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psnet.ahrq.gov/node/61116/psn-pdf
November 11, 2020 - medication containers during pharmacist
transitional care visits and impact on medication
discrepancies identified … medication containers during pharmacist transitional care
visits and impact on medication discrepancies identified … However, when patients did present to
their PCC visit with medication containers, pharmacists identified
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psnet.ahrq.gov/node/36544/psn-pdf
July 14, 2010 - Targeted chart review of pediatric patient safety events
identified by the Agency for Healthcare Research … Targeted Chart Review of Pediatric Patient Safety Events Identified
by the Agency for Healthcare Research … https://psnet.ahrq.gov/issue/targeted-chart-review-pediatric-patient-safety-events-identified-agency- … https://psnet.ahrq.gov/issue/targeted-chart-review-pediatric-patient-safety-events-identified-agency-healthcare-research … https://psnet.ahrq.gov/issue/targeted-chart-review-pediatric-patient-safety-events-identified-agency-healthcare-research
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psnet.ahrq.gov/node/840170/psn-pdf
November 16, 2022 - Observers conducted a Hierarchical Task Analysis (HTA) to identify tasks and
sub-tasks, identified potential … dispensing errors, and then identified remedial solutions designed to avoid
potential errors. … The analysis identified 88 potential errors and 35 remedial solutions.
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psnet.ahrq.gov/node/39431/psn-pdf
April 07, 2010 - Identified safety risks with splitting and crushing oral
medications.
April 7, 2010
Paparella S. … Identified safety risks with splitting and crushing oral medications. … https://psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
In the … https://psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
https://
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psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
December 18, 2019 - Incident reports and the Global Trigger Tool more commonly identified medication errors likely to cause … Omission errors were commonly identified by all three methods, but identification of other errors varied … For example, incident reports most commonly identified wrong dose and wrong time errors.
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psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - This review identified 25 studies that used the PRISMA method to analyze UEs. … provider interviews and using multiple PRISMA-trained researchers may increase the number of causes identified … June 16, 2021
Monitoring preventable adverse events and near misses: number and type identified
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psnet.ahrq.gov/node/44208/psn-pdf
July 16, 2015 - Preventability of voluntarily reported or trigger
tool–identified medication errors in a pediatric institution … Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in
a Pediatric Institution … https://psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors … https://psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric … https://psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric
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psnet.ahrq.gov/node/39491/psn-pdf
March 22, 2011 - The published literature on handoffs in hospitals:
deficiencies identified in an extensive review. … The published literature on handoffs in hospitals: deficiencies identified in an
extensive review. … https://psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review … https://psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
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psnet.ahrq.gov/node/35053/psn-pdf
November 18, 2015 - Measured response to identified suicide risk and
violence: what you need to know about psychiatric … Brief Treat Crisis Intervent. 2005;5(2):121-141
https://psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know … https://psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know-about-psychiatric … https://psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know-about-psychiatric
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psnet.ahrq.gov/node/38574/psn-pdf
November 21, 2016 - Family-identified barriers to medication reconciliation.
November 21, 2016
Riley-Lawless K. … Family-identified barriers to medication reconciliation. … https://psnet.ahrq.gov/issue/family-identified-barriers-medication-reconciliation
Medication reconciliation … https://psnet.ahrq.gov/issue/family-identified-barriers-medication-reconciliation
https://psnet.ahrq.gov
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/bereaved-persons-research-executive-summ.pdf
March 01, 2025 - None of the identified studies used the reference
standard of the newly established clinical diagnosis … Results
The literature searches identified 12,063 citations, we obtained 5,228 as full text, and
219 … Screening
We identified 9 studies evaluating the effect of screening approaches. … Diagnosing
We identified 18 studies evaluating the accuracy and effects of diagnostic tools. … However, none of the identified studies used a DSM or ICD grief disorder
diagnosis as the reference
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psnet.ahrq.gov/node/44283/psn-pdf
July 15, 2015 - An analysis of near misses identified by anesthesia
providers in the intensive care unit. … An analysis of near misses identified by anesthesia
providers in the intensive care unit. … https://psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit … https://psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
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psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
March 06, 2005 - This study conducted in Canadian hospitals compared the frequency of errors identified through incident … reports with that of errors identified using trigger methodology. … As shown in prior research , incident reports identified only a small proportion of adverse events.
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effectivehealthcare.ahrq.gov/system/files/docs/topic-brief-antenatal-care.pdf
April 01, 2021 - No existing
systematic reviews were identified that addressed the appropriate schedule of in-person … No reviews were identified
which covered the total scope of KQ2. … Summary of Literature Findings
No systematic reviews were identified for KQ1. … Two
systematic reviews which covered part of KQ2 were identified. … Two reviews for KQ2 were identified.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/treatment-resistant-depression_surveillance.pdf
April 01, 2016 - This
may occur when no new evidence is identified, or when some new evidence is identified
but it is … No studies were identified. … No new head-to-head studies were
identified. … No studies were identified. … No studies were identified.
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/reports-congress
November 01, 2020 - The USPSTF also identified evidence gaps that prevent it from making recommendations for specific racial … The Task Force also identified specific populations for which evidence gaps exist, such as screening … Fourth Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services ” identified … “ Third Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services ” identified … Second Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services ” identified
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psnet.ahrq.gov/node/38837/psn-pdf
June 28, 2011 - A comparison of hospital adverse events identified by
three widely used detection methods. … A comparison of hospital adverse events identified by
three widely used detection methods. … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn16.jsp
August 01, 2014 - If so, how can these be identified in the data? … How are PRN and One Time orders identified
Are medications the patient may be taking from home identified … How are order cancellations, changes and discontinuations identified in their orders? … How are orders identified that may be composed of multiple drugs and/or with diluents such as dextrose … Can the actual strength of the base drug be identified in the order?
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psnet.ahrq.gov/node/38157/psn-pdf
October 22, 2008 - Contributing factors identified by hospital incident report
narratives. … Contributing factors identified by hospital incident report
narratives. … https://psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
The … https://psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
https
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psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations-medical-and
June 24, 2020 - Study
An observational study of how patients are identified before medication administrations … An observational study of how patients are identified before medication administrations in medical and … An observational study of how patients are identified before medication administrations in medical and