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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - Anemia Following Rh Disease in a Newborn
March 1, 2014
Toward safer opioid prescribing … June 18, 2019
Comparison of a prototype for indications-based prescribing with 2 commercial … prescribing systems.
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - National trends in ambulatory visits and antibiotic prescribing for skin and soft-tissue infections. … March 24, 2021
Potentially inappropriate prescribing among older persons: a meta-analysis … July 24, 2019
The prevalence and impact of potentially inappropriate prescribing among
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digital.ahrq.gov/sites/default/files/docs/page/ahrq2010annualReport.pdf
October 23, 2012 - This Web-based tool
is compatible with many electronic prescribing
tools. … The project distributed
an e-prescribing survey to 2,000 physicians
enrolled with the 15 largest e-prescribing … ▪ E-prescribing has expanded among
Massachusetts physicians. … ▪ E-prescribing with CDS reduces
medication errors. … ▪ E-prescribing improves safety but with
a small increase in physician time.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/gaps-pain-management.pdf
January 01, 2023 - • Studies that address how policies aimed at
reducing the duration or dose of opioid
prescribing … studies on the comparative
benefits and harms of different opioids or
formulations and different prescribing … understand how patients value
different outcomes (beneficial and harmful)
associated with opioid prescribing
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - unique environment where the anesthesiologist is the only provider involved in the entire process of prescribing … unique environment where the anesthesiologist is the only provider involved in the entire process of prescribing
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psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - October 1, 2011
View More
Related Resources
Mismatched prescribing … Cracks in the Software
August 21, 2016
Medication errors with electronic prescribing
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psnet.ahrq.gov/node/47661/psn-pdf
January 23, 2019 - Safety enhancements every hospital must consider in
wake of another tragic neuromuscular blocker event.
January 23, 2019
ISMP Medication Safety Alert! Acute Care Edition. January 17, 2019;24:1-6.
https://psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-
neuromuscular-blocke…
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psnet.ahrq.gov/node/867606/psn-pdf
February 10, 2025 - AHRQ PSNet Annual Webinar: Evidence on Advancing
Rapid Response Systems and Opioid Stewardship.
January 22, 2025
Agency for Healthcare Quality and Research. AHRQ PSNet Annual Webinar: Evidence on Advancing
Rapid Response Systems and Opioid Stewardship. February 10, 2025, 1:00pm-2:00pm (eastern).
https://psnet.ahrq…
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psnet.ahrq.gov/node/46267/psn-pdf
December 21, 2017 - Pictograms, units and dosing tools, and parent
medication errors: a randomized study.
December 21, 2017
Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A
Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3237.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/73066/psn-pdf
March 24, 2021 - Patient harm resulting from medication reconciliation
process failures: a study of serious events reported by
Pennsylvania hospitals.
March 24, 2021
Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a
study of serious events reported by Pennsylvania hospitals. …
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www.ahrq.gov/evidencenow/projects/urinary/resources/rural-primary-care-quality-improvement-capacity.html
July 01, 2021 - Back to MUI Resources
Place Matters: Closing the Gap on Rural Primary Care Quality Improvement Capacity-the Healthy Hearts Northwest Study
Resource
Full article on PubMed
Summary
To compare rural independent and health system primary care practices with urban practices to ext…
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psnet.ahrq.gov/node/74029/psn-pdf
January 01, 2022 - Patient safety strategies in psychiatry and how they
construct the notion of preventable harm: a scoping
review.
November 3, 2021
Svensson J. Patient safety strategies in psychiatry and how they construct the notion of preventable harm:
a scoping review. J Patient Saf. 2022;18(3):245-252. doi:10.1097/pts.000000000…
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psnet.ahrq.gov/node/44601/psn-pdf
February 23, 2018 - Emergency department visits for adverse events related
to dietary supplements.
February 23, 2018
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary
Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267.
https://psnet.ahrq.gov/issue/emergenc…
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www.ahrq.gov/data/data-visualization/index.html?page=2
September 01, 2023 - Data Visualizations
AHRQ's interactive data visualization tools allow researchers, policymakers, healthcare leaders, and others to view visual depictions of healthcare trends. Based on content from AHRQ's data resources, the visualizations address various topics, such as COVID-19 hospitalizations, health insura…
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psnet.ahrq.gov/node/47529/psn-pdf
January 21, 2019 - Community-acquired and hospital-acquired medication
harm among older inpatients and impact of a state-wide
medication management intervention.
January 21, 2019
Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm
among older inpatients and impact of a state-wide medica…
-
psnet.ahrq.gov/node/41925/psn-pdf
November 26, 2014 - Medication reconciliation accuracy and patient
understanding of intended medication changes on
hospital discharge.
November 26, 2014
Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding
of intended medication changes on hospital discharge. J Gen Intern Med. 2012;2…
-
psnet.ahrq.gov/node/836854/psn-pdf
April 06, 2022 - Medication discrepancy rates and sources upon nursing
home intake: a prospective study.
April 6, 2022
Patterson ME, Bollinger S, Coleman C, et al. Medication discrepancy rates and sources upon nursing
home intake: a prospective study. Res Social Adm Pharm. 2022;18(5):2830-2836.
doi:10.1016/j.sapharm.2021.06.013.
…
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psnet.ahrq.gov/node/61114/psn-pdf
November 11, 2020 - A mixed-methods analysis of patient safety incidents
involving opioid substitution treatment with methadone or
buprenorphine in community-based care in England and
Wales.
November 11, 2020
Gibson R, MacLeod N, Donaldson LJ, et al. A mixed?methods analysis of patient safety incidents involving
opioid substitution …
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psnet.ahrq.gov/node/857453/psn-pdf
December 06, 2023 - Post-implementation optimization of medication alerts in
hospital computerized provider order entry systems: a
scoping review.
December 6, 2023
Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital
computerized provider order entry systems: a scoping review. J Am M…
-
psnet.ahrq.gov/node/46827/psn-pdf
March 14, 2018 - Prevalence and Economic Burden of Medication Errors in
the NHS England.
March 14, 2018
Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care
Interventions. Sheffield, United Kingdom: University of Sheffield and University of York; 2018.
https://psnet.ahrq.gov/issu…