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effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/practical-considerations.pdf
March 01, 2022 - CDC
guideline for prescribing opioids for chronic
pain– United States, 2016. … CDC
guideline for prescribing opioids for chronic
pain - United States, 2016. … Reducing the risks of
relief--the CDC opioid-prescribing
guideline.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
January 01, 2004 - Of the 10,000 prescriptions per day, 300 to 500 had advisories
warning of common prescribing errors. … increased across all
categories related to medication error type, with the largest increases for
prescribing … Extra dose 4.8%(140) 4.6%(44)
Improper dose 13.4%(392) 30.3%(290)
Omission 24.0%(702) 16.6%(159)
Prescribing
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psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
February 23, 2015 - Review
Intrathecal chemotherapy: potential for medication error.
Citation Text:
Gilbar PJ. Intrathecal chemotherapy: potential for medication error. Cancer Nurs. 2014;37(4):299-309. doi:10.1097/NCC.0000000000000108.
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psnet.ahrq.gov/issue/can-your-nurses-stop-surgeon
September 02, 2020 - Newspaper/Magazine Article
Can your nurses stop a surgeon?
Citation Text:
Weinstock M. Can your nurses stop a surgeon? Hosp Health Netw. 2007;81(9):38-42.
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psnet.ahrq.gov/issue/explicitly-addressing-implicit-bias-inpatient-rounds-student-and-faculty-reflections
November 11, 2020 - Commentary
Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections.
Citation Text:
Carter RG, Lake S. Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections. Pediatrics. 2023;151(5). doi:10.1542/peds.2023-061585.
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digital.ahrq.gov/ahrq-funded-projects/text-messaging-improve-hypertension-medication-adherence-african-americans/annual-summary/2010
January 01, 2010 - Text Messaging to Improve Hypertension Medication Adherence in African Americans - 2010
Project Name
Text Messaging to Improve Hypertension Medication Adherence in African Americans
Principal Investigator
Buis, Lorraine
Organization
Wayne State University
Funding Mech…
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psnet.ahrq.gov/issue/cognitive-forcing-tool-mitigate-cognitive-bias-randomised-control-trial
November 07, 2018 - Study
A cognitive forcing tool to mitigate cognitive bias—a randomised control trial.
Citation Text:
O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial. BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3.
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psnet.ahrq.gov/issue/artificial-intelligence-and-surgical-decision-making
September 11, 2019 - Review
Classic
Artificial intelligence and surgical decision-making.
Citation Text:
Loftus TJ, Tighe PJ, Filiberto AC, et al. Artificial intelligence and surgical decision-making. JAMA Surg. 2019;155(2):148-158. doi:10.1001/jamasurg.2019.4917.
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psnet.ahrq.gov/issue/reportable-incidents
November 02, 2016 - Newspaper/Magazine Article
Reportable incidents.
Citation Text:
Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go wrong. EMS magazine. 2009;38(3):43-7.
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psnet.ahrq.gov/issue/dispensing-errors
December 02, 2020 - Newspaper/Magazine Article
Dispensing Errors.
Citation Text:
Dispensing Errors. Phipps D, Ashour A, Riste L, et al. The Pharmaceutical Journal. 2020;305(7943, 7944). November 10, December 1, 2020.
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psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
October 19, 2022 - Study
Dental patient safety in the military health system: joining medicine in the journey to high reliability.
Citation Text:
Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…
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psnet.ahrq.gov/issue/missed-breast-cancers-us-guided-core-needle-biopsy-how-reduce-them
March 25, 2020 - Review
Missed breast cancers at US-guided core needle biopsy: how to reduce them.
Citation Text:
Youk JH, Kim E-K, Kim MJ, et al. Missed breast cancers at US-guided core needle biopsy: how to reduce them. Radiographics. 2007;27(1):79-94.
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psnet.ahrq.gov/issue/accident-prevention-day-day-clinical-radiation-therapy-practice
February 07, 2018 - Commentary
Accident prevention in day-to-day clinical radiation therapy practice.
Citation Text:
Baeza M. Accident prevention in day-to-day clinical radiation therapy practice. Ann ICRP. 2012;41(3-4):179-87. doi:10.1016/j.icrp.2012.06.001.
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psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital
November 02, 2016 - Study
Nurse reports of adverse events during sedation procedures at a pediatric hospital.
Citation Text:
Lightdale JR, Mahoney LB, Fredette ME, et al. Nurse reports of adverse events during sedation procedures at a pediatric hospital. J Perianesth Nurs. 2009;24(5):300-6. doi:10.1016/j.j…
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psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
March 11, 2011 - Commentary
Classic
Computerization can create safety hazards: a bar-coding near miss.
Citation Text:
McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6.
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psnet.ahrq.gov/issue/operating-room-fires
March 14, 2022 - Review
Emerging Classic
Operating room fires.
Citation Text:
Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598.
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psnet.ahrq.gov/issue/beyond-crisis-resource-management-new-frontiers-human-factors-training-acute-care-medicine
September 01, 2021 - Review
Beyond crisis resource management: new frontiers in human factors training for acute care medicine.
Citation Text:
Petrosoniak A, Hicks CM. Beyond crisis resource management: new frontiers in human factors training for acute care medicine. Curr Opin Anaesthesiol. 2013;26(6):699-…
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psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety
February 14, 2024 - Study
Building safer systems by ecological design: using restoration science to develop a medication safety intervention.
Citation Text:
Marck PB, Kwan JA, Preville B, et al. Building safer systems by ecological design: using restoration science to develop a medication safety intervent…
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psnet.ahrq.gov/issue/prevention-surgical-malpractice-claims-surgical-safety-checklist
September 20, 2011 - Study
Prevention of surgical malpractice claims by a surgical safety checklist.
Citation Text:
de Vries EN, Eikens-Jansen MP, Hamersma AM, et al. Prevention of surgical malpractice claims by use of a surgical safety checklist. Ann Surg. 2011;253(3):624-8. doi:10.1097/SLA.0b013e31820688…
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psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
May 25, 2022 - Review
The global burden of diagnostic errors in primary care.
Citation Text:
Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401.
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