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digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
January 01, 2009 - Redundant alerts also can
reduce clinicians’ sensitivity to the alerts, increasing the opportunity for
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024264-zhou-final-report-2019.pdf
January 01, 2019 - As such, an increasing
number of errors may be entered into the EHR as a result of this technology,
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digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
January 01, 2023 - Redundant alerts also can reduce clinicians’ sensitivity to the alerts, increasing the opportunity for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
January 01, 2003 - of ambulatory prescriptions being filled in the United
States approaching 3.5 billion per year and increasing
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effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1506.pdf
June 01, 2015 - Fluocinolone acetonide’s potential risk of increasing
intraocular pressure might dissuade some physicians … of patient BMI
Most experts cited a large unmet need for improving diabetes management, with an increasing … multimedia marketing campaigns to persuade patients to
request Afrezza from physicians as a strategy for increasing … glycemic control as injectable insulin, the convenience and improved comfort could
improve outcomes by increasing … this implant has the potential to improve patient health outcomes and potentially
access to care by increasing
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/4NUuvS6nmzTdBgjBg3ELkE
January 01, 2020 - outcomes measured, it is
still unclear whether medium- or high-intensity counseling
interventions aimed at increasing … Physical Activity Guidelines for
Americans report (31, 92), focusing on low-impact activi-
ties and increasing … Increasing daily walking lowers blood pressure in postmenopausal
women.
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psnet.ahrq.gov/node/866569/psn-pdf
September 01, 2024 - Guidelines in Practice.
September 1, 2024
Guidelines in Practice. AORN J. 2020-2024.
https://psnet.ahrq.gov/issue/guidelines-practice
Awareness and consistent application of professional guidance can support safe, effective care delivery.
This collection of articles presents short introductions to a range of guide…
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psnet.ahrq.gov/node/41136/psn-pdf
February 15, 2012 - Adverse events after screening and follow-up
colonoscopy.
February 15, 2012
Rutter CM, Johnson E, Miglioretti DL, et al. Adverse events after screening and follow-up colonoscopy.
Cancer Causes & Control. 2011;23(2). doi:10.1007/s10552-011-9878-5.
https://psnet.ahrq.gov/issue/adverse-events-after-screening-and-foll…
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psnet.ahrq.gov/node/46788/psn-pdf
April 11, 2018 - Preventing newborn falls and drops.
April 11, 2018
Quick Safety. March 27, 2018;(40):1-2.
https://psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
Falls are a common patient safety concern for adults but are rarely discussed as a threat to newborn
safety. This newsletter article provides a definition for a …
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psnet.ahrq.gov/node/38388/psn-pdf
February 04, 2009 - The impact of declining clinical autopsy: need for revised
healthcare policy.
February 4, 2009
Xiao J, Krueger GRF, Buja M, et al. The impact of declining clinical autopsy: need for revised healthcare
policy. Am J Med Sci. 2009;337(1):41-6. doi:10.1097/MAJ.0b013e318184ce2b.
https://psnet.ahrq.gov/issue/impact-decl…
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psnet.ahrq.gov/node/46442/psn-pdf
October 04, 2017 - Handoff Communication.
October 4, 2017
APSF Newsletter. October 2017;32:29-56.
https://psnet.ahrq.gov/issue/handoff-communication
Handoff processes are known to carry risks of communication errors. This special issue focuses on
transfers involving anesthesia care. Articles review different types of handoffs, chara…
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psnet.ahrq.gov/node/38444/psn-pdf
May 21, 2009 - Preprinted order sets as a safety intervention in pediatric
sedation.
May 21, 2009
Broussard M, Bass PF, Arnold CL, et al. Preprinted order sets as a safety intervention in pediatric sedation.
J Pediatr. 2009;154(6):865-8. doi:10.1016/j.jpeds.2008.12.022.
https://psnet.ahrq.gov/issue/preprinted-order-sets-safety-i…
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psnet.ahrq.gov/node/37124/psn-pdf
December 04, 2016 - Mortality as a measure of quality: implications for
palliative and end-of-life care.
December 4, 2016
Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care.
JAMA. 2007;298(7):802-804.
https://psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative…
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psnet.ahrq.gov/node/47805/psn-pdf
May 29, 2019 - Better Health for Mothers and Babies.
May 29, 2019
American Hospital Association.
https://psnet.ahrq.gov/issue/better-health-mothers-and-babies
Maternal harm is a patient safety concern that is increasingly prioritized in regulatory and care delivery
environments. This website provides tools, policies, news articl…
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psnet.ahrq.gov/node/36180/psn-pdf
September 29, 2010 - Why nurses make medication errors: a simulation study.
September 29, 2010
Kazaoka T, Ohtsuka K, Ueno K, et al. Why nurses make medication errors: a simulation study. Nurse Educ
Today. 2007;27(4):312-7.
https://psnet.ahrq.gov/issue/why-nurses-make-medication-errors-simulation-study
The investigators used a simulate…
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psnet.ahrq.gov/node/41282/psn-pdf
April 11, 2012 - Analysis of risk factors for adverse drug events in
critically ill patients.
April 11, 2012
Kane-Gill SL, Kirisci L, Verrico MM, et al. Analysis of risk factors for adverse drug events in critically ill
patients*. Crit Care Med. 2012;40(3):823-8. doi:10.1097/CCM.0b013e318236f473.
https://psnet.ahrq.gov/issue/analy…
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psnet.ahrq.gov/node/39799/psn-pdf
December 29, 2014 - Disclosure of patient safety incidents: a comprehensive
review.
December 29, 2014
O'Connor E, Coates HM, Yardley I, et al. Disclosure of patient safety incidents: a comprehensive review. Int
J Qual Health Care. 2010;22(5):371-9. doi:10.1093/intqhc/mzq042.
https://psnet.ahrq.gov/issue/disclosure-patient-safety-inci…
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digital.ahrq.gov/location/usa-ca-berkeley
January 01, 2023 - USA, CA, Berkeley
Improving Diabetes and Depression Self-Management Via Adaptive Mobile Messaging
Description
This research used machine learning algorithms to customize and distribute health messages to people with low income through text messaging, finding that the adaptive …
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www.ahrq.gov/nursing-home/resources/state-actions-toolkit.html
February 01, 2021 - Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes
Resource: Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes (PDF, 3 MB)
This toolkit catalogs the many innovative solutions designed at the state level to protect our nation’s vulnerable nursing home residents…
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www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/index.html
August 01, 2020 - For Systems Decisionmakers
Integrating the efforts of clinicians, health care systems, insurers, and purchasers provides an opportunity to increase rates of delivering tobacco dependence treatments, quit attempts, and successful smoking cessation. This Systems Change material will help advance that endeavor.
…