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psnet.ahrq.gov/issue/electronic-prescribing-ambulatory-care-setting-cluster-randomized-trial
October 31, 2011 - Study
Electronic prescribing in an ambulatory care setting: a cluster randomized trial.
Citation Text:
Dainty KN, Adhikari NKJ, Kiss A, et al. Electronic prescribing in an ambulatory care setting: a cluster randomized trial. J Eval Clin Pract. 2012;18(4):761-7. doi:10.1111/j.1365-2753.…
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psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse
June 18, 2008 - Study
Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes.
Citation Text:
Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Arch Sur…
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psnet.ahrq.gov/issue/impact-opioid-safety-initiative-opioid-related-prescribing-veterans
February 10, 2021 - Study
Classic
Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans.
Citation Text:
Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Pain. 2017;158(5):833-839. doi:…
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psnet.ahrq.gov/issue/can-residents-detect-errors-technique-while-observing-central-line-insertions
April 12, 2019 - Study
Can residents detect errors in technique while observing central line insertions?
Citation Text:
Pei K, Merola J, Davis KA, et al. Can residents detect errors in technique while observing central line insertions? Am J Surg. 2017;213(6):1166-1170.e1. doi:10.1016/j.amjsurg.2016.08.02…
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psnet.ahrq.gov/issue/diagnosis-team-sport-partnering-allied-health-professionals-reduce-diagnostic-errors-case
July 28, 2023 - Study
Diagnosis is a team sport—partnering with allied health professionals to reduce diagnostic errors: a case study on the role of a vestibular therapist in diagnosing dizziness.
Citation Text:
Thomas DB, Newman-Toker DE. Diagnosis is a team sport - partnering with allied health profes…
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psnet.ahrq.gov/issue/patient-activation-related-fall-prevention-multisite-study
February 01, 2023 - Study
Patient activation related to fall prevention: a multisite study
Citation Text:
Christiansen TL, Lipsitz S, Scanlan M, et al. Patient activation related to fall prevention: a multisite study . Jt Comm J Qual Patient Saf. 2020. doi:10.1016/j.jcjq.2019.11.010.
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Fo…
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psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
August 02, 2015 - Study
Root cause analysis of serious adverse events among older patients in the Veterans Health Administration.
Citation Text:
Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient…
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psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - Review
Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review.
Citation Text:
Hada A, Coyer F. Shift‐to‐shift nursing handover interventions associated with improved …
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psnet.ahrq.gov/issue/evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful
September 15, 2021 - Study
Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback.
Citation Text:
Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…
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psnet.ahrq.gov/issue/risk-reduction-strategy-decrease-incidence-retained-surgical-items
July 06, 2022 - Study
Risk reduction strategy to decrease incidence of retained surgical items.
Citation Text:
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
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psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia
September 26, 2012 - Study
Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.
Citation Text:
Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and administration of drugs…
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psnet.ahrq.gov/issue/does-computerized-provider-order-entry-reduce-prescribing-errors-hospital-inpatients
February 15, 2012 - Review
Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review.
Citation Text:
Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. J…
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www.ahrq.gov/es/tools/index.html?page=4
October 01, 2024 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
August 24, 2015 - Study
Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders.
Citation Text:
Colombini N, Abbes M, Cherpin A, et al. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Int J Med Info…
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psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results
June 13, 2011 - Study
Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis.
Citation Text:
Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban …
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psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study
October 13, 2021 - Study
Medical errors during training: how do residents cope?: a descriptive study.
Citation Text:
Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1.
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psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac
January 02, 2017 - Study
Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests.
Citation Text:
Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anes…
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psnet.ahrq.gov/issue/application-human-factors-methods-ensure-appropriate-infant-identification-and-abduction
April 27, 2022 - Commentary
Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting.
Citation Text:
Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant identification and a…
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psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions
May 04, 2022 - Study
Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse.
Citation Text:
El Abd A, Schwab C, Clementz A, et al. Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions u…
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
January 01, 2018 - Microsoft PowerPoint - Updated Handouts - Read-Only
REDUCING MEDICATIONS SAFELY
TO MEET LIFE’S CHANGES … taking:_____________________
Your dose: _____________________________________________
WHY CONSIDER REDUCING … Adapted from “Reducing Medications Safely to Meet Life’s Changes, Focus on Benzodiazepine Receptor Agonists