ahrq.gov/issue/good-you-good-us-good-everybody
Overprescribing has attained prominence as a safety issue due to the current opioid epidemic, but it has
long reduced medi…
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www.ahrq.gov/nursing-home/resources/therapeutic-options.html
May 01, 2022 - Therapeutic Options To Prevent Severe COVID-19 in Immunocompromised People
Resource: Therapeutic Options To Prevent Severe COVID-19 in Immunocompromised People
During this webinar, presenters discuss the Food and Drug Administration's (FDA) role in issuing Emergency Use Authorizations (EUAs) for certain mon…
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/usability
January 01, 2023 - Usability of a perioperative medication-related clinical decision support software application: A randomized controlled trial.
Citation
Nanji KC, Garabedian PM, Langlieb ME, Rui A, Tabayoyong LL, Sampson M, Deng H, Boxwala A, Minehart RD, Bates DW. Usability of a perioperative medication-related clini…
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/development
January 01, 2023 - Development of a perioperative medication-related clinical decision support tool to prevent medication errors: An analysis of user feedback.
Citation
Nanji KC, Garabedian PM, Shaikh SD, Langlieb ME, Boxwala A, Gordon WJ, Bates DW. Development of a perioperative medication-related clinical decision su…
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psnet.ahrq.gov/node/37710/psn-pdf
April 23, 2008 - A 3-year study of medication incidents in an acute general
hospital.
April 23, 2008
Song L, Chui WCM, Lau CP, et al. A 3-year study of medication incidents in an acute general hospital. J
Clin Pharm Ther. 2008;33(2):109-14. doi:10.1111/j.1365-2710.2007.00880.x.
https://psnet.ahrq.gov/issue/3-year-study-medication-…
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digital.ahrq.gov/ahrq-funded-projects/artificial-intelligence-based-health-it-tools-optimize-critical-care/citation/machine
January 01, 2023 - Machine learning vs. traditional regression analysis for fluid overload prediction in the ICU.
Citation
Sikora A, Zhang T, Murphy DJ, Smith SE, Murray B, Kamaleswaran R, Chen X, Buckley MS, Rowe S, Devlin JW. Machine learning vs. traditional regression analysis for fluid overload prediction in the ICU…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/rQBBkz9CrHh4vp7ZnEkF-t
July 18, 2023 - For KQ4, RCTs of treatments for
dyslipidemia including drugs, behavioral counseling, and supple-
ments … cholesterol and LDL-C effects appear
dose-related
Consistent; reasonably
precise
Heterogeneity of statin
drugs … Paediatr Drugs. 2015;17(2):159-166.
doi:10.1007/s40272-014-0116-y
45. … Paediatr Drugs. 2011;13(4):267-275. doi:
10.2165/11591650-000000000-00000
104.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/f1-returnoninvestment.pdf
January 01, 2009 - Drugs and tests are valued using charge amounts and applying a 0.2 cost-to-charge ratio).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docx
January 01, 2013 - Drugs and tests were valued using charge amounts and applying a 0.2 cost-to-charge ratio).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - Drugs and tests were valued using charge amounts and applying a 0.2 cost-to-charge ratio).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016
June 2018
AHRQ National Scorecard on Hospital-Acquired Conditions
Updated Baseline Rates and Preliminary Results 2014–2016
Summary
New patient safety data for 2014 through 2016 continue to show a do…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/kidney-disease-medicine_surveillance.pdf
October 01, 2012 - CER # 37:
Chronic Kidney Disease Stages 1–3: Screening, Monitoring, and
Treatment
Original release date:
January 2012
Surveillance Report:
October 2012
Key Findings:
- The conclusions for KQ2 (harms of screening) and KQ4
(harms of monitoring), KQ6 (harms of treatment) are still
considered valid
- T…