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psnet.ahrq.gov/issue/medication-guides-patient-medication-information-proposed-rule-food-and-drug-administration
September 15, 2021 - Press Release/Announcement
Medication guides: patient medication information. A proposed rule by the Food and Drug Administration.
Citation Text:
Medication guides: patient medication information. A proposed rule by the Food and Drug Administration. May 31, 2023; Fed Register;88:35694-35…
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - the number of calls to providers seeking information for changes in medications to covered agents or requests … pharmacies have the ability to receive new prescriptions electronically or to send electronic renewal requests
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psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-effectiveness-and-safety-patient-safety-practices
December 24, 2008 - Press Release/Announcement
Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria.
Citation Text:
Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Crit…
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psnet.ahrq.gov/issue/request-comments-proposed-measures-and-2020-targets-national-action-plan-adverse-drug-event
October 21, 2016 - Press Release/Announcement
Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics.
Cita…
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psnet.ahrq.gov/issue/proposed-2022-cdc-clinical-practice-guideline-prescribing-opioids-notice-centers-disease
December 21, 2022 - Press Release/Announcement
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control and Prevention.
Citation Text:
Proposed 2022 CDC clinical practice guideline for prescribing opioids. A notice by the Centers for Disease Control …
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - attempt is a trigger for assessment of suicide risk and medical decision-
making capacity and while requests … and attempt is appropriately prioritized and
discussed and that care teams follow up on consultation requests
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psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
October 21, 2016 - Government Resource
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention.
Citation Text:
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hhs-guidance-regarding-patient-safety-work
December 24, 2008 - Government Resource
Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations.
Citation Text:
Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and provid…
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - Critical Radiology Alert Process
October 30, 2024
https://psnet.ahrq.gov/innovation/critical-radiology-alert-process
Summary
Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of
unrelated abnormal findings and provides a companion follow-up process, with the goal o…
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psnet.ahrq.gov/node/859353/psn-pdf
December 20, 2023 - Global State of Patient Safety 2023.
December 20, 2023
Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023.
https://psnet.ahrq.gov/issue/global-state-patient-safety-2023
Patient safety data can support learning health systems and worldwide improvement. This report discusses
a set of in…
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psnet.ahrq.gov/issue/incorporating-health-information-technology-workflow-redesign-request-information-summary
September 29, 2017 - Book/Report
Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report.
Citation Text:
Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. Carayon P, Karsh B-T, Cartmill RS, et al.…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - request from Moscow ATM asks your bank in New York "John Smith, with account #12345 and password ABCDE requests
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
February 01, 2011 - privileges and scope of practice for the physician at a hospital or health plan
A physician most often requests
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psnet.ahrq.gov/node/837707/psn-pdf
July 20, 2022 - Who killed patient safety?
July 20, 2022
Hemmelgarn C, Hatlie MJ, Sheridan S, et al. Who killed patient safety? J Patient Saf Risk Manage.
2022;27(2):56-58. doi:10.1177/25160435221077778.
https://psnet.ahrq.gov/issue/who-killed-patient-safety
This commentary, authored by patients and families who have experienced …
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psnet.ahrq.gov/node/866170/psn-pdf
June 19, 2024 - The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action.
June 19, 2024
Coleman BC, Rubinstein SM, Salsbury SA, et al. The World Federation of Chiropractic Global Patient
Safety Task Force: a call to action. Chiropr Man Therap. 2024;32(1):15. doi:10.1186/s12998-024-00536-1.
https://p…
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psnet.ahrq.gov/node/38416/psn-pdf
February 18, 2009 - Preanalytical errors in primary healthcare: a
questionnaire study of information search procedures,
test request management and test tube labelling.
February 18, 2009
Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study
of information search procedures, test …
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psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
July 07, 2010 - Study
Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling.
Citation Text:
Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of info…
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - Overdose rates
► Adverse consequences
(changes in pain intensity or
distress, rates of opioid refill
requests … management & facilitated access to
specialists
• No difference in pain outcomes (3 studies), early refill requests
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psnet.ahrq.gov/innovation/critical-radiology-alert-process
November 16, 2022 - Critical Radiology Alert Process
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October 30, 2024
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psnet.ahrq.gov/node/35332/psn-pdf
September 21, 2005 - Are language barriers associated with serious medical
events in hospitalized pediatric patients?
September 21, 2005
Cohen AL. Are Language Barriers Associated With Serious Medical Events in Hospitalized Pediatric
Patients? Pediatrics. 2005;116(3):575-579. doi:10.1542/peds.2005-0521.
https://psnet.ahrq.gov/issue/ar…