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psnet.ahrq.gov/node/863213/psn-pdf
February 28, 2024 - Electronic medication reconciliation tools aimed at
healthcare professionals to support medication
reconciliation: a systematic review.
February 28, 2024
Ciudad-Gutiérrez P, del Valle-Moreno P, Lora-Escobar SJ, et al. Electronic medication reconciliation tools
aimed at healthcare professionals to support medicatio…
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psnet.ahrq.gov/node/39233/psn-pdf
August 02, 2013 - Rapid response teams: a systematic review and meta-
analysis.
August 2, 2013
Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis.
Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424.
https://psnet.ahrq.gov/issue/rapid-response-teams-systematic-review…
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psnet.ahrq.gov/node/840485/psn-pdf
November 30, 2022 - Using consumer engagement strategies to improve
healthcare safety for young people: an exploration of the
relevance and suitability of current approaches.
November 30, 2022
Newman B, Joseph K, McDonald FEJ, et al. Using consumer engagement strategies to improve healthcare
safety for young people: an exploration of…
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psnet.ahrq.gov/node/37562/psn-pdf
June 14, 2011 - Effectiveness and efficiency of root cause analysis in
medicine.
June 14, 2011
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687.
doi:10.1001/jama.299.6.685.
https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
Application of root c…
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psnet.ahrq.gov/node/854258/psn-pdf
October 04, 2023 - A virtual breakthrough series collaborative to support
deprescribing interventions across Veterans Affairs
healthcare settings.
October 4, 2023
Phillips KK, Mecca MC, Baim?Lance AM, et al. A virtual breakthrough series collaborative to support
deprescribing interventions across Veterans Affairs healthcare settings…
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psnet.ahrq.gov/node/841769/psn-pdf
December 21, 2022 - Negative emotions experienced by healthcare staff
following medication administration errors: a descriptive
study using text-mining and content analysis of incident
data.
December 21, 2022
Mahat S, Rafferty AM, Vehviläinen-Julkunen K, et al. Negative emotions experienced by healthcare staff
following medication a…
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psnet.ahrq.gov/node/853238/psn-pdf
September 06, 2023 - Potentially inappropriate medication use is associated
with increased risk of incident disability in healthy older
adults.
September 6, 2023
Lockery JE, Collyer TA, Woods RL, et al. Potentially inappropriate medication use is associated with
increased risk of incident disability in healthy older adults. J Am Geria…
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psnet.ahrq.gov/node/44697/psn-pdf
June 21, 2016 - Saving Lives and Saving Money: Hospital-Acquired
Conditions Update.
June 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2015. AHRQ Publication No. 16-
0009-EF.
https://psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
The Partnership for Patients …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
March 01, 2020 - Pharmacologic prophylaxis is available via a number of different anticoagulant and antiplatelet
drugs … become increasingly important
as a growing number of studies have found that newer
anticoagulant drugs … provide a
comprehensive review of pharmacologic prophylaxis agents and reviewed 104 trials, 30 different drugs … with factor XI antisense
oligonucleotide (FXI-ASO), ardeparin, and apixaban, were the most effective drugs … to the
nonpharmacologic
group (control group)
did not take any
nonsteroidal anti-
inflammatory drugs
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2010_MaskedStats_Severity.PDF
January 01, 2010 - Environment and Other External Causes 4,221 0.05%
TRA81: Injury: Other 11,634 0.15%
TRA82: Poisoning: Drugs
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024977-dexheimer-final-report-2018.pdf
January 01, 2018 - Selecting anti-
epileptic drugs: a pediatric epileptologist's view, a computer's view.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/coronary-artery-stenting_executive.pdf
February 01, 2013 - 1
Comparative Effectiveness Review
Number 104
Intravascular Diagnostic Procedures and
Imaging Techniques Versus Angiography
Alone in Coronary Artery Stenting:
Comparative Effectiveness Review
Executive Summary
Background
Coronary artery disease (CAD) involves
narrowing (stenosis) of one or more of
the ep…
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meps.ahrq.gov/survey_comp/Helptext2022.html
January 01, 2022 - PRESCRIPTION DRUGS –
Insurance that provides coverage for prescription drugs. … Prescription drugs are those ordered by a physician or other authorized medical person through written … Sometimes physicians write a prescription for over-the-counter drugs such as aspirin. … Sometimes physicians write a prescription for over-the-counter drugs such as aspirin. … Sometimes physicians write a prescription for over-the-counter drugs such as aspirin.
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meps.ahrq.gov/survey_comp/Helptext2023.html
January 01, 2023 - PRESCRIPTION DRUGS --
Insurance that provides coverage for prescription
drugs. … Prescription drugs are those ordered by a physician or other authorized
medical person through written … Sometimes physicians write a prescription for over-the-counter drugs such as aspirin. … Sometimes physicians write a prescription for
over-the-counter drugs such as aspirin. … Sometimes physicians write a prescription for
over-the-counter drugs such as aspirin.
-
hcup-us.ahrq.gov/reports/methods/2015-04.pdf
January 01, 2015 - DRG #
MS-DRG
Discharges, N Percent
Difference CMS HCUP NIS
69 918 Poisoning & toxic effects of drugs … Laparoscopic cholecystectomy w/o c.d.e. w cc 36,064 35,420 -1.8
94 917 Poisoning & toxic effects of drugs … 2,515 2,550 1.4
916 Allergic reactions w/o mcc 8,448 8,005 -5.2
917 Poisoning & toxic effects of drugs … 45,705 -3.4
68 305 Hypertension w/o mcc 46,393 45,470 -2.0
69 918 Poisoning & toxic effects of drugs … Laparoscopic cholecystectomy w/o c.d.e. w cc 36,064 35,420 -1.8
94 917 Poisoning & toxic effects of drugs
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www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
January 01, 2024 - Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi
FINAL PROGRESS REPORT
Title of Project: Addressing Preventable Medication Use Variance in Mississippi
Principal Investigator: Brown, CA, MD, MPH
Team Members: William Rudman, PhD, Calvin Hewitt, MBA,
Honey Holman, MD, Kent Kirchn…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis
323
Improving the Safety of Heparin
Administration by Implementing a
Human Factors Process Analysis
Kathleen A. Harder, John R. Bloomfield,
Sue E. Sendelbach, Michele F. Shepherd, Pam S. Rush,
Jamie S. Sinclair,…
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs017191-pohl-final-report-2011.pdf
January 01, 2011 - improved
Patients provided an up-to-date list of meds 1 3 1 (n=3) 1 center improved
A list of high-alert drugs … Medication safety was measured by
the co-occurrence in the EMR of two drugs that had known serious interactions … Specifically:
• 594 of the 679 unique DDI pairs (88%) of DDI pairs had a missing end date on one or both drugs
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-usability-testing.pdf
November 01, 2018 - the Canada Health Act medical care is free although there are some
exceptions (i.e., prescription drugs … Other Not in report Nothing on brand names for
drugs. … Added appendix on fourth
page with common brand
names for drugs. … that was clear from figures of harms.
• Added page 4 appendix with commonly used trade names of all drugs … Quality improvement,
implementation, or dissemination
strategies
Interventions targeting only drugs
-
psnet.ahrq.gov/node/865374/psn-pdf
March 27, 2024 - Artificial Intelligence and Patient Safety: Promise and
Challenges
March 27, 2024
Tighe P, Mossburg S, Gale B. Artificial Intelligence and Patient Safety: Promise and Challenges. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
Introducti…