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  1. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older-adults-operam
    December 21, 2022 - Study Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. Citation Text: Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (O…

  2. Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. | PSNet

    psnet.ahrq.gov/issue/informatics-tools-deprescribing-and-medication-optimization-older-adults-development-and
    February 05, 2020 - Study Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. Citation Text: Winter SG, Sedgwick C, Wallace-Lacey A, et al. Informatics tools in deprescribing and medication opt…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60721/psn-pdf
    July 21, 2020 - People started using software and devices we had little experience with and for which we had not provided … Almost all healthcare providers started doing telehealth suddenly because they didn't have a choice

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60737/psn-pdf
    July 29, 2020 - Second victim support programs for healthcare organizations. July 29, 2020 Stone M. Second victim support programs for healthcare organizations. Nurs Manage. 2020;51(6):38-45. https://psnet.ahrq.gov/issue/second-victim-support-programs-healthcare-organizations This literature review describes the types of second v…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60611/psn-pdf
    June 24, 2020 - If a patient being discharged has already started taking the DOAC as an inpatient, but a starter pack

  6. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet

    psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
    November 27, 2019 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities Citation Text: Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853075/psn-pdf
    August 30, 2023 - Striving for diagnostic excellence. August 30, 2023 Centor RM, Dhaliwal G. Annals On Call. July 2023. https://psnet.ahrq.gov/issue/striving-diagnostic-excellence Diagnostic accuracy requires both cognitive and team-focused skill development. This podcast interview shares problem-solving tactics that support diagno…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50878/psn-pdf
    February 05, 2020 - The role of racism as a core patient safety issue. February 5, 2020 Feeley D, Torres T. The role of racism as a core patient safety issue. Healthcare Executive. 2020;35(1):58- 61. https://psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue A variety of biases can reduce the effectiveness and safety of care.…

  9. In Conversation With… Brian Jarman, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
    March 01, 2015 - So we started our unit. Our motto was that Bristol should never occur again. … They implemented it, they planned it for quite a while, got a big buy in, and started it and monitored

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74226/psn-pdf
    February 01, 2019 - dedicated time of an information technology/data analysis/informatics team is important to get the program started … Equity Research and Promotion (CHERP) New England Veterans Engineering Resource Center (VERC) Getting Started

  11. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet

    psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
    March 01, 2015 - So we started our unit. Our motto was that Bristol should never occur again. … They implemented it, they planned it for quite a while, got a big buy in, and started it and monitored

  12. The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditation. | PSNet

    psnet.ahrq.gov/issue/proportion-errors-medical-prescriptions-and-their-executions-among-hospitalized-children-and
    June 15, 2012 - Study The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditation. Citation Text: Mekory TM, Bahat H, Bar-Oz B, et al. The proportion of errors in medical prescriptions and their executions among hospitalized children…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49819/psn-pdf
    February 01, 2018 - senior resident on the neurosurgical service told the intern during the day that "heparin should be started

  14. Double Trouble | PSNet

    psnet.ahrq.gov/web-mm/double-trouble
    August 01, 2012 - Since the patient’s prior diabetic history is not described, we do not know whether he was started on

  15. The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. | PSNet

    psnet.ahrq.gov/issue/effect-structured-medication-review-followed-face-face-feedback-prescribers-adverse-drug
    January 18, 2013 - Study The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. Citation Text: Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect o…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33787/psn-pdf
    January 01, 2018 - conversation-maureen-bisognano http://www.ihi.org/Pages/default.aspx http://dx.doi.org/10.1377/hlthaff.27.3.759 RW: When you started

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38477/psn-pdf
    October 03, 2017 - Serious Adverse Events Reports. October 3, 2017 The Quality Improvement Committee. Wellington, New Zealand; 2006-2013. https://psnet.ahrq.gov/issue/serious-adverse-events-reports Considered a starting point for a national reporting initiative, this series of annual reports provides statistics on serious and sentin…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33668/psn-pdf
    May 01, 2008 - Robert Wachter, Editor, AHRQ WebM&M: Reflecting back to when you started this work 15 years ago or so

  19. Comanagement: Who's in Charge? | PSNet

    psnet.ahrq.gov/web-mm/comanagement-whos-charge
    July 01, 2011 - He was started on broad-spectrum antibiotics; however, the patient's respiratory status continued to

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39418/psn-pdf
    March 31, 2010 - Take Charge of Your Hospital Stay to Avoid Medical Mistakes. March 31, 2010 Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010. https://psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes This television interview offers recommendations for patients to keep themselves safe wh…
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