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psnet.ahrq.gov/issue/identifying-and-reducing-medication-errors-psychiatry-creating-culture-safety-through-use
September 27, 2017 - Study
Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.
Citation Text:
Jayaram G, Doyle D, Steinwachs D, et al. Identifying and reducing medication errors in psychiatry: creating a culture of sa…
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psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
October 19, 2022 - Study
Improving emergency medicine clinician awareness of prehospital-administered medications.
Citation Text:
Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-administered medications. Prehosp Emerg Care. 2024;28(3):506-512. doi:10.1080/1…
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psnet.ahrq.gov/issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events
January 15, 2014 - Study
Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events.
Citation Text:
Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):120…
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psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit
June 30, 2021 - Study
Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit.
Citation Text:
Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Jt Comm J Qual Patient …
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psnet.ahrq.gov/issue/evaluation-evidence-based-nurse-driven-checklist-prevent-hospital-acquired-catheter
June 03, 2013 - Study
Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units.
Citation Text:
Fuchs MA, Sexton DJ, Thornlow D, et al. Evaluation of an evidence-based, nurse-driven checklist to prevent hos…
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psnet.ahrq.gov/issue/intervention-decrease-narcotic-related-adverse-drug-events-childrens-hospitals
April 11, 2011 - Study
An intervention to decrease narcotic-related adverse drug events in children's hospitals.
Citation Text:
Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/050-sample-script-patient-ed-chg-cloths.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Teaching Patients How To Clean With CHG Cloths:
Key Points & Sample Script
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Properly teaching patients the importance of decolonization and how to perform it at home is cruci…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/051-sample-script-patient-ed-chg-shower.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Teaching Patients How To Shower With CHG:
Key Points & Sample Script
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Properly teaching patients the importance of and how to practice decolonization at home is crucial to pr…
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psnet.ahrq.gov/issue/improving-admission-medication-reconciliation-pharmacists-or-pharmacy-technicians-emergency
May 08, 2017 - Study
Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial.
Citation Text:
Pevnick JM, Nguyen C, Jackevicius CA, et al. Improving admission medication reconciliation with pharmacists or pharmacy …
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psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm
January 15, 2020 - Study
Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital.
Citation Text:
Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…
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psnet.ahrq.gov/issue/wrong-site-surgery-pennsylvania-during-2015-2019-study-variables-associated-368-events-178
October 09, 2024 - Study
Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities.
Citation Text:
Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. …
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psnet.ahrq.gov/issue/emergency-hospitalizations-adverse-drug-events-older-americans
October 20, 2021 - Study
Classic
Emergency hospitalizations for adverse drug events in older Americans.
Citation Text:
Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10…
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psnet.ahrq.gov/issue/cluster-randomized-trial-two-implementation-strategies-deliver-audit-and-feedback-equipped
September 01, 2018 - Study
A cluster randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety program.
Citation Text:
Vaughan CP, Burningham Z, Kelleher JL, et al. A cluster‐randomized trial of two implementation strategies to deliver audit and feedbac…
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psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
March 09, 2022 - Study
Healthcare failure mode and effect analysis in the chemotherapy preparation process.
Citation Text:
Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):15…
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psnet.ahrq.gov/issue/differences-medication-reconciliation-interventions-between-six-hospitals-mixed-method-study
September 08, 2021 - Study
Differences in medication reconciliation interventions between six hospitals: a mixed method study.
Citation Text:
Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions between six hospitals: a mixed method study. BMC Health Serv R…
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psnet.ahrq.gov/issue/deprescribing-community-dwelling-older-adults-systematic-review-and-meta-analysis
May 05, 2021 - Review
Deprescribing for community-dwelling older adults: a systematic review and meta-analysis.
Citation Text:
Bloomfield HE, Greer N, Linsky AM, et al. Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. J Gen Intern Med. 2020;35(11):3323-3332. doi…
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions-across-veterans
April 24, 2018 - Study
A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings.
Citation Text:
Phillips KK, Mecca MC, Baim‐Lance AM, et al. A virtual breakthrough series collaborative to support deprescribing interventions across Vete…
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digital.ahrq.gov/sites/default/files/docs/citation/ddi-non-interruptive-alerts-poster-2013.pdf
January 01, 2013 - 56
151
62
215
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Niacins + Statins (Inpatient) Niacins + Statins (Outpatient)
Alerts Overridden Alerts Generated
U.S. System
In the U.S. system, the Niacin + Statin
interaction was triggered and overridden most
often in both inpatient and outpatient systems.
U.K. …
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digital.ahrq.gov/ahrq-funded-projects/health-information-exchange-utilization-and-inter-hospital-transfer-outcomes
January 31, 2023 - Health Information Exchange Utilization and Inter-Hospital Transfer Outcomes
Project Final Report ( PDF , 819.5 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represen…
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/sexually-transmitted-infections
January 16, 2025 - Share to Facebook
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Draft Research Plan
Sexually Transmitted Infections: Behavioral Counseling
January 16, 2025
Recommendations made by the USPSTF are independent of the U.S. gover…