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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
September 07, 2019 - widespread use of electronic health records has helped avert errors at the ordering and transcribing stages
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psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage-7
July 17, 2019 - Commentary
Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report.
Citation Text:
Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. Sulkers H, Tajirian T, Paterson …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
August 01, 2014 - diagnosis to include NF
There is an evolution of clinical signs of necrotizing fasciitis—from early to late stages
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psnet.ahrq.gov/issue/effect-staged-emergency-department-specific-rapid-response-system-reporting-clinical
March 24, 2021 - Study
The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration.
Citation Text:
Considine J, Rawet J, Currey J. The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. Aus…
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psnet.ahrq.gov/node/49561/psn-pdf
May 01, 2008 - psnet.ahrq.gov//#references
HIV screening could result in detection of infected persons at earlier stages … Although antiretroviral therapy is effective
at all stages of HIV disease, it is more effective when … 16) Direct clinical evidence that identifying,
monitoring, and treating HIV infection in the early stages
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psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
November 02, 2016 - Patient safety research occurs in several stages. … Since 1999, the agency's Patient Safety Research Portfolio has focused on the most fundamental of these stages—the … Projects at more advanced research stages have examined the design and development of approaches to preventing
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psnet.ahrq.gov/node/43912/psn-pdf
February 25, 2015 - Patient Safety in Dialysis Access.
February 25, 2015
Widmer MK, Malik J, eds. Contrib Nephrol. 2015;184:1-270. ISBN: 9783318027051.
https://psnet.ahrq.gov/issue/patient-safety-dialysis-access
Patients with chronic kidney failure are at high risk for adverse events from treatment errors. This
publication raises awa…
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psnet.ahrq.gov/node/42955/psn-pdf
May 11, 2016 - National Patient Safety Alerting System.
May 11, 2016
National Health Service England
https://psnet.ahrq.gov/issue/national-patient-safety-alerting-system
In response to the Francis report, this three-stage reporting system was launched to help National Health
Service organizations learn from incidents and incorpo…
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psnet.ahrq.gov/node/33672/psn-pdf
September 01, 2008 - two-thirds of serious medication errors occur during the transcription, dispensing, and administration
stages … of
incident reports reflected failure points in the transcription, dispensing, and administration stages
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psnet.ahrq.gov/issue/impact-health-information-technology-detection-potential-adverse-drug-events-ordering-stage
June 25, 2008 - Study
Impact of health information technology on detection of potential adverse drug events at the ordering stage.
Citation Text:
Roberts LL, Ward MM, Brokel JM, et al. Impact of health information technology on detection of potential adverse drug events at the ordering stage. Am J Hea…
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psnet.ahrq.gov/issue/meaningful-use-stage-2-e-prescribing-threshold-and-adverse-drug-events-medicare-part-d
July 05, 2017 - Study
Meaningful Use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes.
Citation Text:
Powers C, Gabriel MH, Encinosa W, et al. Meaningful use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population w…
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psnet.ahrq.gov/periodic-issue/periodic-issue-373
December 14, 2022 - Anesthesia medications prepared in the operating room are vulnerable to errors at all stages of medication … Anesthesia medications prepared in the operating room are vulnerable to errors at all stages of medication
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - routine operation on an outpatient basis should have prompted a number of systems responses at various stages … teams develop a shared mental model of care (e.g., everyone knows what needs to be done at different stages
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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - HIV screening could result in detection of infected persons at earlier stages of disease.( 12 ) Earlier … Although antiretroviral therapy is effective at all stages of HIV disease, it is more effective when … 16 ) Direct clinical evidence that identifying, monitoring, and treating HIV infection in the early stages
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psnet.ahrq.gov/node/39252/psn-pdf
August 08, 2010 - Where errors occur in the preparation and administration
of intravenous medicines: a systematic review and
Bayesian analysis.
August 8, 2010
McDowell SE, Mt-Isa S, Ashby D, et al. Where errors occur in the preparation and administration of
intravenous medicines: a systematic review and Bayesian analysis. Qual Saf …
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psnet.ahrq.gov/node/34689/psn-pdf
February 10, 2011 - Incidence of adverse drug events and potential adverse
drug events: implications for prevention.
February 10, 2011
Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events.
Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274(1):29-34.
https://psnet…
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psnet.ahrq.gov/node/39122/psn-pdf
January 03, 2017 - Empowering frontline nurses: a structured intervention
enables nurses to improve medication administration
accuracy.
January 3, 2017
Kliger J, Blegen MA, Gootee D, et al. Empowering frontline nurses: a structured intervention enables
nurses to improve medication administration accuracy. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/node/33581/psn-pdf
September 07, 2019 - widespread use of electronic health records has helped avert errors at the ordering and transcribing
stages
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psnet.ahrq.gov/node/33571/psn-pdf
September 07, 2019 - Future Common Formats will address other sites of care and other stages of the improvement process
(
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psnet.ahrq.gov/primer/clinical-decision-support-systems
September 07, 2019 - prevent prescribing errors (although current systems are not effective at preventing errors at other stages