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psnet.ahrq.gov/node/37565/psn-pdf
February 27, 2008 - Effect of pharmacists on medication errors in an
emergency department.
February 27, 2008
Brown JN, Barnes CL, Beasley B, et al. Effect of pharmacists on medication errors in an emergency
department. Am J Health Syst Pharm. 2008;65(4):330-3. doi:10.2146/ajhp070391.
https://psnet.ahrq.gov/issue/effect-pharmacists-me…
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psnet.ahrq.gov/node/42600/psn-pdf
September 18, 2013 - Oral medications inadvertently given via the intravenous
route.
September 18, 2013
Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91.
https://psnet.ahrq.gov/issue/oral-medications-inadvertently-given-intravenous-route
Analyzing data submitted to the Pennsylvania Patient Safety Reporti…
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psnet.ahrq.gov/node/39693/psn-pdf
July 21, 2010 - Learning accountability for patient outcomes.
July 21, 2010
Pronovost P. Learning accountability for patient outcomes. JAMA. 2010;304(2):204-5.
doi:10.1001/jama.2010.979.
https://psnet.ahrq.gov/issue/learning-accountability-patient-outcomes
This commentary discusses efforts to reduce central line blood stream infe…
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psnet.ahrq.gov/node/41691/psn-pdf
September 19, 2012 - Events associated with the prescribing, dispensing, and
administering of medication loading doses.
September 19, 2012
Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.
https://psnet.ahrq.gov/issue/events-associated-prescribing-dispensing-and-administering-medication-
loading-doses
This article discuss…
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psnet.ahrq.gov/node/42176/psn-pdf
April 17, 2013 - Checklists improve experts' diagnostic decisions.
April 17, 2013
Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ.
2013;47(3):301-8. doi:10.1111/medu.12080.
https://psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions
Checklists have recently be…
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psnet.ahrq.gov/node/41508/psn-pdf
July 11, 2012 - Complications in surgery: root cause analysis and
preventive measures.
July 11, 2012
Chung KC, Kotsis S. Complications in surgery: root cause analysis and preventive measures. Plast
Reconstr Surg. 2012;129(6):1421-1427. doi:10.1097/PRS.0b013e31824ecda0.
https://psnet.ahrq.gov/issue/complications-surgery-root-cause…
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psnet.ahrq.gov/node/37173/psn-pdf
January 02, 2017 - Eliminating adverse drug events at Ascension Health.
January 2, 2017
Butler K, Mollo P, Gale JL, et al. Eliminating adverse drug events at Ascension Health. Jt Comm J Qual
Patient Saf. 2007;33(9):527-36.
https://psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health
The authors describe an initiativ…
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digital.ahrq.gov/principal-investigator/wang-hsin-hsiao-scott
January 01, 2023 - Wang, Hsin-Hsiao Scott
Machine-Learning Prediction Model for Personalized Urinary Tract Infection Care in Children
Description
The study will develop and implement a validated machine learning model to optimize voiding cystourethrogram timing and use for diagnosing vesicourete…
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digital.ahrq.gov/program/national-center-excellence-primary-care-research-center-evidence-and-practice-improvement
January 01, 2023 - National Center for Excellence in Primary Care Research, Center for Evidence and Practice Improvement
Program Link: https://www.ahrq.gov/ncepcr/index.html
Assessing the Effects of EHR Optimization Interventions in Primary Care
Description
This research…
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digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-6
January 01, 2023 - Nurse leader training presentation for the deployment of the QI-CDS tool (separate document with supplemental handout for data element definitions)
Citation
Nurse leader training presentation for the deployment of the QI-CDS tool (separate document with supplemental handout for data element definition…
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digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-0
January 01, 2023 - Specifications for a care planning (CP) clinical decision support (CP-CDS) tool (Chapter 3; Figures 4-10)
Citation
Specifications for a care planning (CP) clinical decision support (CP-CDS) tool (Chapter 3; Figures 4-10)
PDF
action-cp-cds-tool-specifications.pdf
Project Name
…
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psnet.ahrq.gov/node/39793/psn-pdf
August 25, 2010 - Infection Control in the Intensive Care Unit.
August 25, 2010
Crit Care Med. 2010;38:S265-S404.
https://psnet.ahrq.gov/issue/infection-control-intensive-care-unit
Articles in this special issue describe strategies to reduce infections in the intensive care unit, including
human factors design, guideline use…
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psnet.ahrq.gov/node/40406/psn-pdf
February 13, 2018 - Critical conversations: a call for a nonprocedural "time
out."
February 13, 2018
Sehgal NL, Fox M, Sharpe B, et al. Critical conversations: a call for a nonprocedural "time out". J Hosp
Med. 2011;6(4):225-30. doi:10.1002/jhm.853.
https://psnet.ahrq.gov/issue/critical-conversations-call-nonprocedural-time-out
This…
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psnet.ahrq.gov/node/50726/psn-pdf
December 11, 2019 - Toolkit To Improve Antibiotic Use in Acute Care Hospitals
December 11, 2019
Agency for Healthcare Research and Quality. 2019.
https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals
Structured processes are important strategies for embedding safe care practices. This tool kit shares
traini…
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psnet.ahrq.gov/node/40751/psn-pdf
September 07, 2011 - Developing a programme for medication reconciliation at
the time of admission into hospital.
September 7, 2011
Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time
of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi:10.1007/s11096-011-9530-1.
http…
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www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
VI. Summary and Conclusions
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/aspirin-use-prevent-cardiovascular-disease-colorectal-cancer-preventive-medication-2002
January 01, 2002 - Share to Facebook
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Recommendations and Rationale
Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Preventive Medication, 2002
January 01, 2002
Recommendations m…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/innovations-improve-cr-event-summary.pdf
May 20, 2021 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS AT-A-GLANCE
Title Innovations that can Improve your Cardiac Rehabilitation Program
May 20, 2021
Purpose • To share innovations that cardiac rehabilitation programs implemented
during the pandemic and then …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety
Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety
SAY:
This module introduces the comprehensive unit-based safety program, also called CUSP, that we will use as the foundation …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
July 01, 2023 - Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety
Say:
This module introduces the comprehensive unit-based safety program, also calle…