-
psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
April 27, 2022 - discrepancies and adverse drug events—particularly for patients with low health literacy, or those prescribed
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-bacterial-cultures.pdf
June 01, 2021 - Collecting Bacterial Cultures
AHRQ Pub. No. 17(21)-0029
June 2021
• Only collect bacterial cultures
from residents with signs or
symptoms suggesting bacterial
infection.
• Bacteria growing in urine or
sputum i…
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/enhancing
January 01, 2023 - Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors.
Citation
Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, et al. Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. Expert Opin Drug Saf 2017 Oct;…
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/active
January 01, 2023 - Active pharmacovigilance and healthcare utilization.
Citation
Haas JS, Klinger E, Marinacci LX, et al. Active pharmacovigilance and healthcare utilization. Am J Manag Care 2012 Nov 1;18(11):e423-8.
Link
http://www.ncbi.nlm.nih.gov/pubmed/23198749
Principal Investigator
Bates, David …
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/participation
January 01, 2023 - Participation in an ambulatory e-pharmacovigilance system.
Citation
Haas JS, Iyer A, Orav EJ, et al. Participation in an ambulatory e-pharmacovigilance system. Pharmacoepidemiol Drug Saf 2010 Sep;19(9):961-9.
Link
http://www.ncbi.nlm.nih.gov/pubmed/20623512
Principal Investigator
Bat…
-
psnet.ahrq.gov/node/36022/psn-pdf
July 10, 2008 - Reducing warfarin medication interactions: an interrupted
time series evaluation.
July 10, 2008
Feldstein AC, Smith DH, Perrin N, et al. Reducing warfarin medication interactions: an interrupted time
series evaluation. Arch Intern Med. 2006;166(9):1009-15.
https://psnet.ahrq.gov/issue/reducing-warfarin-medication-…
-
psnet.ahrq.gov/node/40432/psn-pdf
May 04, 2011 - Factors associated with medication errors in the pediatric
emergency department.
May 4, 2011
Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, et al. Factors associated with medication errors in
the pediatric emergency department. Pediatr Emerg Care. 2011;27(4):290-294.
doi:10.1097/PEC.0b013e31821313c2.
https:/…
-
psnet.ahrq.gov/node/41695/psn-pdf
July 19, 2017 - ACOG Committee Opinion #531: improving medication
safety.
July 19, 2017
Improvement C on PS and Q. Committee opinion No. 531: improving medication safety. Obstet Gynecol.
2012;120(2 Pt 1):406-410. doi:10.1097/AOG.0b013e3182680478.
https://psnet.ahrq.gov/issue/acog-committee-opinion-531-improving-medication-safety
…
-
psnet.ahrq.gov/node/35597/psn-pdf
June 21, 2010 - Prescription of teratogenic medications in United States
ambulatory practices.
June 21, 2010
Schwarz EB, Maselli J, Norton M, et al. Prescription of teratogenic medications in United States ambulatory
practices. Am J Med. 2005;118(11):1240-9.
https://psnet.ahrq.gov/issue/prescription-teratogenic-medications-united…
-
psnet.ahrq.gov/node/36645/psn-pdf
January 18, 2011 - Factors influencing doctors' ability to calculate drug
doses correctly.
January 18, 2011
Wheeler DW, Wheeler SJ, Ringrose TR. Factors influencing doctors' ability to calculate drug doses
correctly. Int J Clin Pract. 2007;61(2):189-94.
https://psnet.ahrq.gov/issue/factors-influencing-doctors-ability-calculate-drug-…
-
psnet.ahrq.gov/node/42807/psn-pdf
February 17, 2015 - ASPEN parenteral nutrition safety consensus
recommendations.
February 17, 2015
Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations.
JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992.
https://psnet.ahrq.gov/issue/aspen-parenteral-nutrit…
-
integrationacademy.ahrq.gov/products/topic-briefs/telehealth
February 01, 2025 - An official website of the Department of Health & Human Services
Search All AHRQ Sites
Careers
Contact Us
Español
FAQs
Email Updates
The Academy
Integrating Behavioral Health & Primary Care
Expand Navi…
-
psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose
Citation Text:
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
-
digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
January 01, 2022 - Research Themes and Findings
The DHR program funds research that demonstrates how digital healthcare solutions can be designed and implemented to improve healthcare system performance and patient health outcomes. Our funded research focuses on advancing patient safety, care, and shared dec…
-
psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - Duplicate Insulin Order
March 1, 2019
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/duplicate-insulin-order
The Case
A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency
department (ED) for complaints of letharg…
-
psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - Multifactorial Medication Mishap
February 1, 2014
Yang A. Multifactorial Medication Mishap. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
Case Objectives
Understand the system-based causes of medication errors.
Describe a model for a systems approach to error analysis.
Id…
-
psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical
Record Causing an Accidental Medication Overdose
October 31, 2023
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an
Accidental Medication Overdose. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/weight-and-…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Dutta.pdf
January 01, 2003 - diabetes
medications, effects from referrals and advice to patient, in addition to the effect
of prescribed … therapies.10
The adherence attribute, which determines the extent to which the patient
takes prescribed … For example, a patient prescribed Glipizide (20 mg q.d.) who
has an adherence of 0.5 will only take
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017202-bove-final-report-2011.pdf
January 01, 2011 - Physician-Patient Interaction
We examined the number of hypertensive medications that were prescribed … In the telemedicine group there was a
significant increase in prescribed medications (2.20±1.20 to 2.34 … Multivariate
analysis showed no effect on prescribed medications with respect to age, ethnicity, education
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018648-atlas-final-report-2014.pdf
January 01, 2014 - The analytic cohort of patients consisted of those
individuals who were prescribed medications used … When one of these study medications was prescribed, the intervention
physician had the opportunity … Prescribed study medications by participating PCPs were
obtained from the EHR. … Over the 12-‐month study period, 3022 eligible study
medications were prescribed for 2049 patients … Table 1: Patient characteristics by intervention and control group (3655 unique patients
prescribed