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psnet.ahrq.gov/node/49679/psn-pdf
March 01, 2013 - The Unfamiliar Catheter
March 1, 2013
Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/unfamiliar-catheter
The Case
A 28-year-old woman, 20 months post–bilateral lung transplant, presented to the emergency department
with sudden onset of severe shortness of breath…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4n
Selected Best Practices and Suggestions for Improvement
IQI: Mortality Review of Select Procedures and Conditions
Why Focus on Mortality Review? …
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - Add-on Case and the Missing Checklist
Citation Text:
Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML En…
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effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-search-strategies.ppt
June 01, 2012 - www.ebscohost.com/cinahl Nursing
Allied health
EMBASE www.embase.com Biomedical with emphases on drugs … and pharmaceuticals
More non–U.S. coverage than MEDLINE
IPA (International Pharmaceutical Abstracts … ) www.csa.com/factsheets/ipa-set-c.php Drugs and pharmaceuticals
MANTIS (Manual Alternative and Natural … require subscriptions and include EMBASE, which covers many non–U.S. studies and has an emphasis on pharmaceuticals
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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - The AHRQ Health IT Value Grant Initiative: A Programmatic Review of the Peer-Reviewed Literature
The AHRQ Health IT Value Grant Initiative:
A Programmatic Review of the Peer-Reviewed
Literature
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department …
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digital.ahrq.gov/sites/default/files/docs/page/privacy-and-security-solutions-for-interoperable-hie-nationwide-summary-appendices.pdf
July 01, 2007 - The client has a long history of using various drugs and
alcohol that is relevant for medical diagnosis … the parents want to review the
ER record and lab results to see if their child tested positive for drugs … Company A to review the companies’
employees’ prescription drug use and the associated costs of the drugs
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psnet.ahrq.gov/node/42669/psn-pdf
September 27, 2017 - Patient-reported missed nursing care correlated with
adverse events.
September 27, 2017
Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J
Med Qual. 2014;29(5):415-22. doi:10.1177/1062860613501715.
https://psnet.ahrq.gov/issue/patient-reported-missed-nursing-car…
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psnet.ahrq.gov/node/867443/psn-pdf
January 08, 2025 - Investigating the impact of a pharmacist intervention on
inappropriate prescribing practices at hospital admission
and discharge in older patients: a secondary outcome
analysis from a randomized controlled trial.
January 8, 2025
Garcia BH, Omma KK, Småbrekke L, et al. Investigating the impact of a pharmacist inter…
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psnet.ahrq.gov/node/867638/psn-pdf
February 26, 2025 - Artificial intelligence related safety issues associated with
FDA medical device reports.
February 26, 2025
Handley JL, Krevat SA, Fong A, et al. Artificial intelligence related safety issues associated with FDA
medical device reports. NPJ Digit Med. 2024;7(1):351. doi:10.1038/s41746-024-01357-5.
https://psnet.ahr…
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psnet.ahrq.gov/node/45117/psn-pdf
August 03, 2016 - Using computerized prescriber order entry to limit
overrides from automated dispensing cabinets.
August 3, 2016
Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated
dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14):1033-1035. doi:10.2146/ajhp150564.
ht…
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psnet.ahrq.gov/node/41876/psn-pdf
December 04, 2016 - Errors in palliative care: kinds, causes, and
consequences: a pilot survey of experiences and
attitudes of palliative care professionals.
December 4, 2016
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot
survey of experiences and attitudes of palliative care…
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psnet.ahrq.gov/node/866526/psn-pdf
August 14, 2024 - Instruments and warning signs for identifying and
evaluating the frequency of adverse events in
intermediate and long-term care centres: a narrative
systematic review.
August 14, 2024
Malgrat-Caballero S, Kannukene A, Orrego C. Instruments and warning signs for identifying and evaluating
the frequency of adverse …
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psnet.ahrq.gov/node/37130/psn-pdf
March 24, 2011 - Preventing medication errors in long-term care: results
and evaluation of a large scale web-based error reporting
system.
March 24, 2011
Pierson S, Hansen RA, Greene SB, et al. Preventing medication errors in long-term care: results and
evaluation of a large scale web-based error reporting system. Qual Saf Health …
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psnet.ahrq.gov/node/73064/psn-pdf
March 24, 2021 - Outpatient insulin-related adverse events due to mix-up
errors: findings from two national surveillance systems,
United States, 2012-2017.
March 24, 2021
Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin?related adverse events due to mix?up errors:
Findings from two national surveillance systems, United S…
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psnet.ahrq.gov/node/37260/psn-pdf
January 02, 2017 - A visual medication schedule to improve anticoagulation
control: a randomized, controlled trial.
January 2, 2017
Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a
randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;33(10):625-35.
https://psnet.ahr…
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psnet.ahrq.gov/node/38260/psn-pdf
April 22, 2011 - Information exchange among physicians caring for the
same patient in the community.
April 22, 2011
van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same
patient in the community. CMAJ. 2008;179(10):1013-8. doi:10.1503/cmaj.080430.
https://psnet.ahrq.gov/issue/informa…
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psnet.ahrq.gov/node/46267/psn-pdf
December 21, 2017 - Pictograms, units and dosing tools, and parent
medication errors: a randomized study.
December 21, 2017
Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A
Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3237.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/851349/psn-pdf
July 12, 2023 - Contributory factors and patient harm including deaths
associated direct acting oral anticoagulants (DOACs)
medication incidents: evaluation of real world data
reported to the national reporting and learning system.
July 12, 2023
Rowily AA, Jalal Z, Paudyal V. Contributory factors and patient harm including deaths…
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psnet.ahrq.gov/node/43679/psn-pdf
May 22, 2015 - Patient safety goals for the proposed Federal Health
Information Technology Safety Center.
May 22, 2015
Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information
Technology Safety Center. J Am Med Inform Assoc. 2015;22(2):472-8. doi:10.1136/amiajnl-2014-002988.
https://psnet.a…
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psnet.ahrq.gov/node/837424/psn-pdf
June 15, 2022 - Allergy safety events in healthcare: development and
application of a classification schema based on
retrospective review.
June 15, 2022
Phadke NA, Wickner PG, Wang L, et al. Allergy safety events in healthcare: development and application
of a classification schema based on retrospective review. J Allergy Clin Im…