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psnet.ahrq.gov/issue/leveraging-partnership-patients-initiative-improve-patient-safety-and-quality-within-military
September 23, 2020 - Commentary
Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System.
Citation Text:
King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…
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psnet.ahrq.gov/issue/roxane-laboratories-initiates-nationwide-voluntary-recall-single-manufacturing-lot
June 22, 2011 - Press Release/Announcement
Roxane Laboratories initiates a nationwide voluntary recall of a single manufacturing lot of Azathioprine tablets in the U.S. and Puerto Rico.
Citation Text:
Roxane Laboratories initiates a nationwide voluntary recall of a single manufacturing lot of Azathiop…
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psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
September 02, 2010 - Study
How do physicians conduct medication reviews?
Citation Text:
Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4.
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psnet.ahrq.gov/issue/fda-alerts-health-care-professionals-temporary-absence-warning-statement-vial-caps-two
June 22, 2011 - Press Release/Announcement
FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two neuromuscular blocking agents.
Citation Text:
FDA alerts health care professionals to the temporary absence of warning statement on the vial caps of two n…
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psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-measurement
March 06, 2005 - Commentary
Classic
Time out—charting a path for improving performance measurement.
Citation Text:
MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595.
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psnet.ahrq.gov/issue/electronic-prescribing-improving-efficiency-and-accuracy-prescribing-ambulatory-care-setting
March 16, 2022 - Review
Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting.
Citation Text:
Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspec…
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psnet.ahrq.gov/issue/errors-allies-error-management-training-health-professions-education
January 22, 2016 - Commentary
Errors as allies: error management training in health professions education.
Citation Text:
King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945.
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psnet.ahrq.gov/issue/description-and-yield-current-quality-and-safety-review-selected-us-academic-emergency
July 13, 2016 - Study
Description and yield of current quality and safety review in selected US academic emergency departments.
Citation Text:
Griffey RT, Schneider RM, Sharp BR, et al. Description and Yield of Current Quality and Safety Review in Selected US Academic Emergency Departments. J Patient Sa…
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psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
January 08, 2020 - Commentary
Cognitive testing of older clinicians prior to recredentialing.
Citation Text:
Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665.
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psnet.ahrq.gov/issue/systematic-review-teamwork-training-interventions-medical-student-and-resident-education
November 18, 2016 - Review
A systematic review of teamwork training interventions in medical student and resident education.
Citation Text:
Chakraborti C, Boonyasai R, Wright SM, et al. A systematic review of teamwork training interventions in medical student and resident education. J Gen Intern Med. 2008…
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psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care
April 12, 2017 - Study
Patient safety in dentistry: development of a candidate 'never event' list for primary care.
Citation Text:
Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456.
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psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
December 14, 2022 - Study
Impact of intensive care unit discharge time on patient outcome.
Citation Text:
Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946-2951.
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psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive
January 24, 2024 - Commentary
Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety.
Citation Text:
Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive…
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psnet.ahrq.gov/issue/interventional-procedures-outside-operating-room-results-national-anesthesia-clinical
March 06, 2019 - Study
Emerging Classic
Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry.
Citation Text:
Chang B, Kaye AD, Diaz JH, et al. Interventional Procedures Outside of the Operating Room: Results Fro…
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psnet.ahrq.gov/issue/health-outcomes-associated-potentially-inappropriate-medication-use-older-adults
June 29, 2011 - Study
Health outcomes associated with potentially inappropriate medication use in older adults.
Citation Text:
Fick DM, Mion LC, Beers MH, et al. Health outcomes associated with potentially inappropriate medication use in older adults. Res Nurs Health. 2008;31(1):42-51. doi:10.1002/nur…
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psnet.ahrq.gov/node/45126/psn-pdf
December 22, 2018 - monitoring programs are intended to identify
high-risk prescribing and patient behaviors associated with opioids
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psnet.ahrq.gov/node/46893/psn-pdf
March 21, 2018 - vital-signs-trends-emergency-department-visits-suspected-opioid-overdoses-united-states-july
https://psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states
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psnet.ahrq.gov/node/46186/psn-pdf
August 02, 2017 - new-persistent-opioid-use-after-minor-and-major-surgical-procedures-us-adults
https://psnet.ahrq.gov/issue/opioids-chronic-noncancer-pain-position-paper-american-academy-neurology
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psnet.ahrq.gov/node/47333/psn-pdf
October 10, 2018 - association-household-opioid-availability-and-prescription-opioid-initiation-among-household
https://psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states
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psnet.ahrq.gov/node/44819/psn-pdf
June 21, 2016 - More than 90% of patients were prescribed opioids following such
events, and within 2 years up to 17%