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psnet.ahrq.gov/issue/ambulatory-prescribing-errors-among-community-based-providers-two-states
July 10, 2008 - June 29, 2011
Perceptions of standards-based electronic prescribing systems as implemented
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-descriptive-epidemiology
October 17, 2012 - High-priority drug-drug interaction clinical decision support overrides in a newly implemented
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psnet.ahrq.gov/issue/comparison-methods-identifying-patients-risk-medication-related-harm
March 04, 2011 - High-priority drug-drug interaction clinical decision support overrides in a newly implemented
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psnet.ahrq.gov/issue/prevalence-and-nature-adverse-medical-device-events-hospitalized-children
October 05, 2011 - Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented
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psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential-benefit
December 15, 2011 - Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented
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psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
December 02, 2014 - Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-changes-opioid-prescribing-practices-postsurgical-acute
August 10, 2022 - High-priority drug-drug interaction clinical decision support overrides in a newly implemented
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psnet.ahrq.gov/issue/scaling-pharmacist-led-information-technology-intervention-pincer-reduce-hazardous
December 16, 2020 - September 1, 2021
Nursing implications of an early warning system implemented to reduce
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psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
June 29, 2022 - The hospital previously implemented Command Centre – Generation 1 (CC1), which aimed to address patient
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psnet.ahrq.gov/issue/improving-patient-safety-and-efficiency-medication-reconciliation-through-development-and
May 20, 2020 - s)
High-priority drug-drug interaction clinical decision support overrides in a newly implemented
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psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
December 02, 2020 - The Cognitive Pyramid was implemented in the existing interprofessional Rapid Safety Round process at
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psnet.ahrq.gov/web-mm/copy-and-paste
December 10, 2014 - be interesting to know how often the narrative plan of the medical record differs from actual orders implemented … Perceived increase in mortality after process and policy changes implemented with computerized physician
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psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-prevent-catheter-associated-urinary
January 25, 2017 - October 27, 2021
Nursing implications of an early warning system implemented to reduce
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psnet.ahrq.gov/issue/association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events
March 05, 2008 - High-priority drug-drug interaction clinical decision support overrides in a newly implemented
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psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study
June 05, 2018 - accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - In July 2003, the Accreditation Council for Graduate Medical Education (ACGME) implemented mandates reducing … Another technique—increasing redundancy—should be implemented.
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - Preoperative surgical huddles and time-outs have been implemented to reduce medical errors, improve patient … Finally, simulation has been implemented on many labor and delivery wards to improve team based medical … Both the preoperative huddle and the pre-incision time out checklists should be implemented on all labor
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - For example, after a policy was implemented to require prior authorization for opioid prescriptions exceeding … In another example, a large health system implemented changes to its EHR program to encourage best practices … that medication preparation errors decreased in a teaching hospital after barcode technology was implemented
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - The authors report that use of their HRO-based tool, implemented in 38 Veterans Health Administration … further reducing them). 10 Moreover, a qualitative study found that HRO principles were unevenly implemented … Some of your work suggests that those principles are sometimes implemented unevenly. … Sarah Mossburg: What are some innovative ways that high reliability principles are implemented in health
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - clinical condition, a fall risk armband was applied, and general safety and fall-prevention measures were implemented … Given her multiple risk factors, fall prevention strategies should have been implemented earlier in the … Additionally, we do not know what personalized fall interventions were implemented aside from a belt