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psnet.ahrq.gov/node/39121/psn-pdf
March 04, 2011 - The influence that electronic prescribing has on
medication errors and preventable adverse drug events:
an interrupted time-series study.
March 4, 2011
van Doormaal J, van den Bemt PMLA, Zaal RJ, et al. The influence that electronic prescribing has on
medication errors and preventable adverse drug events: an inter…
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psnet.ahrq.gov/node/47459/psn-pdf
October 10, 2018 - People, processes, health IT and accurate patient
identification.
October 10, 2018
Quick Safety. October 1, 2018;(45):1-2.
https://psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
This newsletter article reviews common problems related to patient identification and recommends
st…
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psnet.ahrq.gov/node/46479/psn-pdf
October 04, 2017 - Managing the Costs of Clinical Negligence in Trusts.
October 4, 2017
Comptroller and Auditor General, Department of Health; London, UK: National Audit Office; 2017. ISBN:
9781786041395.
https://psnet.ahrq.gov/issue/managing-costs-clinical-negligence-trusts
Applying evidence generated from complaints submitted to h…
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psnet.ahrq.gov/node/47393/psn-pdf
November 28, 2018 - Still Failing the Frail.
November 28, 2018
Simmons-Ritchie D. Penn Live. November 15, 2018.
https://psnet.ahrq.gov/issue/still-failing-frail
Nursing home patients are vulnerable to preventable harm due to poor safety culture, insufficient staffing
levels, lack of regulation enforcement, and misaligned financial in…
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psnet.ahrq.gov/node/42919/psn-pdf
February 05, 2014 - Implementing hospital-based communication-and-
resolution programs: lessons learned in New York City.
February 5, 2014
Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution
programs: lessons learned in New York City. Health Aff (Millwood). 2014;33(1):30-8.
doi:10.1377/h…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/sleep-apnea-protocol.pdf
June 09, 2020 - Protocol - Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea in Medicare Eligible Patients
Evidence-based Practice Center Systematic Review Protocol
Project Title: Continuous Positive Airway Pressure Treatment for Obstructive
Sleep Apnea in Medicare Eligible Patients
I. Backgrou…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary14/chlamydial-infection-screening-2007
June 15, 2007 - Share to Facebook
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Final Evidence Summary
Chlamydial Infection: Screening
June 15, 2007
Recommendations made by the USPSTF are independent of the U.S. government. They should not …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/antidepressants-seniors-pneumonia_research.pdf
May 01, 2008 - Observed Association Between Antidepressant Use and Pneumonia Risk Was Confounded by Comorbidity Measures
Effective Health Care
Number 5
Research Reports
Observed Association Between Antidepressant Use
and Pneumonia Risk Was Confounded by
Comorbidity Measures
Sean Hennessy, Pharm.D., Ph.D.
Warren B. Bilker, Ph.D…
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psnet.ahrq.gov/node/46526/psn-pdf
December 22, 2018 - Risk factors for adverse events in emergency department
procedural sedation for children.
December 22, 2018
Bhatt M, Johnson DW, Chan J, et al. Risk Factors for Adverse Events in Emergency Department
Procedural Sedation for Children. JAMA Pediatr. 2017;171(10):957-964.
doi:10.1001/jamapediatrics.2017.2135.
https:…
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psnet.ahrq.gov/node/60876/psn-pdf
September 02, 2020 - Serious adverse events in pediatric procedural sedation
before and after the implementation of a pre-sedation
checklist.
September 2, 2020
Librov S, Shavit I. Serious adverse events in pediatric procedural sedation before and after the
implementation of a pre-sedation checklist. J Pain Res. 2020;13:1797-1802. doi:…
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psnet.ahrq.gov/node/44183/psn-pdf
November 03, 2015 - The absence of a drug–disease interaction alert leads to a
child's death.
November 3, 2015
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4.
https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
The disabling of alerts due to alarm fatigue can hinder the abilit…
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psnet.ahrq.gov/node/858175/psn-pdf
December 13, 2023 - Defining the landscape of patient harm after osteopathic
manipulative treatment: synthesis of an adverse event
model.
December 13, 2023
Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative
treatment: synthesis of an adverse event model. BMC Complementary Medici…
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psnet.ahrq.gov/node/38070/psn-pdf
March 10, 2011 - Can surveillance systems identify and avert adverse drug
events? A prospective evaluation of a commercial
application.
March 10, 2011
Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A
prospective evaluation of a commercial application. J Am Med Inform Assoc. 20…
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psnet.ahrq.gov/node/47878/psn-pdf
June 05, 2019 - Nursing practice with hospitalised older people: safety
and harm.
June 5, 2019
Dahlke SA, Hunter KF, Negrin K. Nursing practice with hospitalised older people: Safety and harm. Int J
Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220.
https://psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people…
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psnet.ahrq.gov/node/47789/psn-pdf
March 06, 2019 - Is it rational to pursue zero suicides among patients in
health care?
March 6, 2019
Mokkenstorm JK, Kerkhof AJFM, Smit JH, et al. Is It Rational to Pursue Zero Suicides Among Patients in
Health Care? Suicide Life Threat Behav. 2018;48(6):745-754. doi:10.1111/sltb.12396.
https://psnet.ahrq.gov/issue/it-rational-pur…
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psnet.ahrq.gov/node/46778/psn-pdf
April 12, 2019 - Trends in the prevalence of intraoperative adverse events
at two academic hospitals after implementation of a
mandatory reporting system.
April 12, 2019
Wanderer JP, Gratch DM, St Jacques P, et al. Trends in the Prevalence of Intraoperative Adverse Events
at Two Academic Hospitals After Implementation of a Mandato…
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psnet.ahrq.gov/node/47424/psn-pdf
November 21, 2018 - Creating a culture of accountability promotes safe
medical care.
November 21, 2018
Canadian Medical Protective Association; CMPA.
https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care
Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
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psnet.ahrq.gov/node/44901/psn-pdf
March 30, 2016 - Medication safety pharmacy technician in a large, tertiary
care, community hospital.
March 30, 2016
Brown KN, Bergsbaken J, Reichard JS. Medication safety pharmacy technician in a large, tertiary care,
community hospital. Am J Health Syst Pharm. 2016;73(4):188-191. doi:10.2146/ajhp150098.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/43524/psn-pdf
October 29, 2014 - Validating administrative data for the detection of adverse
events in older hospitalized patients.
October 29, 2014
Ackroyd-Stolarz S, Bowles SK, Giffin L. Validating administrative data for the detection of adverse events in
older hospitalized patients. Drug Healthc Patient Saf. 2014;6:101-8. doi:10.2147/DHPS.S643…
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psnet.ahrq.gov/node/50453/psn-pdf
October 09, 2019 - Effect of a sedation weaning protocol on safety and
medication use among hospitalized children post critical
illness
October 9, 2019
Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and
Medication Use among Hospitalized Children Post Critical Illness. J Pediatr Nurs. 2019…