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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - A Fatal Twist in Pseudohyperkalemia
December 31, 2024
Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council
for C…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility
Clinical Impact of an Anticoagulation Screening
Service at a Pediatric Tertiary Care Facility
Kathy M. Harney, MS, RN, PNP; Patricia A. Branowicki, MS, RN, CNAA;
Margaret McCabe, DNSc, RN, APRN, BC; Kathleen Houlahan, M…
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-improving-quality-through-clinician-use-of-health-it.pdf
January 28, 2014 - potential medication
management issues for geriatric patients using medi-
cation history data from community … pharmacies. … workflow during a patient
visit, within a clinic, and across organizations (e.g.,
between a clinic and community … pharmacy) (Karsh,
2009). … reported it
made medication reconciliation easier and 57 per-
cent reported it reduced calls from pharmacies
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www.ahrq.gov/news/newsletters/e-newsletter/908.html
April 01, 2024 - Adapting a community pharmacy intervention to improve medication safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
January 01, 2004 - From Here to There: Lessons from an Integrative Patient Safety Project in Rural Health Care Settings
381
From Here to There: Lessons from an
Integrative Patient Safety Project in
Rural Health Care Settings
Ann Freeman Cook, Helena Hoas, Katarina Guttmannova
Abstract
To date, few studies have focused on pat…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
January 01, 2004 - Standardizing Ambulatory Care Procedures in a Public Hospital System to Improve Patient Safety
151
Standardizing Ambulatory Care
Procedures in a Public Hospital
System to Improve Patient Safety
Myra A. Kleinpeter
Abstract
The Medical Center of Louisiana at New Orleans (MCLNO) provides care to
primarily in…
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www.ahrq.gov/sites/default/files/2024-07/ebeling-report.pdf
January 01, 2024 - Final Progress Report: EMR Planning To Improve North Iowa Healthcare
AHRQ Grant Final Progress Report
Title of Project: EMR Planning to Improve North Iowa Healthcare
Principal Investigator and Team (Steering Committee) Members:
• Toni Ebeling (Principal Investigator), RN, MSN, formerly, Chief Executive Officer, …
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www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
January 01, 2024 - Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home
Project Title: Enhancing the Safety of Warfarin in the Nursing Home
Principal Investigator: Jerry H. Gurwitz, MD
Principal Team Members: Jerry Gurwitz, MD; Terry S. Field, DSc; Jennifer Tjia, MD,
MSCE; Kathleen M. Mazor, EdD; Leslie R. Ha…
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www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults
AHRQ Grant Final Progress Report
Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-
Related Hospitalizations in Older Adults
Principal Investigat…
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - SPOTLIGHT CASE
An Inadvertent Bolus of Norepinephrine.
Citation Text:
Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
Copy Citation
F…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety
Venous Thromboembolism Safety Toolkit:
A Systems Approach to Patient Safety
Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD;
Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD;
Lynne Robin…
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digital.ahrq.gov/ahrq-funded-projects/computer-assisted-medication-and-patient-information-interface-campii/annual-summary/2011
January 01, 2011 - Computer Assisted Medication and Patient Information Interface (CAMPII) - 2011
Project Name
Computer Assisted Medication and Patient Information Interface (CAMPII)
Principal Investigator
Ziemer, David C.
Organization
Emory University
Funding Mechanism
RFA: HS08-269:…
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digital.ahrq.gov/ahrq-funded-projects/pharmaceutical-safety-tracking-phast-managing-medications-patient-safety
January 01, 2023 - Pharmaceutical Safety Tracking (PhaST): Managing Medications for Patient Safety
Project Final Report ( PDF , 333.33 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 re…
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digital.ahrq.gov/sites/default/files/docs/resource/PCC_Lapane_Q2_Patients_Issues_code_book.pdf
June 16, 2021 - Patient medication issues code book
Patient medication issues code book
TalkDoc: generally how docs have talked to them about medicines, including
about what the medicine is for, risks and benefits, and how they feel about
taking medicines.
WantKnow: What they want to know about their medicines.
Chan…
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psnet.ahrq.gov/issue/evaluating-safety-mental-health-related-prescribing-uk-primary-care-cross-sectional-study
August 14, 2019 - Study
Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).
Citation Text:
Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK prima…
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-ok/annual-summary/2012
January 01, 2012 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings - 2012
Project Name
Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings
Prin…
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digital.ahrq.gov/ahrq-funded-projects/rxsafe-shared-medication-management-and-decision-support-rural-clinicians
January 01, 2023 - RxSafe: Shared Medication Management and Decision Support for Rural Clinicians
Project Final Report ( PDF , 730.79 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 rep…
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digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-project
January 01, 2023 - The Chronic Care Technology Project
Project Final Report ( PDF , 99.84 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 represent the views of AHRQ. No statement in th…
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psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
June 29, 2022 - EMERGING INNOVATIONS
Reducing hospital harm: establishing a command centre to foster situational awareness.
Citation Text:
Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885.
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…
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psnet.ahrq.gov/issue/detectability-medication-errors-stoppstart-based-medication-review-older-people-prior
August 18, 2021 - Study
Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission.
Citation Text:
Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START-ba…