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psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
September 23, 2020 - Study
National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform.
Citation Text:
Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…
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psnet.ahrq.gov/issue/development-and-applications-veterans-health-administrations-stratification-tool-opioid-risk
April 01, 2020 - Study
Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide.
Citation Text:
Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans He…
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psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
September 22, 2021 - EMERGING INNOVATIONS
Implicit bias and patient care: mitigating bias, preventing harm.
Citation Text:
Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm. MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343.
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - instructions, and identify or avoid medication errors and drug-drug interactions.18 In one
study, implementing
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psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
November 02, 2016 - delivery of patient care.( 19 ) Recent AHRQ work with primary care PBRNs has focused on developing and implementing
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - effectiveness of a systematic approach to identifying physicians with repeated behavioral transgressions and implementing
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use
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March 31…
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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary
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September 23, 2024
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psnet.ahrq.gov/node/850361/psn-pdf
June 14, 2023 - Critical Echocardiogram Result Lost to Follow-up
June 14, 2023
Boctor N, Molla M. Critical Echocardiogram Result Lost to Follow-up. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
The Case
A 63-year-old man with history of stroke, systolic heart failure, and ventric…
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psnet.ahrq.gov/node/836892/psn-pdf
April 07, 2022 - The University of Michigan Emergency Critical Care
Center (EC3) Provides Timely Intensive Care to Critically
Ill Patients in the Emergency Department
April 7, 2022
https://psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-
intensive-care
Summary
An increasing volume…
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - include
pertinent medications may provide additional benefit, as it would allow the teams to
practice implementing
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - responsibilities also led to a reduction in harmful discrepancies.10 Health systems
may face barriers to implementing
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psnet.ahrq.gov/issue/preventing-errors-relating-commonly-used-anticoagulants
June 16, 2019 - Sentinel Event Alerts
Preventing errors relating to commonly used anticoagulants.
Citation Text:
Preventing errors relating to commonly used anticoagulants. Sentinel Event Alert. 2008;41(41):1-4.
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psnet.ahrq.gov/issue/diagnostic-excellence-0
December 08, 2021 - Special or Theme Issue
Diagnostic Excellence.
Citation Text:
Diagnostic Excellence. JAMA. Nov 2021-Sep 2022.
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psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
January 14, 2024 - Fact Sheet/FAQs
ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations.
Citation Text:
ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. Horsham, PA; Institute for Safe Medication Practices; April 17, 2024.
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psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
July 14, 2021 - Multi-use Website
Global Knowledge Sharing Platform for Patient Safety.
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Global Knowledge Sharing Platform for Patient Safety. World Health Organization.
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psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
August 14, 2018 - Multi-use Website
Collaborative for Accountability and Improvement.
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Collaborative for Accountability and Improvement. University of Washington.
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals
April 17, 2024 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment for Hospitals.
Citation Text:
ISMP Medication Safety Self Assessment for Hospitals. Horsham, PA: Institute for Safe Medication Practices; April 2011.
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psnet.ahrq.gov/node/42063/psn-pdf
January 06, 2018 - Making Health Care Safer II: An Updated Critical Analysis
of the Evidence for Patient Safety Practices.
January 6, 2018
Shekelle PG, Wachter RM, Pronovost PJ, et al. Making Health Care Safer Ii: An Updated Critical Analysis
Of The Evidence For Patient Safety Practices.; 2013:Evid Rep Technol Assess (Full Rep).(211)…
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psnet.ahrq.gov/issue/safety-0
March 07, 2018 - Multi-use Website
Safety.
Citation Text:
Safety. Center for Health Design.
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June 15, 2016
Center for Heal…