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digital.ahrq.gov/population/implementer
August 01, 2024 - Implementer
Clinical Decision Support for Chronic Pain Management - Final Report
Citation
Clinical Decision Support for Chronic Pain Management. Prepared under Contract No. 75P00119F37003. AHRQ Publication No.24-0074. Rockville, MD: Agency for Healthcare Research and Quality; …
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psnet.ahrq.gov/issue/interventions-designed-improve-safety-and-quality-therapeutic-anticoagulation-inpatient
March 27, 2024 - Review
Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record.
Citation Text:
Austin J, Barras M, Sullivan C. Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient…
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digital.ahrq.gov/funding-mechanism/centers-education-and-research-therapeutics-certs-u19
January 01, 2023 - Centers for Education and Research on Therapeutics (CERTs) (U19)
Evaluation of 'definite' anaphylaxis drug allergy alert overrides in inpatient and outpatient settings.
Citation
Wong A, Seger DL, Slight SP, et al. Evaluation of 'definite' anaphylaxis drug allergy alert overri…
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psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize
October 20, 2021 - Study
Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study.
Citation Text:
Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…
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psnet.ahrq.gov/issue/world-health-organization-field-trial-assessing-proposed-icd-11-framework-classifying-patient
December 29, 2014 - Study
A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events.
Citation Text:
Forster AJ, Bernard B, Drösler SE, et al. A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety…
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psnet.ahrq.gov/issue/communication-regarding-adverse-neonatal-birth-events-experiences-parents-and-clinicians
May 13, 2020 - Study
Communication regarding adverse neonatal birth events: experiences of parents and clinicians.
Citation Text:
Loren DL, Lyerly AD, Lipira L, et al. Communication regarding adverse neonatal birth events: experiences of parents and clinicians. J Patient Saf Risk Manag. 2021;26(5):200-…
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psnet.ahrq.gov/issue/clinical-practice-guideline-safe-medication-use-icu
February 19, 2014 - Review
Clinical practice guideline: safe medication use in the ICU.
Citation Text:
Kane-Gill SL, Dasta JF, Buckley MS, et al. Clinical Practice Guideline: Safe Medication Use in the ICU. Crit Care Med. 2017;45(9):e877-e915. doi:10.1097/CCM.0000000000002533.
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psnet.ahrq.gov/issue/improving-specificity-drug-drug-interaction-alerts-can-it-be-done
September 07, 2022 - Study
Improving the specificity of drug-drug interaction alerts: can it be done?
Citation Text:
Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045.
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psnet.ahrq.gov/issue/critical-events-during-land-based-interfacility-transport
April 15, 2019 - Study
Critical events during land-based interfacility transport.
Citation Text:
Singh JM, MacDonald RD, Ahghari M. Critical events during land-based interfacility transport. Ann Emerg Med. 2014;64(1):9-15.e2. doi:10.1016/j.annemergmed.2013.12.009.
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psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne
September 23, 2020 - Study
Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out.
Citation Text:
Kane P, Marley R, Daney B, et al. Safety and Communication in the Ope…
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psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients
January 16, 2008 - Study
Increased mortality and costs associated with adverse events in intensive care unit patients.
Citation Text:
Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…
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psnet.ahrq.gov/issue/team-based-approach-improving-medication-reconciliation-rates-family-medicine-residency
June 15, 2022 - Study
Team-based approach to improving medication reconciliation rates in family medicine residency clinics.
Citation Text:
Harper PG, Schafer KM, Van Riper K, et al. Team-based approach to improving medication reconciliation rates in family medicine residency clinics. J Am Pharm Assoc (…
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psnet.ahrq.gov/issue/disclosing-adverse-events-clinical-practice-delicate-act-being-open
April 14, 2021 - Review
Disclosing adverse events in clinical practice: the delicate act of being open.
Citation Text:
Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…
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psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
August 16, 2023 - Study
What are the experiences of team members involved in root cause analysis? A qualitative study.
Citation Text:
Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…
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psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure
July 21, 2021 - Study
Towards safer healthcare: qualitative insights from a process view of organisational learning from failure.
Citation Text:
Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. BMJ Open. 2021;11(8):e0…
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psnet.ahrq.gov/issue/success-resident-led-safety-council-model-satisfying-cler-pathways-excellence-patient-safety
August 01, 2018 - Study
Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals.
Citation Text:
Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goal…
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psnet.ahrq.gov/issue/drug-related-problems-and-polypharmacy-nursing-home-residents-cross-sectional-study
May 25, 2022 - Study
Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study.
Citation Text:
Díez R, Cadenas R, Susperregui J, et al. Drug-related problems and polypharmacy in nursing home residents: a cross-sectional study. Int J Environ Res Public Health. 2022;19(7):…
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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - Study
Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.
Citation Text:
Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…
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psnet.ahrq.gov/issue/breast-cancer-treatment-delays-socioeconomic-and-health-care-access-latent-classes-black-and
May 18, 2022 - Study
Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.
Citation Text:
Emerson MA, Golightly YM, Aiello AE, et al. Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.…
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psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple
June 22, 2022 - Study
A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals.
Citation Text:
Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs fro…