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psnet.ahrq.gov/issue/impact-medical-errors-ninety-day-costs-and-outcomes-examination-surgical-patients
August 03, 2017 - July 5, 2017
Meaningful Use stage 2 e-prescribing threshold and adverse drug events in
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psnet.ahrq.gov/issue/medication-administration-discrepancies-persist-despite-electronic-ordering
May 04, 2012 - Impact of health information technology on detection of potential adverse drug events at the ordering stage
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psnet.ahrq.gov/issue/interprofessional-model-speaking-behaviour-healthcare-professionals-qualitative-study
December 21, 2017 - December 21, 2017
Guidance for health care leaders during the recovery stage of the COVID
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psnet.ahrq.gov/issue/differences-reasons-alert-overrides-contraindicated-co-prescriptions-admitting-department
January 23, 2017 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage
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psnet.ahrq.gov/issue/influence-electronic-prescribing-has-medication-errors-and-preventable-adverse-drug-events
August 18, 2010 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage
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psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and
December 14, 2016 - October 19, 2016
Guidance for health care leaders during the recovery stage of the COVID
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psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team
October 17, 2011 - August 3, 2022
Guidance for health care leaders during the recovery stage of the COVID
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psnet.ahrq.gov/issue/medication-safety-alert-fatigue-may-be-reduced-interaction-design-and-clinical-role-tailoring
December 31, 2014 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage
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psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
November 04, 2015 - July 5, 2017
Meaningful Use stage 2 e-prescribing threshold and adverse drug events in
-
psnet.ahrq.gov/issue/what-would-you-ideally-do-if-there-were-no-targets-ethnographic-study-unintended-consequences
July 27, 2011 - May 27, 2015
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/improving-ambulatory-prescribing-safety-handheld-decision-support-system-randomized
July 30, 2014 - Impact of health information technology on detection of potential adverse drug events at the ordering stage
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psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients
March 16, 2016 - March 20, 2019
Guidance for health care leaders during the recovery stage of the COVID
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psnet.ahrq.gov/node/45255/psn-pdf
January 23, 2017 - Provider risk factors for medication administration error
alerts: analyses of a large-scale closed-loop medication
administration system using RFID and barcode.
January 23, 2017
Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses
of a large-scale closed-loop m…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
February 01, 2006 - Failure to Reach Correct Diagnosis
Pre-turnover stage
Clinicians content with diagnosis of urinary … Failure to Reach Correct Diagnosis
Meeting stage
It was unclear who was responsible for follow-up and
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psnet.ahrq.gov/web-mm/perils-contrast-media
March 01, 2007 - definitions for CIAKI.( 2 ) Some examples include the RIFLE criteria (Risk, Injury, Failure, Loss, End-stage … systematic review found that these definitions do not differ significantly in their ability to diagnose and stage … genuinely at risk of CIAKI if they have an eGFR less than 45 mL/min/1.73 m2 (i.e., chronic kidney disease stage
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psnet.ahrq.gov/issue/quality-and-variability-patient-directions-electronic-prescriptions-ambulatory-care-setting
May 08, 2017 - November 20, 2019
Guidance for health care leaders during the recovery stage of the COVID
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psnet.ahrq.gov/issue/computerized-prescribing-alerts-and-group-academic-detailing-reduce-use-potentially
July 10, 2008 - Impact of health information technology on detection of potential adverse drug events at the ordering stage
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psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry
February 18, 2011 - Impact of health information technology on detection of potential adverse drug events at the ordering stage
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psnet.ahrq.gov/issue/impact-nursing-led-intervention-bundle-bedside-checklist-reduce-mortality-during-initial
May 05, 2010 - February 23, 2022
Guidance for health care leaders during the recovery stage of the COVID
-
psnet.ahrq.gov/issue/does-computerized-provider-order-entry-reduce-prescribing-errors-hospital-inpatients
February 15, 2012 - Impact of health information technology on detection of potential adverse drug events at the ordering stage