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  1. Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use | PSNet

    psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
    September 13, 2023 - Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 31…

  2. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
    January 01, 2024 - Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi FINAL PROGRESS REPORT Title of Project: Addressing Preventable Medication Use Variance in Mississippi Principal Investigator: Brown, CA, MD, MPH Team Members: William Rudman, PhD, Calvin Hewitt, MBA, Honey Holman, MD, Kent Kirchn…

  3. AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
    May 30, 2013 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Magnesium Sulfate AHRQ Safety Program for Perinatal Care Safe Medication Administration Magnesium Sulfate Safe Medication Administration—Magnesium Sulfate Purpose of the tool: This tool describes the key perinatal safety elements with examples for…

  4. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/effect-diagnostic-accuracy-cognitive-reasoning-tools-workplace-setting-systematic-review-and
    February 02, 2022 - Review Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. Citation Text: Staal J, Hooftman J, Gunput STG, et al. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review…

  5. Using electronic health records to identify adverse drug events in ambulatory care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/using-electronic-health-records-identify-adverse-drug-events-ambulatory-care-systematic
    May 04, 2012 - Review Using electronic health records to identify adverse drug events in ambulatory care: a systematic review. Citation Text: Feng C, Le D, McCoy AB. Using Electronic Health Records to Identify Adverse Drug Events in Ambulatory Care: A Systematic Review. Appl Clin Inform. 2019;10(1):123…

  6. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. | PSNet

    psnet.ahrq.gov/issue/bad-behavior-healthcare-insidious-threat-patients-staff-and-organizations
    October 16, 2019 - Commentary Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Citation Text: Crowe L, Riley CM. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Curr Opin Cardiol. 2024;39(4):331-337. doi:10.1097/hco.00000000000011…

  7. Electronic Health Record Use and Care Coordination - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-use-and-care-coordination/annual-summary/2012
    January 01, 2012 - Electronic Health Record Use and Care Coordination - 2012 Project Name Electronic Health Record Use and Care Coordination Principal Investigator Graetz, Ilana Organization University of California, Berkeley Funding Mechanism PAR: HS09-212: AHRQ Grants for Health Ser…

  8. Pediatric weight errors and resultant medication dosing errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency-department
    August 04, 2021 - Study Pediatric weight errors and resultant medication dosing errors in the emergency department. Citation Text: Hirata KM, Kang AH, Ramirez G, et al. Pediatric Weight Errors and Resultant Medication Dosing Errors in the Emergency Department. Pediatr Emerg Care. 2019;35(9):637-642. doi:1…

  9. Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. | PSNet

    psnet.ahrq.gov/issue/improving-code-team-performance-and-survival-outcomes-implementation-pediatric-resuscitation
    February 03, 2011 - Study Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. Citation Text: Knight LJ, Gabhart JM, Earnest KS, et al. Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. C…

  10. Implementing patient safety practices in small ambulatory care settings. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-ambulatory-care-settings
    April 19, 2013 - Study Implementing patient safety practices in small ambulatory care settings. Citation Text: Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt Comm J Qual Patient Saf. 2006;32(8):419-425. Copy Citation Format: Google Sc…

  11. Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems. | PSNet

    psnet.ahrq.gov/issue/comparison-prototype-indications-based-prescribing-2-commercial-prescribing-systems
    June 05, 2018 - Study Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems. Citation Text: Garabedian PM, Wright A, Newbury I, et al. Comparison of a Prototype for Indications-Based Prescribing With 2 Commercial Prescribing Systems. JAMA Netw Open. 2019;2(3):…

  12. Leading article: how can I optimise my role as a leader within the surgical team? | PSNet

    psnet.ahrq.gov/issue/leading-article-how-can-i-optimise-my-role-leader-within-surgical-team
    October 29, 2017 - Review Leading article: how can I optimise my role as a leader within the surgical team? Citation Text: Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j…

  13. Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). | PSNet

    psnet.ahrq.gov/issue/medication-errors-resulting-confusion-between-risperidone-risperdal-and-ropinirole-requip
    December 16, 2020 - Press Release/Announcement Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). Citation Text: Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). MedWatch Safety Alert, FDA Drug Safety Com…

  14. Building a safety net. | PSNet

    psnet.ahrq.gov/issue/building-safety-net
    December 21, 2009 - Newspaper/Magazine Article Building a safety net. Citation Text: Rogoski RR. Building a safety net. By leveraging huge amounts of data and applying it to a wide array of projects and purposes, hospitals stay focused on patient safety and make headway. Health management technology. 2006…

  15. Overcoming Barriers to Medicine Adherence (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-barriers-postcard-final508.pdf
    June 02, 2025 - Overcoming Barriers to Medicine Adherence Overcoming Barriers to Medicine Adherence What Patients Might Say Possible Solutions My medicine makes me feel sick. Prescribe a substitute medication; change the dose. I feel fine. I don’t need any medicine. Explain in plain language how the medicine affects the bo…

  16. Structural racism and the COVID-19 experience in the United States. | PSNet

    psnet.ahrq.gov/issue/structural-racism-and-covid-19-experience-united-states
    June 08, 2022 - Commentary Structural racism and the COVID-19 experience in the United States. Citation Text: Dickinson KL, Roberts JD, Banacos N, et al. Structural racism and the COVID-19 experience in the United States. Health Secur. 2021;19(S1):s14-s26. doi:10.1089/hs.2021.0031. Copy Citation F…

  17. Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015. | PSNet

    psnet.ahrq.gov/issue/declines-opioid-prescribing-after-private-insurer-policy-change-massachusetts-2011-2015
    October 19, 2022 - Government Resource Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015. Citation Text: García MC, Dodek AB, Kowalski T, et al. Declines in Opioid Prescribing After a Private Insurer Policy Change - Massachusetts, 2011-2015. MMWR Morb Mortal Wkly…

  18. Patient safety event reporting in critical care: a study of three intensive care units. | PSNet

    psnet.ahrq.gov/issue/patient-safety-event-reporting-critical-care-study-three-intensive-care-units
    September 22, 2010 - Study Patient safety event reporting in critical care: a study of three intensive care units. Citation Text: Harris CB, Krauss MJ, Coopersmith CM, et al. Patient safety event reporting in critical care: a study of three intensive care units. Crit Care Med. 2007;35(4):1068-76. Copy Ci…

  19. Analysis of risk factors for adverse drug events in critically ill patients. | PSNet

    psnet.ahrq.gov/issue/analysis-risk-factors-adverse-drug-events-critically-ill-patients
    October 26, 2010 - Study Analysis of risk factors for adverse drug events in critically ill patients. Citation Text: Kane-Gill SL, Kirisci L, Verrico MM, et al. Analysis of risk factors for adverse drug events in critically ill patients*. Crit Care Med. 2012;40(3):823-8. doi:10.1097/CCM.0b013e318236f473.…

  20. Misunderstanding of prescription drug warning labels among patients with low literacy. | PSNet

    psnet.ahrq.gov/issue/misunderstanding-prescription-drug-warning-labels-among-patients-low-literacy
    February 28, 2011 - Study Misunderstanding of prescription drug warning labels among patients with low literacy. Citation Text: Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55. Copy Ci…
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