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psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
November 15, 2023 - Study
Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems.
Citation Text:
Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses - a thick description on the a…
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integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-resources-2019-updates
October 04, 2019 - An official website of the Department of Health & Human Services
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psnet.ahrq.gov/issue/improving-medication-related-safety-residents-nursing-homes-qualitative-study
March 24, 2019 - Study
Improving medication-related safety for residents in nursing homes: a qualitative study.
Citation Text:
Shieu B, Lee Y-W, Epps F, et al. Improving medication-related safety for residents in nursing homes: a qualitative study. J Gerontol Nurs. 2025;51(3):38-43. doi:10.3928/00989134-…
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psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-project
January 12, 2022 - Commentary
Standardization in patient safety: the WHO High 5s project.
Citation Text:
Leotsakos A, Zheng H, Croteau R, et al. Standardization in patient safety: the WHO High 5s project. Int J Qual Health Care. 2014;26(2):109-16. doi:10.1093/intqhc/mzu010.
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psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide
November 16, 2022 - Commentary
Debriefing in the emergency department after clinical events: a practical guide.
Citation Text:
Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10…
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psnet.ahrq.gov/issue/relationship-between-resident-burnout-and-safety-related-and-acceptability-related-quality
October 26, 2010 - Review
The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systematic literature review.
Citation Text:
Dewa CS, Loong D, Bonato S, et al. The relationship between resident burnout and safety-related and acceptability-related qu…
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digital.ahrq.gov/ahrq-funded-projects/disseminating-and-implementing-medsmart-families-emergency-departments
September 30, 2024 - Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Project Description
Implementing a mobile game-based tool in emergency departments (EDs…
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psnet.ahrq.gov/issue/using-lean-automation-human-touch-improve-medication-safety-step-closer-perfect-dose
September 16, 2015 - Study
Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."
Citation Text:
Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose". Jt Co…
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psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
October 30, 2019 - Study
Types of diagnostic errors in neurological emergencies in the emergency department.
Citation Text:
Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/nemeth-ls-et-al-2007
January 01, 2007 - Nemeth LS et al. 2007 "Strategies to accelerate translation of research into primary care within practices using electronic medical records."
Reference
Nemeth LS, Wessell AM, Jenkins RG, et al. Strategies to accelerate translation of research into primary care within practices using electronic medical…
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
March 01, 2020 - Drug Events in Older Adults: Deprescribing
Drug burden index scores
Adverse drug reactions
Prescribing … the Screening Tool of Older Persons’ Potentially inappropriate Prescriptions (STOPP) Criteria
Prescribing … Studies showed improved prescribing appropriateness but no statistically significant differences in admission … Opioids : Opioid Stewardship
Opioid prescribing
Opioid dosage
Potential misuse
Overdose
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction
September 03, 2019 - When considering prescribing breast cancer risk-reducing medications, the potential benefit of risk reduction … When considering prescribing breast cancer risk-reducing medications, potential benefit of risk reduction … Other Considerations
Implementation
Prescribing … limited survey data, 10% to 30% (depending on medication type) of primary care clinicians report ever prescribing … medications for breast cancer and are primarily concerned with potential harms. 25-29 When considering prescribing
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effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1306.pdf
July 01, 2013 - optimize
patient accessibility to treatment by addressing pricing and reimbursement barriers and prescribing … Lorcaserin has been scheduled as a Schedule IV drug, lifting the potential prescribing
limitations … The recommended prescribing by the manufacturer includes an
initial low-titration dosage and a mid-titration … Drug Enforcement Administration as a Schedule IV drug; it
became available for prescribing in June … Prescribing information for Belviq (lorcaserin
hydrochloride) tablets. [internet].
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - Many prescribing and monitoring errors stem directly from inadequate information at the time of ordering … provider order entry with clinical decision support has been shown to improve the quality of medication prescribing
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Seger.pdf
January 01, 2003 - shown the ability to use an ADE monitor
in inpatient pharmacy practice to provide recommendations to prescribing … medication error was defined as any error that
occurred in the medication use process (including ordering/prescribing
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024314-bauer-final-report-2018.pdf
January 01, 2018 - ICD-9 diagnoses of anxiety and ADHD using billing data and rates of psychotropic
medication using e-prescribing … inattentive symptoms by providing run charts for each clinic of the screening, referral and
medication prescribing … and rates of
psychotropic medication (stimulants for ADHD versus anxiolytics for anxiety) using e-prescribing … Visit claims data of the ICD-9 diagnoses for ADHD or anxiety and e-prescribing data for any of the common
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digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-project/annual-summary/2010
January 01, 2010 - undertaken by the teams include: hospital electronic medical record access by nursing home staff, electronic prescribing
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdf
June 02, 2025 - Mistakes may be related to, or include:
Prescribing, transcribing, dispensing, administering, monitoring
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.docx
June 02, 2025 - Mistakes may be related to, or include:
· Prescribing, transcribing, dispensing, administering, monitoring
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www.ahrq.gov/news/newsletters/e-newsletter/932.html
October 01, 2024 - Pharmacist use of a population management dashboard for safe anticoagulant prescribing: evaluation of