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psnet.ahrq.gov/node/44877/psn-pdf
April 27, 2016 - Actions Needed to Help Ensure Appropriate Medication
Continuation and Prescribing Practices.
April 27, 2016
Washington, DC: United States Government Accountability Office; January 5, 2016. Publication GAO-16-
158.
https://psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-
pre…
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psnet.ahrq.gov/node/866855/psn-pdf
October 02, 2024 - Reduction in preventable time-critical dose omissions:
impact of electronic medication management systems on
in-patients.
October 2, 2024
Graudins LV, Crute S, Poole SG, et al. Reduction in preventable time-critical dose omissions: impact of
electronic medication management systems on in-patients. Contemp Nurse. 2…
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psnet.ahrq.gov/node/837068/psn-pdf
May 11, 2022 - Barriers and enablers to nurses' use of harm prevention
strategies for older patients in hospital: a cross-sectional
survey.
May 11, 2022
Redley B, Taylor N, Hutchinson A. Barriers and enablers to nurses' use of harm prevention strategies for
older patients in hospital: a cross?sectional survey. J Adv Nurs. 2022;7…
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psnet.ahrq.gov/node/47367/psn-pdf
October 15, 2018 - Themed Issue on Innovations in Medication Safety.
October 15, 2018
Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding
and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784.
doi:10.1002/phar.2154.
https://psnet.ahrq.gov/issue/themed-issue-i…
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psnet.ahrq.gov/node/47279/psn-pdf
July 23, 2018 - No Place Like Home: Advancing the Safety of Care in the
Home.
July 23, 2018
Boston, MA: Institute for Healthcare Improvement; 2018.
https://psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
The home care setting harbors unique challenges to patient safety. This report builds on a previous
evidence ass…
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psnet.ahrq.gov/node/46861/psn-pdf
February 28, 2018 - Special K with no license to kill: accidental ketamine
overdose on induction of general anesthesia.
February 28, 2018
Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case
Rep. 2018;19:10-12.
https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-ove…
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psnet.ahrq.gov/node/44664/psn-pdf
May 30, 2016 - Ventilator-related adverse events: a taxonomy and
findings from 3 incident reporting systems.
May 30, 2016
Pham JC, Williams TL, Sparnon EM, et al. Ventilator-Related Adverse Events: A Taxonomy and Findings
From 3 Incident Reporting Systems. Respir Care. 2016;61(5):621-31. doi:10.4187/respcare.04151.
https://psnet…
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psnet.ahrq.gov/node/47924/psn-pdf
June 05, 2019 - Effect of a central call center on employee perceptions of
safety culture within community pharmacies in an
academic health system.
June 5, 2019
Bowden A, Mullin S, Tak C, et al. Effect of a central call center on employee perceptions of safety culture
within community pharmacies in an academic health system. Am J…
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psnet.ahrq.gov/node/44422/psn-pdf
November 17, 2017 - Stop the noise: a quality improvement project to decrease
electrocardiographic nuisance alarms.
November 17, 2017
Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease
Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15-22; quiz 1p following 22.
doi:10.4…
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psnet.ahrq.gov/node/44536/psn-pdf
November 11, 2015 - Healthcare system intervention for safer use of medicines
in elderly patients in primary care—a qualitative study of
the participants' perceptions of self-assessment, peer
review, feedback and agreement for change.
November 11, 2015
Lenander C, Bondesson Å, Midlöv P, et al. Healthcare system intervention for safer…
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digital.ahrq.gov/health-care-theme/smoking-cessation
January 01, 2023 - Smoking Cessation
Reducing Hospital Readmission Rates by Implementing an Inpatient Tobacco Cessation Service Driven by Interactive Voice Recognition Technology
Description
This study evaluated a smoking cessation program using interactive voice recognition technology and found…
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digital.ahrq.gov/organization/wake-forest-university-health-sciences
January 01, 2023 - Wake Forest University Health Sciences
Digital EMS Point-of-Care Innovation to Improve Rural STEMI Outcomes
Description
This research will develop, implement, refine, and evaluate an app to support clinical decisions for ST-Elevation Myocardial Infarction care in rural areas b…
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www.ahrq.gov/patient-safety/reports/healthaffairs.html
March 01, 2019 - AHRQ-Funded Patient Safety Research Featured in Health Affairs
AHRQ-funded research studies focused on critical aspects of patient safety and health information technology were published in a November 2018 patient safety-themed issue of Health Affairs . As part of its commitment to lead patient-safety efforts …
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digital.ahrq.gov/principal-investigator/mahler-simon
January 01, 2023 - Mahler, Simon A
Risk of delayed percutaneous coronary intervention for STEMI in the Southeast United States.
Citation
Messinger MC, Ashburn NP, Chait JS, Snavely AC, Hapig-Ward S, Stopyra JP, Mahler SA. Risk of delayed percutaneous coronary intervention for STEMI in the Southe…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections.html
May 01, 2017 - Toolkit Sections
Implementation
Implementation Guide : It may be helpful to review this guide before starting a project to reduce infections and other complications in your ambulatory surgery center. The guide takes users step by step through the execution of technical and cultural interventions surroundi…
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cdsic.ahrq.gov/sites/default/files/2024-08/TPC%20Patient%20Preferences%20Workflow%20Lifeflow_8.15.2.pdf
January 01, 2024 - Trust and Patient-Centeredness Workgroup: Action Plan to Collect and Use Social Determinants of Health Data in Patient-Centered Clinical Decision Support
Trust and Patient-
Centeredness Workgroup:
Capturing Patient Preferences for
Patient-Centered Clinical
Decision Support Within Patient
Lifeflows and Clinica…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/SUHq3jffCaucDobFXKewQ_
February 01, 2013 - Behavioral Interventions and Counseling to Prevent Child Abuse and Neglect: A Systematic Review to Update the USPSTF Recommendation
Behavioral Interventions and Counseling to Prevent Child Abuse and
Neglect: A Systematic Review to Update the U.S. Preventive Services
Task Force Recommendation
Shelley S. Selph, MD; Chr…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/opioid-chronic-pain-surveillance-report-3.pdf
June 01, 2022 - Reduction of Opioids Prescribed Upon
Discharge After Total Knee Arthroplasty
Significantly Reduces … Mindfulness-oriented recovery enhancement
reduces opioid dose in primary care by
strengthening autonomic … Mindfulness-
Oriented Recovery Enhancement reduces
opioid craving among individuals with
opioid use … Cannabis
Significantly Reduces the Use of
Prescription Opioids and Improves Quality
of Life in Authorized … Buprenorphine
Buccal Film Improves Patient Global
Impression of Change and Reduces the
Prevalence
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psnet.ahrq.gov/issue/transformation-health-care-front-line
July 24, 2017 - Commentary
Transformation of health care at the front line.
Citation Text:
Conway PH, Clancy CM. Transformation of health care at the front line. JAMA. 2009;301(7):763-5. doi:10.1001/jama.2009.103.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0174_10-20-2009.pdf
January 01, 2009 - Effective Health Care
Topic Numbers: 0215 & 0078
Document Completion Date: 6-8-10
1
Results of Topic Selection Process & Next Steps
Physical therapy for knee pain secondary to osteoarthritis of the knee will go forward for refinement as
a systematic review. The scope of this topic, includin…