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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861882/psn-pdf
    January 31, 2024 - Responding to this shift, AHRQ funded a project to reduce surgical site infections and other complications … Beyond infections and complications from surgeries, researchers have begun to describe deviations from

  2. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
    September 07, 2016 - Organizational Policy/Guidelines ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Citation Text: Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72…

  3. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events. | PSNet

    psnet.ahrq.gov/issue/medication-error-care-hivaids-patients-electronic-surveillance-confirmation-and-adverse
    September 28, 2022 - Study Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events. Citation Text: DeLorenze GN, Follansbee SF, Nguyen DP, et al. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events…

  4. Randomized Control Trial Embedded in an Electronic Health Record - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/randomized-controlled-trial-embedded-electronic-health-record/annual-summary/2010
    January 01, 2010 - Randomized Control Trial Embedded in an Electronic Health Record - 2010 Project Name Randomized Controlled Trial Embedded in an Electronic Health Record Principal Investigator Kahn, James Organization University of California, San Francisco Funding Mechanism RFA: HS…

  5. Chemotherapy drug shortages in pediatric oncology: a consensus statement. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-drug-shortages-pediatric-oncology-consensus-statement
    March 15, 2017 - Organizational Policy/Guidelines Chemotherapy drug shortages in pediatric oncology: a consensus statement. Citation Text: Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.201…

  6. What is new in paediatric medication safety? | PSNet

    psnet.ahrq.gov/issue/what-new-paediatric-medication-safety
    June 28, 2017 - Review What is new in paediatric medication safety? Citation Text: Kahn S, Abramson EL. What is new in paediatric medication safety? Arch Dis Child. 2019;104(6):596-599. doi:10.1136/archdischild-2018-315175. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

  7. Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. | PSNet

    psnet.ahrq.gov/issue/medication-safety-issue-brief-small-and-rural-hospitals-unique-challenges-unique-solutions
    June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. Citation Text: Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural hospitals--unique challenges, unique solutions. Hospitals & h…

  8. Enhancing medication use safety: benefits of learning from your peers. | PSNet

    psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers
    May 07, 2008 - Study Enhancing medication use safety: benefits of learning from your peers. Citation Text: Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938. Copy Cit…

  9. Antibiotic prescribing in ambulatory pediatrics in the United States. | PSNet

    psnet.ahrq.gov/issue/antibiotic-prescribing-ambulatory-pediatrics-united-states
    May 25, 2016 - Study Antibiotic prescribing in ambulatory pediatrics in the United States. Citation Text: Hersh AL, Shapiro DJ, Pavia AT, et al. Antibiotic prescribing in ambulatory pediatrics in the United States. Pediatrics. 2011;128(6):1053-61. doi:10.1542/peds.2011-1337. Copy Citation Format:…

  10. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. | PSNet

    psnet.ahrq.gov/issue/rural-inpatient-telepharmacy-consultation-demonstration-after-hours-medication-review
    January 23, 2017 - Study Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Citation Text: Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/…

  11. Excess mortality caused by medical injury. | PSNet

    psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
    June 29, 2011 - Study Excess mortality caused by medical injury. Citation Text: Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  12. Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/comparing-two-safety-culture-surveys-safety-attitudes-questionnaire-and-hospital-survey
    September 01, 2018 - Study Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. Citation Text: Etchegaray J, Thomas EJ. Comparing two safety culture surveys: safety attitudes questionnaire and hospital survey on patient safety. BMJ Qual Saf. 2012;21(6)…

  13. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. | PSNet

    psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
    November 18, 2016 - Study Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. Citation Text: Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…

  14. SBAR: a shared mental model for improving communication between clinicians. | PSNet

    psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
    January 02, 2017 - Study SBAR: a shared mental model for improving communication between clinicians. Citation Text: Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75. Copy Citation Format: …

  15. Improving self-reporting of adverse drug events in a West Virginia hospital. | PSNet

    psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
    March 10, 2011 - Study Improving self-reporting of adverse drug events in a West Virginia hospital. Citation Text: Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41. Copy Citation Format: Go…

  16. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Report (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
    November 01, 2019 - purposes of this measure, indications for CT imaging include thunderclap headache, vascular disease, infections … headaches, and secondary headaches, which include headaches attributed to a separate condition, such as infection … • Infections that would warrant imaging on the day of or within 365 days before the atraumatic headache … For the purposes of this measure, indications include thunderclap headache, vascular disease, infections … atraumatic headache without indication of 15 thunderclap headache, vascular disease, infections

  17. Stem-Cell-Children Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/stem-cell-children_executive.pdf
    February 01, 2012 - .- host disease, opportunistic infections, future infertility, developmental delay, and secondary malignancies … 1 KQ 1KQ 1 KQ 2 Pediatric malignant solid tumors • Immunosuppression (e.g., opportunistic infection … 6 Pediatric inherited metabolic diseases • GVHD • Immunosuppression (e.g., opportunistic infection … 4 Pediatric inherited metabolic diseases • GVHD • Immunosuppression (e.g., opportunistic infection

  18. Arthritis and Nontraumatic Joint Disease (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/arthritis-horizon-scan-high-impact-1412.pdf
    December 01, 2014 - reported adverse events were arthralgia, back pain, nasopharyngitis, and upper respiratory tract infection … allopurinol in the CLEAR1 and CLEAR2 studies were back pain, nasopharyngitis, and upper respiratory tract infection … febuxostat during the CRYSTAL trial were arthralgia, nasopharyngitis, and upper respiratory tract infection

  19. Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
    January 01, 2023 - time period for ascertainment.11,14,17,18 – The most common complications are wound problems such as infection … wall or gastric wall ulceration,6,11,14 tube dislodgement with peritonitis or necrotizing soft tissue infection … sedation or specialized equipment. – When the PEG tube has complications, such as a skin or soft tissue infection

  20. In Conversation With... Libby Hoy and Stephen Hoy | PSNet

    psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
    March 10, 2021 - information about my fall risk or I can work with my healthcare team to ensure that my visitors follow infection … Maybe they’ve seen an issue in their infection control procedures. … So, if we reduced infection rates by 20% without engagement, did we reduce it by 60% when we had engagement
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