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psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit
October 05, 2022 - The authors recommend the involvement of clinical pharmacists to prevent and identify ADEs in the pediatric
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psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists
September 21, 2022 - The authors recommend all medications be prepared in the hospital pharmacy or purchased pre-mixed from
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psnet.ahrq.gov/issue/medication-errors-causes-analysis-home-care-setting-systematic-review
August 17, 2022 - Most studies recommend involvement of a pharmacist as a member of the care team.
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psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
July 19, 2019 - They recommend further study into the educational outcomes of safety-focused morbidity and mortality
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psnet.ahrq.gov/issue/prioritizing-patient-safety-efforts-office-practice-settings
October 12, 2022 - The authors recommend employing their targeted approach to safety improvements in other large health
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psnet.ahrq.gov/issue/development-and-measurement-perioperative-patient-safety-indicators
February 09, 2022 - They propose a perioperative stops checklist and recommend a mortality and morbidity registry, which
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psnet.ahrq.gov/node/45541/psn-pdf
September 28, 2016 - They recommend a structured and transparent second opinion process as part of oncologic care.
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psnet.ahrq.gov/node/45511/psn-pdf
July 21, 2017 - The authors conclude that evidence is insufficient to
recommend this questionnaire-based patient engagement
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psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy
June 20, 2018 - The authors recommend strategies to reduce risks associated with lack of ingredients for parenteral nutrition
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psnet.ahrq.gov/node/45083/psn-pdf
July 18, 2016 - They recommend that CMS remove current metrics that rely on administrative data due to
concerns about
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psnet.ahrq.gov/node/43851/psn-pdf
March 13, 2015 - The authors recommend conducting more
methodologically rigorous studies in order to determine the impact
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psnet.ahrq.gov/node/47285/psn-pdf
November 19, 2018 - They recommend inclusion of sociodemographic characteristics into algorithms, building and
testing algorithms
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psnet.ahrq.gov/node/41789/psn-pdf
September 01, 2016 - The authors
recommend developing a consortium to maintain this list over time. Dr.
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psnet.ahrq.gov/node/45543/psn-pdf
February 17, 2017 - The
authors recommend that these proposed PSIs should be further validated using record review or
prospective
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psnet.ahrq.gov/node/37940/psn-pdf
June 16, 2010 - The authors recommend that hospitals consider adding
questions about adverse events to existing patient
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psnet.ahrq.gov/node/40619/psn-pdf
October 06, 2016 - The authors recommend
using quality improvement collaboratives to drive improved patient care.
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psnet.ahrq.gov/node/42900/psn-pdf
September 19, 2016 - The authors recommend improved staff education,
standardized communication for suicide risk, and protocols
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psnet.ahrq.gov/node/38961/psn-pdf
September 01, 2016 - than 300 alerts were required
to prevent one ADE, so in order to combat alert fatigue, the authors recommend
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psnet.ahrq.gov/node/45344/psn-pdf
January 23, 2017 - The authors recommend that hospitals discourage copied
notes and encourage accurate documentation at
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psnet.ahrq.gov/node/47102/psn-pdf
June 26, 2018 - The authors recommend implementing safety guidelines for pediatric
patients in commercial EHR software