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psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
August 30, 2023 - Commentary
The morbidity and mortality meeting: time for a different approach?
Citation Text:
Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-8. doi:10.1136/archdischild-2015-309536.
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DOI Googl…
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - sources ( demographic, diagnostic, pharmacy, and healthcare utilization data ), it can be modified to incorporate
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psnet.ahrq.gov/node/50930/psn-pdf
February 21, 2020 - provider order entry (CPOE) modules are intended to reduce the need for
pharmacist review as they incorporate
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psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
June 29, 2020 - computerized provider order entry (CPOE) modules are intended to reduce the need for pharmacist review as they incorporate
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psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - We believe that any attempt to determine cause and effect (preventability) must
incorporate these factors … Do diagnostic plans incorporate the risk/benefit of finding one
diagnosis rather than another?
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - The clinical decision support should incorporate a final check that assures that a
REMS-authorized provider
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psnet.ahrq.gov/node/33616/psn-pdf
August 01, 2005 - Payment
reforms must incorporate the reality that decreasing hospital length of stay and technology
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psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and-resident-integration
November 17, 2010 - Commentary
A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency.
Citation Text:
O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a gener…
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psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conferences-past-present-and-future
November 30, 2022 - Review
Medical morbidity and mortality conferences: past, present and future.
Citation Text:
George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J. 2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103.
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D…
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psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
October 19, 2022 - Review
Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review.
Citation Text:
Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - EHR systems should incorporate easily seen indicators and notifications when hemolysis is
detected. … awareness of long QT syndrome:
Similar to alerts for patient allergies or device implants, EHRs should incorporate
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psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety
April 21, 2021 - Study
Clinical data sharing improves quality measurement and patient safety.
Citation Text:
D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039.
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - Sarah Mossburg: Where did you begin when you first started to incorporate Safety-II? … For us, it’s not just about event management; it’s about how we can incorporate Safety-II principles
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - been recommended that fall
prevention interventions comprise a multicomponent approach5,8-10 and
incorporate … .23
• Designing interventions based on social and cognitive theories may help
staff and residents incorporate
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psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality
January 11, 2023 - Review
Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement.
Citation Text:
Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(…
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psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
July 19, 2019 - Review
Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review.
Citation Text:
Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…
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psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
January 06, 2018 - Commentary
Classic
Computerized physician order entry: helpful or harmful?
Citation Text:
Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3.
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psnet.ahrq.gov/issue/evaluation-causes-and-frequency-medication-errors-during-information-technology-downtime
October 03, 2011 - Study
Evaluation of causes and frequency of medication errors during information technology downtime.
Citation Text:
Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication errors during information technology downtime. Am J Health Syst Pharm…
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psnet.ahrq.gov/issue/pharmacists-perceptions-computerized-prescriber-order-entry-systems
June 29, 2011 - Study
Pharmacists' perceptions of computerized prescriber-order-entry systems.
Citation Text:
Inquilla CC, Szeinbach S, Seoane-Vazquez E, et al. Pharmacists' perceptions of computerized prescriber-order-entry systems. Am J Health Syst Pharm. 2007;64(15):1626-32.
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For…
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psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - interventions and enforcing existing policies), failure to aggregate data across institutions, and failure to incorporate