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psnet.ahrq.gov/node/37622/psn-pdf
May 26, 2011 - Effect of computer order entry on prevention of serious
medication errors in hospitalized children.
May 26, 2011
Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious
medication errors in hospitalized children. Pediatrics. 2008;121(3):e421-e427. doi:10.1542/peds.2007-
022…
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psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
July 20, 2012 - Tools/Toolkit
Contemporary View of Medication-Related Harm. A New Paradigm.
Citation Text:
Contemporary View of Medication-Related Harm. A New Paradigm. National Coordinating Council for Medication Error Reporting and Prevention; NCCMERP.
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psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
April 17, 2024 - Newspaper/Magazine Article
Implement strategies to prevent persistent medication errors and hazards: 2024.
Citation Text:
Implement strategies to prevent persistent medication errors and hazards: 2024. ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
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psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings
February 17, 2021 - Study
Classic
Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis.
Citation Text:
Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
February 10, 2011 - Study
Classic
Incidence of adverse drug events and potential adverse drug events: implications for prevention.
Citation Text:
Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. …
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psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections
February 22, 2017 - Study
Classic
Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections.
Citation Text:
Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. N E…
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psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication
February 16, 2022 - Study
Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study.
Citation Text:
Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional commun…
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psnet.ahrq.gov/issue/medication-related-hospital-readmissions-within-30-days-discharge-prevalence-preventability
April 27, 2022 - Study
Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type of medication errors and risk factors.
Citation Text:
Uitvlugt EB, Janssen MJA, Siegert CEH, et al. Medication-related hospital readmissions within 30 days of discharge: prevalenc…
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psnet.ahrq.gov/issue/nurses-harm-prevention-practices-during-admission-older-person-hospital-multi-method
May 11, 2022 - Study
Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study.
Citation Text:
Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person to the hospital: a multi‐method qualitat…
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psnet.ahrq.gov/issue/preventable-proportion-healthcare-associated-infections-2005-2016-systematic-review-and-meta
April 26, 2017 - Review
The preventable proportion of healthcare-associated infections 2005-2016: systematic review and meta-analysis.
Citation Text:
Schreiber PW, Sax H, Wolfensberger A, et al. The preventable proportion of healthcare-associated infections 2005-2016: Systematic review and meta-analysis.…
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digital.ahrq.gov/sites/default/files/docs/page/2006Gurwitz_051711comp.pdf
January 01, 2005 - Effect of Computerized Physician Order Entry with Clinical Decision Support on Adverse Drug Events in the Long-term Care Setting
Effect of Computerized Physician Order
Entry with Clinical Decision Support on
Adverse Drug Events in the Long-term
Care Setting
Jerry H. Gurwitz, M.D.
Chief, Division of Geriatric Med…
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Carole Stockmeier, MHA, BS, Eric Thomas, MD, MPH, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | September 24, 2024
Also Read the Conversations
In Conversation with Ca…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion.pptx
April 01, 2022 - Central Venous Catheter Insertion
Central Venous Catheter Insertion
Avoiding Improper Placement Techniques
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
AHRQ Safety Program for Intensive Care Units: CLABSI/CAUTI
1
Disrupting the Lifecycle of a Cathet…
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www.ahrq.gov/nursing-home/resources/infection-prevention.html
July 01, 2021 - Infection Prevention & Control Assessment Tool for Nursing Homes Preparing for COVID-19
Resource: Infection Prevention & Control Assessment Tool for Nursing Homes Preparing for COVID-19 (PDF, 1.63 MB)
Clinical leaders can use this tool from the Centers for Disease Control and Prevention to assess infectio…
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psnet.ahrq.gov/node/36217/psn-pdf
March 04, 2015 - Will saying "I'm sorry" prevent a malpractice lawsuit?
March 4, 2015
Berlin L. Will Saying "I'm Sorry" Prevent a Malpractice Lawsuit? AJR Am J Roentgenol. 2006;187(1):10-5.
https://psnet.ahrq.gov/issue/will-saying-im-sorry-prevent-malpractice-lawsuit
In the context of a malpractice lawsuit filed after a communicati…
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psnet.ahrq.gov/node/40480/psn-pdf
May 25, 2011 - Guidelines for the prevention of intravascular catheter-
related infections.
May 25, 2011
O'Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related
infections. American journal of infection control. 2011;39(4 Suppl 1):S1-34. doi:10.1016/j.ajic.2011.01.003.
https://ps…
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psnet.ahrq.gov/node/41783/psn-pdf
October 24, 2012 - How-to Guide: Prevent Obstetrical Adverse Events.
October 24, 2012
Cambridge, MA: Institute for Healthcare Improvement; 2012.
https://psnet.ahrq.gov/issue/how-guide-prevent-obstetrical-adverse-events
This guide highlights strategies to enhance the use of care bundles to prevent errors in obstetric care.
https://ps…
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psnet.ahrq.gov/node/37270/psn-pdf
January 02, 2017 - Preventing pressure ulcers: the goal is zero.
January 2, 2017
Duncan KD. Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10.
https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
This article discusses the background and motivation behind the 5 Million Lives Cam…
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effectivehealthcare.ahrq.gov/sites/default/files/09_infectiousdisease_potential_high_impact_june_2012.pdf
January 01, 2012 - Currently, no preventive options are
available other than abstinence and condom use, which are not … Currently, no preventive options are available other than abstinence and condom use,
which are not … FDA panel OKs Truvada as first
HIV-preventive drug. [internet]. … Available:
http://www.webmd.com/hiv-
aids/news/20120510/fda-panel-oks-truvada-
first-hiv-preventive-drug … /hiv-aids/news/20120510/fda-panel-oks-truvada-first-hiv-preventive-drug
http://www.drugstore.com/truvada
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-fullreport.pdf
January 01, 2019 - Service – preventive health, including services to promote healthy birth: Yes.
e. … Preventive
Services Task Force (USPSTF) rankings (criteria denoted in Table 4; see Supporting
Documents … ONC’s Health IT Standards explicitly address the ability to create patient‐specific reminders
for preventive … manage SCD could be achieved through these
mechanisms, meeting the goals of anticipatory guidance preventive