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effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-safety_research.pdf
July 01, 2009 - example illustrated a study comparing the rate of hospitalization (a measure of
effectiveness) for two drugs … For this example, the query identifies all users of
the two study drugs under comparison. … The results set could give de-identified summary counts of all individuals exposed to the
study drugs … For this study, the intermediate datasets may be limited to inpatient care for users of the drugs of … Ongoing signal detection monitoring of selected new drugs
3.
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effectivehealthcare.ahrq.gov/sites/default/files/back-pain-treatment_research_executive.pdf
February 01, 2016 - Pharmacological treatments include
nonsteroidal anti-inflammatory drugs (NSAIDs),
acetaminophen, opioids … For skeletal muscle relaxants
and benzodiazepines, we included drugs not available
in the United States … , no studies in the prior review
evaluated drugs in the serotonin norepinephrine
reuptake inhibitor … 37
as being associated with a more favorable safety
profile, which could impact the selection of drugs … A comprehensive
review of clinical trials on the efficacy and safety of drugs for the
treatment of
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hcup-us.ahrq.gov/datainnovations/ICD-10CaseStudyonOpioid-RelatedIPStays042417.pdf
April 24, 2017 - Recommended Citation: Moore BJ, Barrett ML. Case Study: Exploring How Opioid-Related
Diagnosis Codes Translate From ICD-9-CM to ICD-10-CM. ONLINE. April 24, 2017. U.S.
Agency for Healthcare Research and Quality. Available: https://www.hcup-
us.ahrq.gov/datainnovations/icd10_resources.jsp.
CASE STUDY: EXPLORING H…
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effectivehealthcare.ahrq.gov/sites/default/files/tech-brief-37-opiod-use-adults-comments.pdf
November 03, 2020 - they may have been reasons that also are risks
for overdose (i.e. diversion or use of illegal
drugs … Street drugs
become an attractive distraction from such
factors. … claim there is evidence that
behavioral or noninvasive therapies
can/should replace prescription drugs … These medications include
acetaminophen, nonsteroidal anti-inflammatory
drugs (e.g., ibuprofen, naproxen … They are life saving drugs.
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psnet.ahrq.gov/node/42230/psn-pdf
October 06, 2016 - Using Lean to improve medication administration safety:
in search of the "perfect dose."
October 6, 2016
Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of
the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204.
https://psnet.ahrq.gov/issue/using-…
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psnet.ahrq.gov/node/47876/psn-pdf
March 27, 2019 - Evaluation of medication errors at the transition of care
from an ICU to non-ICU location.
March 27, 2019
Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU
to Non-ICU Location. Crit Care Med. 2019;47(4):543-549. doi:10.1097/CCM.0000000000003633.
https://psnet.…
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumlafl.html
October 01, 2014 - Lafleur, Joanne
Summaries of Independent Scientist (K) Awards
Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards.
Institution: University of Utah
Grant Title: Knowledge Engineering for Decision Support in Osteoporosis
Grant Number: K08…
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psnet.ahrq.gov/node/37707/psn-pdf
March 02, 2011 - Bar-coding surgical sponges to improve safety: a
randomized controlled trial.
March 2, 2011
Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann
Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.
https://psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safe…
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psnet.ahrq.gov/node/73156/psn-pdf
April 21, 2021 - Increasing naloxone prescribing in the emergency
department through education and electronic medical
record work-aids.
April 21, 2021
Funke M, Kaplan MC, Glover H, et al. Increasing naloxone prescribing in the emergency department
through education and electronic medical record work-aids. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/node/45488/psn-pdf
April 24, 2018 - National trends in safety performance of electronic health
record systems in children's hospitals.
April 24, 2018
Chaparro JD, Classen D, Danforth M, et al. National trends in safety performance of electronic health
record systems in children's hospitals. J Am Med Inform Assoc. 2017;24(2):268-274.
doi:10.1093/jami…
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psnet.ahrq.gov/node/44530/psn-pdf
October 21, 2015 - Patient safety and quality of care in developing countries
in Southeast Asia: a systematic literature review.
October 21, 2015
Harrison R, Cohen AWS, Walton M. Patient safety and quality of care in developing countries in Southeast
Asia: a systematic literature review. Int J Qual Health Care. 2015;27(4):240-254.
d…
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psnet.ahrq.gov/node/47701/psn-pdf
January 16, 2019 - Cranky comments: detecting clinical decision support
malfunctions through free-text override reasons.
January 16, 2019
Aaron S, McEvoy DS, Ray S, et al. Cranky comments: detecting clinical decision support malfunctions
through free-text override reasons. J Am Med Inform Assoc. 2019;26(1):37-43. doi:10.1093/jamia/oc…
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psnet.ahrq.gov/node/40236/psn-pdf
March 23, 2012 - The safety implications of missed test results for
hospitalised patients: a systematic review.
March 23, 2012
Callen J, Georgiou A, Li J, et al. The safety implications of missed test results for hospitalised patients: a
systematic review. BMJ Qual Saf. 2011;20(2):194-199. doi:10.1136/bmjqs.2010.044339.
https://ps…
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psnet.ahrq.gov/node/41775/psn-pdf
December 18, 2014 - Measuring adverse events and levels of harm in pediatric
inpatients with the Global Trigger Tool.
December 18, 2014
Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric
inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e1206-14. doi:10.1542/peds.2012-01…
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psnet.ahrq.gov/node/43583/psn-pdf
October 08, 2014 - Emergency hospitalizations for unsupervised prescription
medication ingestions by young children.
October 8, 2014
Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription
medication ingestions by young children. Pediatrics. 2014;134(4):e1009-16. doi:10.1542/peds.2014-0840.
h…
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psnet.ahrq.gov/node/46807/psn-pdf
July 02, 2019 - Communication failure: analysis of prescribers' use of an
internal free-text field on electronic prescriptions.
July 2, 2019
Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text
field on electronic prescriptions. J Am Med Inform Assoc. 2018;25(6):709-714. doi:1…
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psnet.ahrq.gov/node/866699/psn-pdf
September 11, 2024 - AHRQ-Funded Patient Safety Project Highlights:
Improving Patient Safety by Enhancing Medication Safety.
September 11, 2024
Ahrq-Funded Patient Safety Project Highlights: Improving Patient Safety By Enhancing Medication Safety.
Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication No. 24-…
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psnet.ahrq.gov/node/46302/psn-pdf
December 22, 2017 - Non–health care facility medication errors resulting in
serious medical outcomes.
December 22, 2017
Hodges NL, Spiller HA, Casavant MJ, et al. Non-health care facility medication errors resulting in serious
medical outcomes. Clin Toxicol (Phila). 2018;56(1):43-50. doi:10.1080/15563650.2017.1337908.
https://psnet.a…
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psnet.ahrq.gov/node/41610/psn-pdf
January 25, 2017 - Adverse events among children in Canadian hospitals:
the Canadian Paediatric Adverse Events Study.
January 25, 2017
Matlow A, Baker R, Flintoft V, et al. Adverse events among children in Canadian hospitals: the Canadian
Paediatric Adverse Events Study. CMAJ. 2012;184(13):E709-718. doi:10.1503/cmaj.112153.
https://…
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psnet.ahrq.gov/node/42270/psn-pdf
December 31, 2014 - Relationship between medication event rates and the
Leapfrog computerized physician order entry evaluation
tool.
December 31, 2014
Leung AA, Keohane C, Lipsitz S, et al. Relationship between medication event rates and the Leapfrog
computerized physician order entry evaluation tool. J Am Med Info Asso. 2013;20(e1):…