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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - why the full spectrum of education, competency assessment, and ongoing quality control needs to be implemented
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - Conclusion If implemented appropriately, telehealth can be an incredibly effective approach to ensuring
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psnet.ahrq.gov/node/73654/psn-pdf
September 01, 2021 - CancelRx: a health IT tool to reduce medication
discrepancies in the outpatient setting.
September 1, 2021
Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in
the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi:10.1093/jamia/ocab038.
https:…
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psnet.ahrq.gov/node/45016/psn-pdf
April 27, 2016 - Medication safety systems and the important role of
pharmacists.
April 27, 2016
Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging.
2016;33(3):213-21. doi:10.1007/s40266-016-0358-1.
https://psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
Preventin…
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psnet.ahrq.gov/node/46383/psn-pdf
September 20, 2017 - Prescription Drug Monitoring Programs: Evolution and
Evidence.
September 20, 2017
Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017.
https://psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence
Health care has been exploring a variety of strategies to mitigate the opioid ep…
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psnet.ahrq.gov/node/46289/psn-pdf
January 01, 2021 - Communication training, adverse events, and quality
measures: 2 retrospective database analyses in
Washington State hospitals.
August 9, 2017
Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2
Retrospective Database Analyses in Washington State Hospitals. J Patient …
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psnet.ahrq.gov/node/47830/psn-pdf
February 27, 2019 - Impact of a pharmacist-directed pain management service
on inpatient opioid use, pain control, and patient safety.
February 27, 2019
Poirier RH; Brown CS; Baggenstos YT; Walden SG; Gann NY; Patty CM; Sandoval RA; McNulty JR.
https://psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-o…
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psnet.ahrq.gov/node/45073/psn-pdf
May 11, 2016 - Promoting patient safety: results of a TeamSTEPPS
initiative.
May 11, 2016
Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs
Adm. 2016;46(4):201-207. doi:10.1097/nna.0000000000000333.
https://psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-ini…
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psnet.ahrq.gov/node/73871/psn-pdf
September 22, 2021 - Making Health Care Safer in Ambulatory Care Settings
and Long-term Care Facilities (R18).
September 22, 2021
Rockville, MD: Agency for Healthcare Research and Quality; September 9, 2021. PA-21-267.
https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-
facilities-r…
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psnet.ahrq.gov/node/44235/psn-pdf
January 22, 2016 - Interventions to reduce nurses' medication administration
errors in inpatient settings: a systematic review and meta-
analysis.
January 22, 2016
Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in
inpatient settings: A systematic review and meta-analysis. Int J…
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psnet.ahrq.gov/node/45050/psn-pdf
May 03, 2016 - Digital health and patient safety.
May 3, 2016
Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698.
doi:10.1001/jama.2016.2402.
https://psnet.ahrq.gov/issue/digital-health-and-patient-safety
Patients, clinicians, and health care systems are increasingly adopting digital…
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psnet.ahrq.gov/node/43503/psn-pdf
August 02, 2015 - The preventive surgical site infection bundle in colorectal
surgery: an effective approach to surgical site infection
reduction and health care cost savings.
August 2, 2015
Keenan JE, Speicher PJ, Thacker JKM, et al. The preventive surgical site infection bundle in colorectal
surgery: an effective approach to surg…
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psnet.ahrq.gov/node/841488/psn-pdf
December 14, 2022 - ASHP Guidelines on Preventing Diversion of Controlled
Substances.
December 14, 2022
Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am
J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.
https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-…
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psnet.ahrq.gov/node/866073/psn-pdf
June 05, 2024 - Improving communication of diagnostic uncertainty to
families of hospitalized children.
June 5, 2024
Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of
hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/866399/psn-pdf
July 31, 2024 - Typology of solutions addressing diagnostic disparities:
gaps and opportunities.
July 31, 2024
Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps
and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026.
https://psnet.ahrq.gov/issue/typol…
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psnet.ahrq.gov/node/46755/psn-pdf
May 30, 2018 - Innovative approach to reconstruct bedside handoff:
using simple rules of complexity science to promote
partnership with patients.
May 30, 2018
Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple
Rules of Complexity Science to Promote Partnership With Patients. J Nu…
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psnet.ahrq.gov/node/845649/psn-pdf
March 08, 2023 - Medication rounds: a tool to promote medication safety
for children with medical complexity.
March 8, 2023
Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with
medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):226-234. doi:10.1016/j.jcjq.2023.01.003.
…
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psnet.ahrq.gov/node/43006/psn-pdf
April 02, 2014 - Hamilton Acute Pain Service Safety Study: using root
cause analysis to reduce the incidence of adverse events.
April 2, 2014
Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis
to reduce the incidence of adverse events. Anesthesiology. 2014;120(1):97-109.
doi:1…
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psnet.ahrq.gov/node/47683/psn-pdf
April 10, 2019 - Design of hospital errors and omissions activities that
include patient-specific medication related problems.
April 10, 2019
Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific
medication related problems. Curr Pharm Teach Learn. 2019;11(1):66-75. doi:10.1016/j.cp…
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psnet.ahrq.gov/node/45421/psn-pdf
December 14, 2016 - The medication reconciliation process and classification
of discrepancies: a systematic review.
December 14, 2016
Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of
discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. doi:10.1111/bcp.13017.
https://p…