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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41734/psn-pdf
    October 03, 2012 - Prescribing errors in hospital practice. October 3, 2012 Tully MP. Prescribing errors in hospital practice. Br J Clin Pharmacol. 2012;74(4):668-75. doi:10.1111/j.1365-2125.2012.04313.x. https://psnet.ahrq.gov/issue/prescribing-errors-hospital-practice Highlighting inconsistencies in defining and measuring prescrib…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42647/psn-pdf
    October 09, 2013 - Improving Patient Safety in Laboratory Medicine. October 9, 2013 Randell E, Schneider W, eds. Clin Biochem. 2013;46:1159-1194.   https://psnet.ahrq.gov/issue/improving-patient-safety-laboratory-medicine Articles in this special issue explore patient safety in laboratory medicine, including quality measurement …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39006/psn-pdf
    November 03, 2009 - Tamiflu (oseltamivir) for oral suspension: potential medication errors. November 3, 2009 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 25, 2009.   https://psnet.ahrq.gov/issue/tamiflu-oseltamivir-oral-suspension-potential-medication-errors This announcement explains the …

  4. AHRQ QI Listening Session | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/events/qi-listening-session.html
    March 01, 2025 - AHRQ QI Listening Session Registration Open March 12 from 1 to 2:30 p.m. ET: AHRQ Quality Indicators Listening Session will offer an opportunity for hospitals, health systems, accountable care organizations​, health and hospital associations​, health plans​, health departments and federal entities to provide …

  5. CDSiC Stakeholder Center Quarterly Report, July to September 2022 | CDSiC

    cdsic.ahrq.gov/cdsic/stakeholder-center-quarterly-report-July-September%202022
    October 01, 2022 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …

  6. Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. | PSNet

    psnet.ahrq.gov/issue/are-interventions-reduce-interruptions-and-errors-during-medication-administration-effective
    August 28, 2024 - Review Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. Citation Text: Raban MZ, Westbrook JI. Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. BMJ …

  7. Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. | PSNet

    psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis
    December 08, 2021 - Study Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. Citation Text: Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department adm…

  8. Patient Self Monitoring to Transfer Physical Therapy Exercise from Clinic to Home | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/patient-self-monitoring-transfer-physical-therapy-exercise-clinic-home
    January 01, 2023 - Patient Self Monitoring to Transfer Physical Therapy Exercise from Clinic to Home Project Final Report ( PDF , 325.28 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily …

  9. Identifying potential prescribing safety indicators related to mental health disorders and medications: a systematic review. | PSNet

    psnet.ahrq.gov/issue/identifying-potential-prescribing-safety-indicators-related-mental-health-disorders-and
    July 22, 2020 - Review Identifying potential prescribing safety indicators related to mental health disorders and medications: a systematic review. Citation Text: Khawagi WY, Steinke DT, Nguyen J, et al. Identifying potential prescribing safety indicators related to mental health disorders and medicatio…

  10. Regret among primary care physicians: a survey of diagnostic decisions. | PSNet

    psnet.ahrq.gov/issue/regret-among-primary-care-physicians-survey-diagnostic-decisions
    November 13, 2019 - Study Regret among primary care physicians: a survey of diagnostic decisions. Citation Text: Müller BS, Donner-Banzhoff N, Beyer M, et al. Regret among primary care physicians: a survey of diagnostic decisions. BMC Fam Pract. 2020;21(1). doi:10.1186/s12875-020-01125-w. Copy Citation …

  11. Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians. | PSNet

    psnet.ahrq.gov/issue/comparative-accuracy-diagnosis-collective-intelligence-multiple-physicians-vs-individual
    January 23, 2017 - Study Emerging Classic Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians. Citation Text: Barnett ML, Boddupalli D, Nundy S, et al. Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple…

  12. Ambulatory Safety and Quality Program: Improving Quality through Clinician Use of Health IT (R18) | Digital Healthcare Research

    digital.ahrq.gov/funding-mechanism/ambulatory-safety-and-quality-program-improving-quality-through-clinician-use
    January 01, 2023 - Ambulatory Safety and Quality Program: Improving Quality through Clinician Use of Health IT (R18) Factors associated with ordering laboratory monitoring of high-risk medications. Citation Fischer SH, Tjia J, Reed G, et al. Factors associated with ordering laboratory monitoring…

  13. Adverse events experienced by homecare patients: a scoping review of the literature. | PSNet

    psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
    October 19, 2022 - Review Adverse events experienced by homecare patients: a scoping review of the literature. Citation Text: Masotti P, McColl MA, Green M. Adverse events experienced by homecare patients: a scoping review of the literature. Int J Health Care Qual. 2010;22(2):115-125. doi:10.1093/intqhc/…

  14. Clinical decision support improves the appropriateness of laboratory test ordering in primary care without increasing diagnostic error: the ELMO cluster randomized trial. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-improves-appropriateness-laboratory-test-ordering-primary-care
    April 13, 2022 - Study Clinical decision support improves the appropriateness of laboratory test ordering in primary care without increasing diagnostic error: the ELMO cluster randomized trial. Citation Text: Delvaux N, Piessens V, Burghgraeve TD, et al. Clinical decision support improves the appropriate…

  15. Patient safety skills in primary care: a national survey of GP educators. | PSNet

    psnet.ahrq.gov/issue/patient-safety-skills-primary-care-national-survey-gp-educators
    October 05, 2016 - Study Patient safety skills in primary care: a national survey of GP educators. Citation Text: Ahmed M, Arora S, McKay J, et al. Patient safety skills in primary care: a national survey of GP educators. BMC Fam Pract. 2014;15:206. doi:10.1186/s12875-014-0206-5. Copy Citation Format…

  16. Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. | PSNet

    psnet.ahrq.gov/issue/association-inpatient-hospital-experience-patient-safety-indicators-cross-sectional-canadian
    February 17, 2017 - Study Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. Citation Text: Kemp KA, Santana MJ, Southern DA, et al. Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study. BM…

  17. My MediHealth: A Paradigm for Children-Centered Medication Management - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/my-medihealth-paradigm-children-centered-medication-management/annual-summary/2011
    January 01, 2011 - My MediHealth: A Paradigm for Children-Centered Medication Management - 2011 Project Name My MediHealth: A Paradigm for Children-Centered Medication Management Principal Investigator Johnson, Kevin B. Organization Vanderbilt University Funding Mechanism PAR: HS08-27…

  18. Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. | PSNet

    psnet.ahrq.gov/issue/implementation-mandatory-checklist-protocols-and-objectives-improves-compliance-wide-range
    September 22, 2010 - Study Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. Citation Text: Byrnes MC, Schuerer DJE, Schallom ME, et al. Implementation of a mandatory checklist of protocols and objectiv…

  19. An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. | PSNet

    psnet.ahrq.gov/issue/asset-based-quality-improvement-tool-health-care-organizations-cultivating-organization-wide
    September 16, 2020 - Commentary An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. Citation Text: Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations:…

  20. Patient mortality during unannounced accreditation surveys at US hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-mortality-during-unannounced-accreditation-surveys-us-hospitals
    August 03, 2022 - Study Patient mortality during unannounced accreditation surveys at US hospitals. Citation Text: Barnett ML, Olenski AR, Jena AB. Patient Mortality During Unannounced Accreditation Surveys at US Hospitals. JAMA Intern Med. 2017;177(5):693-700. doi:10.1001/jamainternmed.2016.9685. Copy …
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