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psnet.ahrq.gov/classics
August 01, 2023 - Effective teamwork plays an essential role in providing safe patient care. … inititally in collaboration by the United States Department of Defense and AHRQ in order to support effective … Commentary
Emerging Classic
Recommendations for the safe, effective … Recommendations for the effective management and monitoring of adaptive CDS are outlined. … The authors found that no effective debiasing strategies seem to currently exist.
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psnet.ahrq.gov/issue/older-adults-and-covid-19-implications-aging-policy-and-practice
July 18, 2018 - includes articles examining topics such as the role of policies affecting this patient population, effective
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psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
July 25, 2018 - The authors provide specific steps toward initiating appropriate and effective support for clinicians
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psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
May 24, 2017 - The toolkit provides information on (1) designing a falls prevention and management program; (2) effective
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psnet.ahrq.gov/issue/spikes-demand-coronavirus-patients-are-creating-shortages-asthma-drugs-and-sedatives
May 11, 2016 - residual impact of medication unavailability due to heightened pressure for medications to enable effective
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psnet.ahrq.gov/issue/disclosure-coaching-ask-tell-ask-model-support-clinicians-disclosure-conversations
December 18, 2014 - including the toolkit and tactics used to help clinicians develop skills needed to ensure appropriate and effective
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psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
November 30, 2016 - The Healthcare Improvement Studies Institute) aiming to improve health care through the creation of effective
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psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
November 10, 2017 - of mistakes and draws from several high-risk industries to illustrate how a just culture is a more effective
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psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database
October 03, 2018 - Usability issues, poor design , and lack of effective instruction hinder safe use of medical equipment
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psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
February 09, 2011 - safety, provide tools and conditions to achieve those goals, measure attainment of those goals, and take effective
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psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
November 06, 2015 - Clinical decision support on the front line of care harbors both potential benefits and barriers to effective
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - To be maximally effective, incident reporting systems should be coupled with supportive institutional … causes of patient safety adverse events or near misses and sort them into categories. 2 RCAs are more effective … To be effective , RCAs require an investment of time, resources, organizational commitment, and patient
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psnet.ahrq.gov/primer/opioid-safety
December 15, 2024 - harms and benefits for specific medications evolves as well, and therapies initially thought to be effective … opioids were routinely prescribed for pain of any etiology, despite the fact that opioids are most effective … The Agency for Healthcare Research and Quality's Effective Health Care Program completed three reports
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - In general, the newer medications appear to be equally effective in suppressing seizures as standard … drug-drug interactions, and, unlike most antiseizure drugs, which must be gradually titrated to an effective … associated with preventable clinically significant adverse events.( 5 ) Although the drug is highly effective … In patients with infrequent seizures, doses are usually titrated to a "usually effective dose" or a " … usually effective serum concentration."
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psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - Clinical Decision Support CPOE systems are most effective when they are integrated into a comprehensive … These types of CPOE systems may be effective at preventing some medication errors, such as those resulting … from illegible handwriting, but they are not as effective at reducing prescribing errors associated … The efficient and effective integration of evidence-based decision support systems within CPOE is a necessary … The human factor: the critical importance of effective teamwork and communication in providing safe care
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - risks, evidence suggests that pausing the anticoagulation therapy during the perioperative period is effective … They have been shown to be effective in improving safety and perioperative medications management, including … what to discuss, but they do not necessarily promote the communication or discussion necessary to be effective … This is why combining checklists with teamwork training may be more effective than either intervention … Procedural checklists often require team involvement, rather than just checking the box, to be effective
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - In such circumstances, effective communication with nursing and other providers is critical. … In circumstances where an in-person evaluation is not feasible, the fallback position must include effective … Talk is cheap…and effective. … Regardless of the model, the principles of effective communication apply. … Ten commandments for effective consultations. Arch Intern Med. 1983;143:1753-1755.
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psnet.ahrq.gov/node/33559/psn-pdf
December 15, 2024 - Reconciliation
The evidence supporting patient benefits from reconciling medications is mixed and the most effective … Medication reconciliation has therefore become an example of a safety intervention that has been effective
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psnet.ahrq.gov/issue/implementing-patient-safety-interventions-your-hospital-what-try-and-what-avoid
June 03, 2010 - November 23, 2016
Promoting effective transitions of care at hospital discharge: a review … 2009
Managing discontinuity in academic medical centers: strategies for a safe and effective
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psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
July 27, 2018 - Drug round tabards: are they effective and accepted? A mixed method study. … Are interventions to reduce interruptions and errors during medication administration effective