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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - However, because of the changing landscape and regional variability in use trends, it’s critical that … That is an important first step, but we need to similarly embrace
talking to patients about safer substance … Now anyone with a Schedule III DEA license can prescribe buprenorphine.
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - associated complications.21 This
proactive approach not only improves patient outcomes but also promotes a safer … Effective
communication among healthcare providers is critical to safe patient care, but care teams … Fall-risk-increasing drugs: a systematic review and
meta-analysis: III. Others.
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psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - you think about ambulatory care and transitions in care, wherein the patient and family need to be a critical … failure, this means making sure I really understand whether this person has moved from class II to class III … about the Speak Up campaign, we need folks to report to us when they don't understand these essentially critical … A safer health care environment can only be achieved if patients are included as active participants
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - associated complications. 21 This proactive approach not only improves patient outcomes but also promotes a safer … Effective communication among healthcare providers is critical to safe patient care, but care teams are … Fall-risk-increasing drugs: a systematic review and meta-analysis: III. Others.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-148-fullreport.pdf
February 01, 2019 - Thus, clinicians may be underutilizing safer first-line psychosocial interventions in
children with … in foster care are more likely to be prescribed
antipsychotics than those not in foster care (Zito, Safer … be made explicit and transparent as
part of the public release of CHIPRA deliberations; thus, it is critical … group, or facility:** Can compare: (i) practice sites; (ii) medical or other
professional groups; or (iii … Zito JM, Safer DJ, Sai D, et al. Psychotropic medication patterns among youth in foster care.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
July 01, 2023 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety
Practices. … AHRQ
Publication No. 20-0029-EF. https://www.ahrq.gov/research/findings/making-healthcare-safer/mhs3 … https://www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
https://www.ahrq.gov/research … /findings/making-healthcare-safer/mhs3/index.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874935
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - proud of what they've accomplished and to make themselves available to other members for consultation; (iii … as the basis for motivating action and directing decision-making about how to pursue improvement is critical … Prior research has shown that, particularly where many actions would be beneficial, it is critical not … To Err Is Human: Building a Safer Health System.Washington, DC: Committee on Quality of Health Care in … Culture is one thing I see as being critical to patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - Other critical factors for reducing CAUTIs include appropriate use of urine cultures and non-treatment … • Implement summarizes critical success factors for implementing evidence-based practices and
other … The modules are available on the
AHRQ Web site and include training tools to make care safer by improving … • To assist in healing of stage III or stage IV open sacral or perineal wounds in incontinent
residents … Critical
success factors for performance improvement
programs.
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www.ahrq.gov/hai/pfp/interimhac2013-ref.html
December 01, 2014 - To err is human: building a safer healthcare system. … Toward improving the outcome of pregnancy III—enhancing perinatal health through quality, safety, and
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www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - To err is human: building a safer healthcare system. … Toward improving the outcome of pregnancy III - enhancing perinatal health through quality, safety, and
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-anemia-update_research-protocol.pdf
June 16, 2010 - important that quality of life evidence be at least qualitatively
reviewed and that the principles of critical … We believe this approach will
add perspective to some of these critical questions. … 2010
10
I wonder if having some information related to patient
age and sex would be useful, i.e., safer … Double-blind, placebo-controlled,
randomized phase III trial of darbepoetin alfa in lung cancer patients … The Key Questions
III. Analytic Framework
IV. Methods
A.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
June 16, 2008 - Turley, RN, PhD
Abstract
A critical step towards reducing errors in health care is the collection … In
its report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (IOM)
estimated … Since the goal of this
ontology was to index the published literature, we felt it was critical that … computerized physician order entry (CPOE) system, which had a menu of several
possible doses of vasopressin; (iii … Conclusions
and Future Work
A critical step in the direction of reducing errors and adverse events
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - common types of errors occurring in hospitals,
according to the IOM report, To Err Is Human: Building a Safer … iii. ICU. … Deaths related to wrong site surgery
iii. Correct tube-correct connector-correct hole
iv. … Some form of HIT should be used in
health care settings; it is critical to the process of reducing harm … Institute of Medicine, To Err Is Human: Building a
Safer Health Care System (Washington D.C.: National
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digital.ahrq.gov/sites/default/files/docs/publication/2014-jason-data-for-individual-health.pdf
January 01, 2014 - example . . . . . . . . . . . . 43
3.7 Findings and Recommendations for Data and Analytics . . . . 45
iii … Standard and/or open APIs are a critical need. … For example,
it might lead to better, safer, and more effective web-based methods by
which an individual … To err is human: Building a
safer health system. http://www.iom.edu/Reports/1999/
To-Err-is-Human-Building-A-Safer-Health-System.aspx … record_id=12938
http://www.iom.edu/Reports/1999/ To-Err-is-Human-Building-A-Safer-Health-System.aspx
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-careassociated-infections_research-protocol.pdf
August 26, 2011 - Epidemiologists of America; SSI = surgical
site infection; VAP = ventilator-associated pneumonia
III … Making Health Care Safer: Reducing
Bloodstream Infections. … Closing the Quality Gap: A Critical Analysis of Quality
Improvement Strategies. … experiments
Source: www.effectivehealthcare.ahrq.gov
Published Online: August 26, 2011
21
III … Closing the Quality Gap: A Critical Analysis of Quality
Improvement Strategies.
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-clinical-decision-support-demonstration-projects.pdf
June 01, 2014 - iii
This page intentionally blank. … to providers, thereby reducing errors in treatment and medication
decisions, and making health care safer … • A third revision of the Guideline Elements Model (GEM III) was designed, built, and
tested as part … GEM III was submitted in January 2012 to ASTM International for recognition as an
international standard … GEM III is available online through the GLIDES Toolkit.
20
Implementing CDS in EHR Systems.
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www.ahrq.gov/sites/default/files/2025-04/newman-toker2-report.pdf
January 01, 2025 - Diagnostic errors in critical care settings – managing
information overload. … Newman-Toker DE, Rizzo JF III. … A
systematic and critical review of bedside diagnosis in acute vestibular syndrome. … To err is human: building a safer health system. … A critical review. South Med J.
2000;93(2):160-7.
38. Grad A, Baloh RW.
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www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
January 01, 2024 - to have, and to test
innovative designs that had the potential to alter the status quo and shape a safer … Policy changes
included removing low-likelihood patient cohorts (Class III cardiac risk) from monitoring … Nursing Handovers in
Critical Care: A Retrospective Analysis of Information Content and Function. … “Simple Strategies for Safer Hospitals.” … Nursing Handovers in
Critical Care: A Retrospective Analysis of Information Content and Function.
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - A safer health care environment can only be achieved if patients are included as active participants … you think about ambulatory care and transitions in care, wherein the patient and family need to be a critical … failure, this means making sure I really understand whether this person has moved from class II to class III … about the Speak Up campaign, we need folks to report to us when they don't understand these essentially critical
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - (iii) When the initial catheterization did not produce urine, the RN should have scanned the bladder … Late Anemia Following Rh Disease in a Newborn
March 1, 2014
Toward safer