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psnet.ahrq.gov/node/46832/psn-pdf
February 07, 2018 - FDA Drug Safety Communication: FDA requires labeling
changes for prescription opioid cough and cold
medicines to limit their use to adults 18 years and older.
February 7, 2018
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 11, 2018.
https://psnet.ahrq.gov/issue/fda-drug-safety-c…
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psnet.ahrq.gov/node/839323/psn-pdf
November 02, 2022 - Comparison of quality measures from US hospitals with
physician vs nonphysician chief executive officers.
November 2, 2022
See H, Shreve L, Hartzell S, et al. Comparison of quality measures from US hospitals with physician vs
nonphysician chief executive officers. JAMA Netw Open. 2022;5(10):e2236621.
doi:10.1001/j…
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psnet.ahrq.gov/node/35748/psn-pdf
February 02, 2011 - Policies and practices related to the role of board
certification and recertification of pediatricians in hospital
privileging.
February 2, 2011
Freed GL, Uren RL, Hudson EJ, et al. Policies and practices related to the role of board certification and
recertification of pediatricians in hospital privileging. JAMA.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/umich-slides.ppt
May 20, 2012 - HHCEB Presentation
*
VTE Prevention:
An Institution-wide Initiative
University of Michigan
Caprini VTE risk assessment
May 20, 2012
Marc Moote, PA-C
Chief Physician Assistant
University of Michigan Health System
*
*
Key Strategies
Scope: ALL adult inpatients
Standardized VTE Protocol – Caprini model
Mandato…
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psnet.ahrq.gov/node/845301/psn-pdf
March 01, 2023 - Evaluation of effectiveness and safety of pharmacist
independent prescribers in care homes: cluster
randomised controlled trial.
March 1, 2023
Holland R, Bond CM, Alldred DP, et al. Evaluation of effectiveness and safety of pharmacist independent
prescribers in care homes: cluster randomised controlled trial. BMJ.…
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psnet.ahrq.gov/node/36380/psn-pdf
February 28, 2011 - Graduate medical education and patient safety: a busy--
and occasionally hazardous--intersection.
February 28, 2011
Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and
occasionally hazardous--intersection. Ann Intern Med. 2006;145(8):592-8.
https://psnet.ahrq.gov/issue/gra…
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psnet.ahrq.gov/node/853057/psn-pdf
August 30, 2023 - Just what the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis is associated with
increased VTE events in high-risk general surgery
patients.
August 30, 2023
Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis…
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psnet.ahrq.gov/node/40994/psn-pdf
December 18, 2014 - Implementing medication reconciliation in outpatient
pediatrics.
December 18, 2014
Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics.
Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993.
https://psnet.ahrq.gov/issue/implementing-medication-reconciliat…
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psnet.ahrq.gov/node/48015/psn-pdf
June 15, 2019 - Knowledge retention after simulated crisis: importance of
independent practice and simulated mortality.
June 15, 2019
Burnett G, Goldberg A, DeMaria S, et al. Knowledge retention after simulated crisis: importance of
independent practice and simulated mortality. Br J Anaesth. 2019;123(1):81-87.
doi:10.1016/j.bja.2…
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psnet.ahrq.gov/node/47806/psn-pdf
January 01, 2021 - Pursuing patient safety at the intersection of design,
systems engineering, and health care delivery research:
an ongoing assessment.
February 27, 2019
Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems
Engineering, and Health Care Delivery Research: An Ongoing …
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psnet.ahrq.gov/node/48191/psn-pdf
August 28, 2019 - To catch a killer: electronic sepsis alert tools reaching a
fever pitch?
August 28, 2019
Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf.
2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463.
https://psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools…
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psnet.ahrq.gov/node/35620/psn-pdf
February 03, 2011 - Excess dosing of antiplatelet and antithrombin agents in
the treatment of non–ST-segment elevation acute
coronary syndromes.
February 3, 2011
Alexander KP, Chen AY, Roe MT, et al. Excess dosing of antiplatelet and antithrombin agents in the
treatment of non-ST-segment elevation acute coronary syndromes. JAMA. 2005…
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psnet.ahrq.gov/node/47867/psn-pdf
June 19, 2019 - Increasing compliance of safe medication administration
in pediatric anesthesia by use of a standardized checklist.
June 19, 2019
Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric
anesthesia by use of a standardized checklist. Paediatr Anaesth. 2019;29(3):258-2…
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psnet.ahrq.gov/node/47838/psn-pdf
June 02, 2019 - Exploring leadership within a systems approach to
reduce health care–associated infections: a scoping
review of one work system model.
June 2, 2019
Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce
health care-associated infections: A scoping review of one work syste…
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psnet.ahrq.gov/node/858162/psn-pdf
January 01, 2024 - Assessing the clinical, economic, and health resource
utilization impacts of prefilled syringes versus
conventional medication administration methods: results
from a systematic literature review.
December 13, 2023
Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic, and health resource utilizatio…
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psnet.ahrq.gov/node/43798/psn-pdf
January 07, 2015 - Pharmacist-managed inpatient discharge medication
reconciliation: a combined onsite and telepharmacy
model.
January 7, 2015
Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation:
a combined onsite and telepharmacy model. Am J Health Syst Pharm. 2014;71(24):2159-66…
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psnet.ahrq.gov/node/41703/psn-pdf
November 08, 2012 - Anatomy of an incident disclosure: the importance of
dialogue.
November 8, 2012
Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient
Saf. 2012;38(10):435-42.
https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
Physician organizations who…
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psnet.ahrq.gov/node/35462/psn-pdf
February 18, 2011 - Effect of the transformation of the Veterans Affairs Health
Care System on the quality of care.
February 18, 2011
Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System
on the quality of care. N Engl J Med. 2003;348(22):2218-27.
https://psnet.ahrq.gov/issue/effe…
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psnet.ahrq.gov/node/45966/psn-pdf
April 05, 2017 - Fundamental Use of Surgical Energy (FUSE): an essential
educational program for operating room safety.
April 5, 2017
Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential
Educational Program for Operating Room Safety. Perm J. 2017;21:16-050. doi:10.7812/TPP/16-050.
https://…
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psnet.ahrq.gov/node/851920/psn-pdf
August 02, 2023 - "You just want to feel safe when you go to a healthcare
professional:" intimate partner violence and patient
safety.
August 2, 2023
Maras SA. “You just want to feel safe when you go to a healthcare professional:” Intimate partner violence
and patient safety. Soc Sci Med. 2023;331:116066. doi:10.1016/j.socscimed.20…