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psnet.ahrq.gov/node/50716/psn-pdf
December 04, 2019 - Organisation for Economic Co-operation and
Development: Health at a Glance 2019.
December 4, 2019
Paris, France: OECD Publishing: 2019.
https://psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019
This report documents the overall state of health care, based on an internationa…
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psnet.ahrq.gov/node/838139/psn-pdf
September 21, 2022 - Error traps in acute pain management in children.
September 21, 2022
Vecchione TM, Agarwal R, Monitto CL. Error traps in acute pain management in children. Paediatr
Anaesth. 2022;32(9):982-992. doi:10.1111/pan.14514.
https://psnet.ahrq.gov/issue/error-traps-acute-pain-management-children
Appropriate pediatric pain…
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psnet.ahrq.gov/node/36488/psn-pdf
January 07, 2011 - Horus meets Nightingale in the modern age: how nursing
communicates with pharmacy in HCIT era.
January 7, 2011
Armstrong I, Cox MA. Horus meets Nightingale in the modern age: How nursing communicates with
pharmacy in HCIT era. Stud Health Technol Inform. 2006;122:585-6.
https://psnet.ahrq.gov/issue/horus-meets-nig…
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psnet.ahrq.gov/node/48136/psn-pdf
August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health
IT.
August 7, 2019
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019.
https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it
Inconsistent checking for and consideration of drug allergy alerts can d…
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psnet.ahrq.gov/node/39486/psn-pdf
May 05, 2010 - Understanding handling of drug safety alerts: a
simulation study.
May 5, 2010
van der Sijs H, van Gelder T, Vulto A, et al. Understanding handling of drug safety alerts: a simulation
study. Int J Med Inform. 2010;79(5). doi:10.1016/j.ijmedinf.2010.01.008.
https://psnet.ahrq.gov/issue/understanding-handling-drug-sa…
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psnet.ahrq.gov/node/35758/psn-pdf
July 19, 2010 - Medication errors with the use of allopurinol and
colchicine: a retrospective study of a national,
anonymous Internet-accessible error reporting system.
July 19, 2010
Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a
retrospective study of a national, anonymou…
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psnet.ahrq.gov/node/37746/psn-pdf
May 14, 2008 - Reducing preventable medication safety events by
recognizing renal risk.
May 14, 2008
Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal
risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f.
https://psnet.ahrq.gov/issue/red…
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psnet.ahrq.gov/node/73151/psn-pdf
April 14, 2021 - Could Efforts to Fight the Coronavirus Lead to Overuse of
Antibiotics?
April 14, 2021
Issue Brief. Washington DC: Pew Charitable Trust; March 2021.
https://psnet.ahrq.gov/issue/could-efforts-fight-coronavirus-lead-overuse-antibiotics
Antibiotic overuse is a contributor to nosocomial infection. This report discusse…
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psnet.ahrq.gov/node/40808/psn-pdf
January 12, 2012 - Prevalence of polypharmacy exposure among
hospitalized children in the United States.
January 12, 2012
Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in
the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/archpediatrics.2011.161.
https://p…
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psnet.ahrq.gov/node/41071/psn-pdf
February 01, 2013 - Prescription and transcription errors in multidose-
dispensed medications on discharge from hospital: an
observational and interventional study.
February 1, 2013
Alassaad A, Gillespie U, Bertilsson M, et al. Prescription and transcription errors in multidose-dispensed
medications on discharge from hospital: an obs…
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psnet.ahrq.gov/node/846166/psn-pdf
March 15, 2023 - Minimize medication errors in urgent care clinics.
March 15, 2023
Coffey SB. American Nurse Journal. Epub March 2, 2023.
https://psnet.ahrq.gov/issue/minimize-medication-errors-urgent-care-clinics
Urgent care clinics offer services to a wide patient base that increase the complexities of medication
prescribing and…
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psnet.ahrq.gov/node/34977/psn-pdf
April 21, 2010 - Effectiveness of a computerized system for intravenous
heparin administration: using information technology to
improve patient care and patient safety.
April 21, 2010
Oyen LJ, Nishimura RA, Ou NN, et al. Effectiveness of a computerized system for intravenous heparin
administration: using information technology to …
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psnet.ahrq.gov/node/42398/psn-pdf
July 16, 2013 - Medication errors in HIV-infected hospitalized patients: a
pharmacist's impact.
July 16, 2013
Eginger KH, Yarborough LL, Inge LDV, et al. Medication errors in HIV-infected hospitalized patients: a
pharmacist's impact. Ann Pharmacother. 2013;47(7-8):953-60. doi:10.1345/aph.1R773.
https://psnet.ahrq.gov/issue/medica…
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psnet.ahrq.gov/node/73454/psn-pdf
June 30, 2021 - Poor physician-patient communication and medical error.
June 30, 2021
Lazris A, Roth AR, Haskell H, et al. Am Fam Physician. 2021;103(12):757-759.
https://psnet.ahrq.gov/issue/poor-physician-patient-communication-and-medical-error
Communication failures are primary threat to safe care. This comment…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
June 01, 2023 - For example, her team decided to increase the percentage of patients prescribed multimodal analgesic
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016154-nashan-final-report-2009.pdf
January 01, 2009 - The Chronic Care Project
Grant Final Report
Grant ID: UC1HS016154
The Chronic Care Project
Inclusive Dates: 09/01/05 - 06/30/09
Principal Investigator:
Georges Nashan, RN, MS, CPHQ
Team Member Organizations:
The Aroostook Medical Center*
Charles A Dean Memorial Hospital
Sebastic…
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effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1312.pdf
December 01, 2013 - #14 SUBSTANCE ABUSE
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 14: Substance Abuse
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
www.ahrq.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
March 31, 2008 - Of those 165 events, in 99 (16.3 percent) the
correct drug or device was prescribed, but there was an
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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
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/opioids-chronic-pain-surveillance-report-1-final.pdf
April 01, 2022 - A study of
Oregon Medicaid recipients (n=14,596) prescribed long-term opioid therapy evaluated various … Association of Dose Tapering With
Overdose or Mental Health Crisis Among
Patients Prescribed Long-term … Are there effective interventions
for reducing the use of prescribed opioids in
adults with chronic … Reduction of Opioids Prescribed Upon
Discharge After Total Knee Arthroplasty
Significantly Reduces … Comparison of Opioids Prescribed for
Patients at Risk for Opioid Misuse Before
and After Publication