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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - SPOTLIGHT CASE
The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.
Citation Text:
Amashta ML, Barnes DK. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.. PSNet [internet]. Rockv…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/lifecycle-assessment-protocol.pdf
August 23, 2023 - Healthcare Industry Waste and Lifecycle Assessment
Evidence-based Practice Center Technical Brief Protocol
Project Title: Healthcare Industry Waste and Lifecycle Assessment
I. Background and Objectives for the Technical Brief
Clinicians are increasingly aware of the environmental impacts of healthcare pr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design
425
Creating a Culture of Patient Safety through
Innovative Hospital Design
John G. Reiling
Abstract
When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to
relocate and build an 82-bed acute care facility, we reco…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/crohns-disease_research-protocol.pdf
September 01, 2010 - Evidence Report on the
Source: www.effectivehealthcare.ahrq.gov
Published Online: September 01, 2010
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Pharmacologic Therapies for the
Management of Crohn’s Disease
I. Background and Objectives for…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
January 01, 2004 - Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words?
199
Language, Literacy, and Communication
Regarding Medication in an Anticoagulation
Clinic: Are Pictures Better Than Words?
Dean Schillinger, Edward L. Machtinger, Frances Wang, Lay-Leng …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
June 30, 2004 - Mixed Methods Analysis of Medical Error Event Reports: A Report from the ASIPS Collaborative
133
Mixed Methods Analysis of Medical
Error Event Reports: A Report from
the ASIPS Collaborative
Daniel M. Harris, John M. Westfall, Douglas H. Fernald,
Christine W. Duclos, David R. West, Linda Niebauer,
Linda Ma…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
January 01, 2004 - Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study
35
Decision Support System Design and
Implementation for Outpatient Prescribing:
The Safety in Prescribing Study
Adrianne C. Feldstein, David H. Smith, Nan R. Robertson,
Christine A. Kovach, Stephen B…
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hcup-us.ahrq.gov/reports/statbriefs/sb211-Hospital-Variation-C-sections-2013.jsp
September 01, 2016 - Variation in the Rate of Cesarean Section Across U.S. Hospitals, 2013 #211
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
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…
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hcup-us.ahrq.gov/reports/statbriefs/sb211-Hospital-Variation-C-sections-2013.pdf
January 01, 2013 - Variation in the Rate of Cesarean Section Across U.S. Hospitals, 2013
1
September 2016
Variation in the Rate of Cesarean
Section Across U.S. Hospitals, 2013
Kamila Mistry, Ph.D., M.P.H., Kathryn R. Fingar, Ph.D., M.P.H.,
and Anne Elixhauser, Ph.D.
Introduction
Although the overall cesa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
April 20, 2004 - Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation
437
Barcode Medication Administration:
Lessons Learned from an Intensive
Care Unit Implementation
Mary V. Wideman, Michael E. Whittler, Timothy M. Anderson
Abstract
An electronic barcode medication administration sy…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/atypical-antipsychotics-off-label_executive.pdf
January 01, 2007 - Layout 1
Background
Aripiprazole, olanzapine, quetiapine,
risperidone, and ziprasidone are atypical
antipsychotics approved by the U.S. Food
and Drug Administration (FDA) for
treatment of schizophrenia and bipolar
disorder. These drugs have been studied for
off-label use in the following conditions:
dementia and seve…
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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-Mokkarala_103.pdf
June 16, 2008 - Development of a Comprehensive Medical Error Ontology
Development of a Comprehensive
Medical Error Ontology
Pallavi Mokkarala, MS; Julie Brixey, RN, PhD; Todd R. Johnson, PhD; Vimla L. Patel, PhD;
Jiajie Zhang, PhD; James P. Turley, RN, PhD
Abstract
A critical step towards reducing errors in health care …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
February 20, 2008 - The Patient Safety Education Project: An international Collaboration
The Patient Safety Education Project:
An International Collaboration
Linda Emanuel, MD, PhD; Merrilyn Walton, PhD; Martin Hatlie, JD; Denys Lau, PhD;
Tim Shaw, PhD; Joel Shalowitz, MD, MBA; John Combes, MD
Abstract
The Patient Safety Edu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
September 01, 2008 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety
Venous Thromboembolism Safety Toolkit:
A Systems Approach to Patient Safety
Brenda K. Zierler, PhD; Ann Wittkowsky, PharmD; Gene Peterson, MD, PhD;
Jung-Ah Lee, MN; Courtney Jacobson, BA; Robb Glenny, MD; Fred Wolf, PhD;
Lynne Robin…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/high-cholestorol-medications_executive.pdf
September 01, 2009 - Layout 1
Background
Over 28 million Americans have some
form of cardiovascular disease (CVD),
which causes more deaths than cancer,
diabetes, accidents, and chronic lung
diseases combined. Estimated direct
medical expenditures and lost productivity
from CVD amounted to $431.8 billion in
the United States in 2007.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - • What is the surgeon’s role in promoting quality? (Why am I taking this course?)
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
March 01, 2020 - Findings
Risk of Bias
(High,
Moderate,
Low)
Hartford et
al., 201814
“Pain care
bundle”—
promoting
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effectivehealthcare.ahrq.gov/sites/default/files/09_infectiousdisease_potential_high_impact_june_2012.pdf
January 01, 2012 - Infectious Disease Including HIV/AIDS #09
AHRQ Healthcare Horizon Scanning System – Potential High
Impact Interventions Report
Priority Area 09: Infectious Disease Including HIV/AIDS
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 G…
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effectivehealthcare.ahrq.gov/sites/default/files/diabetes-horizon-scan-high-impact-1512.pdf
December 01, 2015 - weight in obese patients also offered an additional benefit of restoring metabolic
imbalances and promoting
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
May 01, 2017 - and Quality (AHRQ) Safety Program for Ambulatory Surgery has
made progress toward understanding and promoting