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psnet.ahrq.gov/node/44880/psn-pdf
September 06, 2016 - Drug shortages forcing hard decisions on rationing
treatments.
September 6, 2016
Fink S. New York Times. January 29, 2016.
https://psnet.ahrq.gov/issue/drug-shortages-forcing-hard-decisions-rationing-treatments
Drug shortages have become a routine challenge in medicine. Reporting on the impact of medication
short…
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psnet.ahrq.gov/node/38292/psn-pdf
May 21, 2009 - The effect on medication errors of pharmacists charting
medication in an emergency department.
May 21, 2009
Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication
in an emergency department. Pharm World Sci. 2009;31(3):373-9. doi:10.1007/s11096-008-9271-y.
https…
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psnet.ahrq.gov/node/43238/psn-pdf
June 04, 2014 - Administering just the diluent or one of two vaccine
components leaves patients unprotected.
June 4, 2014
ISMP Medication Safety Alert! Acute care edition. May 22, 2014;19:1-2.
https://psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients-
unprotected
Errors occur frequentl…
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psnet.ahrq.gov/node/45544/psn-pdf
December 19, 2016 - Prescribing errors that cause harm.
December 19, 2016
Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91.
https://psnet.ahrq.gov/issue/prescribing-errors-cause-harm
Prescribing errors can have harmful results. Analyzing prescribing error reports submitted over a 12- year
period, t…
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psnet.ahrq.gov/node/851660/psn-pdf
July 26, 2023 - From aviation to pediatric surgery.
July 26, 2023
Arredondo Montero J, Bardají Pascual C. From aviation to pediatric surgery. Clin Pediatr (Phila).
2024;63(4):557-559. doi:10.1177/00099228231176631.
https://psnet.ahrq.gov/issue/aviation-pediatric-surgery
Human factors strategies are increasingly applied in health …
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psnet.ahrq.gov/node/42228/psn-pdf
October 08, 2013 - Cognitive diagnostic error in internal medicine.
October 8, 2013
Van den Berge K, Mamede S. Cognitive diagnostic error in internal medicine. Eur J Intern Med.
2013;24(6):525-9. doi:10.1016/j.ejim.2013.03.006.
https://psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine
This review discusses how confir…
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psnet.ahrq.gov/node/40868/psn-pdf
October 19, 2011 - Simulation to enhance patient safety: why aren't we there
yet?
October 19, 2011
Aggarwal R, Darzi A. Simulation to enhance patient safety: why aren't we there yet? Chest.
2011;140(4):854-858. doi:10.1378/chest.11-0728.
https://psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet
Discussin…
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psnet.ahrq.gov/node/39715/psn-pdf
May 25, 2011 - Barriers to incident notification in a regional prehospital
setting.
May 25, 2011
Jennings PA, Stella J. Barriers to incident notification in a regional prehospital setting. Emerg Med J.
2011;28(6):526-9. doi:10.1136/emj.2010.090738.
https://psnet.ahrq.gov/issue/barriers-incident-notification-regional-prehospital-…
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psnet.ahrq.gov/node/43411/psn-pdf
October 01, 2014 - Analysis of medication errors in simulated pediatric
resuscitation by residents.
October 1, 2014
Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by
residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922.
https://psnet.ahrq.gov/issue/analysis…
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psnet.ahrq.gov/node/45338/psn-pdf
July 20, 2016 - Understanding models of error and how they apply in
clinical practice.
July 20, 2016
Garfield S, Franklin BD. Pharm J. June 14, 2016.
https://psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
Human error and fallibility are a part of health care delivery that can be exacerbated b…
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psnet.ahrq.gov/node/46607/psn-pdf
November 08, 2017 - Stem the Tide: Addressing the Opioid Epidemic.
November 8, 2017
Chicago, IL: American Hospital Association; 2017.
https://psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
The opioid epidemic is a challenge to patient safety and public health. This report reviews tools to help
health care systems target ei…
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psnet.ahrq.gov/node/866284/psn-pdf
February 26, 2025 - AJR Podcast Series on Diagnostic Excellence and Error.
February 26, 2025
Deng F, ed. AJR Am J Roentgenol. July 2024-February 2025.
https://psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error
Reducing diagnostic errors relies on a variety of professionals across the spectrum of care. This podcast…
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digital.ahrq.gov/organization/university-georgia
January 01, 2023 - University of Georgia
Machine Learning Validation of Medication Regimen Complexity for Critical Care Pharmacist Resource Prediction
Description
This research will develop and validate machine learning enhanced predictive models improving the allocation of critical care pharmac…
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digital.ahrq.gov/organization/university-chicago
January 01, 2023 - University of Chicago
TELE-TOC Telehealth Education Leveraging Electronic Transitions of Care for COPD Patients
Description
This research will study the effectiveness of a virtual in-home program designed to reduce hospital readmissions among COPD patients post-hospitalization…
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digital.ahrq.gov/program/division-research-education-office-extramural-research-education-and-priority-populations
January 01, 2023 - Division of Research Education, Office of Extramural Research, Education, and Priority Populations (OEREP)
Program Link: https://www.ahrq.gov/funding/training-grants/index.html
Identifying Sepsis Phenotypes Associated with Antibiotic-Resistant Pathogens Using La…
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psnet.ahrq.gov/node/867772/psn-pdf
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocl.
September 1, 2013
Agency for Healthcare Research and Quality. Universal ICU Decolonization: An Enhanced Protocol.
https://psnet.ahrq.gov/issue/universal-icu-decolonization-enhanced-protocl
Methicillin-resistant?Staphylococcus aureus (MRSA) is a known threat to pati…
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digital.ahrq.gov/location/usa-ga-athens
January 01, 2023 - USA, GA, Athens
Machine Learning Validation of Medication Regimen Complexity for Critical Care Pharmacist Resource Prediction
Description
This research will develop and validate machine learning enhanced predictive models improving the allocation of critical care pharmacists t…
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digital.ahrq.gov/ahrq-funded-projects/reducing-hospital-readmission-rates-implementing-inpatient-tobacco-cessation/citation/tobacco
January 01, 2023 - Effect of an evidence-based inpatient tobacco dependence treatment service on 1-year postdischarge health care costs.
Citation
Cartmell KB, Dismuke CE, Dooley M, et al. Effect of an evidence-based inpatient tobacco dependence treatment service on 1-year postdischarge health care costs. Med Care 2018 O…
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digital.ahrq.gov/ahrq-funded-projects/reducing-hospital-readmission-rates-implementing-inpatient-tobacco-cessation/citation/effect
January 01, 2023 - Effect of an evidence-based inpatient tobacco dependence treatment service on 30-, 90-, and 180-day hospital readmission rates.
Citation
Cartmell KB, Dooley M, Mueller M, et al. Effect of an evidence-based inpatient tobacco dependence treatment service on 30-, 90-, and 180-day hospital readmission ra…
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digital.ahrq.gov/principal-investigator/bryant-charles
January 01, 2023 - Bryant, Charles
INTEGRIS Telewoundcare Network - Final Report
Citation
Bryant C. INTEGRIS Telewoundcare Network - Final Report. (Prepared by Integris Health, Inc. under Grant No. UC1 HS015359). Rockville, MD: Agency for Healthcare Research and Quality, 2008.
Principal …