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psnet.ahrq.gov/node/40733/psn-pdf
August 31, 2011 - Beyond the prescription: medication monitoring and
adverse drug events in older adults.
August 31, 2011
Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse
drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. doi:10.1111/j.1532-
5415.2011.03500.x.
…
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psnet.ahrq.gov/node/867648/psn-pdf
January 01, 2023 - Opioid Taskforce Playbook.
January 1, 2023
College of Healthcare Information Management Executives; 2023. Opioid Taskforce Playbook.
https://psnet.ahrq.gov/issue/opioid-taskforce-playbook
Hospitals play an important role in identifying and preventing the misuse and abuse of prescription opioids.
This Opioid Playbo…
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psnet.ahrq.gov/node/847545/psn-pdf
April 12, 2023 - Normalization of deviance is contrary to the principles of
high reliability.
April 12, 2023
Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J.
2023;117(4):231-238. doi:10.1002/aorn.13894.
https://psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliab…
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psnet.ahrq.gov/node/44610/psn-pdf
May 03, 2017 - International Prize in Resilient Health Care.
May 3, 2017
The Australian Institute of Health Innovation.
https://psnet.ahrq.gov/issue/international-prize-resilient-health-care
Innovations in patient safety can drive improvement efforts. This award program seeks to recognize
feasible and widely implementable strate…
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psnet.ahrq.gov/node/41978/psn-pdf
January 16, 2013 - Surgical complications: disclosing adverse events and
medical errors.
January 16, 2013
Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad
Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008.
https://psnet.ahrq.gov/issue/surgical-complications-disclosing-advers…
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psnet.ahrq.gov/node/41641/psn-pdf
August 29, 2012 - Patient safety and quality improvement: an overview of
QI.
August 29, 2012
Schriefer J, Leonard M. Patient safety and quality improvement: an overview of QI. Pediatr Rev.
2012;33(8):353-9; quiz 359-60. doi:10.1542/pir.33-8-353.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-overview-qi
This c…
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psnet.ahrq.gov/node/42160/psn-pdf
April 03, 2013 - The perianesthesia nurse's role in the prevention of
opioid-related sentinel events.
April 3, 2013
Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth
Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001.
https://psnet.ahrq.gov/issue/perianesthesia-nurses-r…
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psnet.ahrq.gov/node/45544/psn-pdf
December 19, 2016 - Prescribing errors that cause harm.
December 19, 2016
Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91.
https://psnet.ahrq.gov/issue/prescribing-errors-cause-harm
Prescribing errors can have harmful results. Analyzing prescribing error reports submitted over a 12- year
period, t…
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www.ahrq.gov/antibiotic-use/long-term-care/improve/collection.html
June 01, 2021 - Appropriate Collection of Microbiological Specimens
After viewing or presenting this presentation viewers will be able to—
Recognize that collecting a good specimen is important to making treatment decisions.
Detail procedures for collecting urine and respiratory samples from nursing home residents.
…
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psnet.ahrq.gov/node/851365/psn-pdf
July 27, 2023 - Advancing Diagnostic Excellence in Maternal Health Care.
July 27, 2023
Board on Health Care Services, National Academies of Science, Engineering, and Medicine. Irvine,
CA: Arnold and Mabel Beckman Center: 2021-2023.
https://psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care
These …
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psnet.ahrq.gov/node/45649/psn-pdf
November 30, 2016 - Displaying radiation exposure and cost information at
order entry for outpatient diagnostic imaging: a strategy … Displaying radiation exposure and cost information at order entry for
outpatient diagnostic imaging: a strategy
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psnet.ahrq.gov/node/42918/psn-pdf
February 05, 2014 - disclosure of medical errors has been described as both a great idea and an impractical risk
management strategy … full-disclosure-and-apology-idea-whose-time-has-come
https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy
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psnet.ahrq.gov/node/46575/psn-pdf
December 13, 2017 - economic-evaluation-pharmacist-led-medication-reviews-residential-aged-
care-facilities
Pharmacist oversight of medication prescribing is an established safety strategy … inappropriate polypharmacy in aged care facilities and the cost-
effectiveness of this risk management strategy
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psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
May 06, 2009 - May 6, 2009
Designing a strategy to promote safe, innovative off-label use of medications … September 29, 2010
Developing a medication patient safety program — infrastructure and strategy … December 30, 2014
A randomized trial of a multifactorial strategy to prevent serious
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psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature
July 02, 2014 - Related Resources From the Same Author(s)
Promoting a culture of safety as a patient safety strategy … July 2, 2014
Rapid response systems as a patient safety strategy: a systematic review … October 10, 2017
Towards high-reliability organising in healthcare: a strategy for building
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psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
December 18, 2013 - May 13, 2015
Strategy on Reducing Regulatory and Administrative Burden Relating to the … February 20, 2019
FDASIA Health IT Report: Proposed Strategy and Recommendations for … July 5, 2016
View More
Related Resources
Strategy on Reducing Regulatory
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psnet.ahrq.gov/node/45244/psn-pdf
August 01, 2016 - exploring how sleep deprivation affects clinician performance and the impact of work hour
limits as a strategy … common-program-requirements-learning-and-working-environment-duty-hours
https://psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation
-
psnet.ahrq.gov/node/47582/psn-pdf
December 12, 2018 - data from chart review and taking ulcer severity into account may
yield a more meaningful measurement strategy … success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
-
psnet.ahrq.gov/node/36814/psn-pdf
March 28, 2011 - paediatric care: a systematic review
of epidemiology and an evaluation of evidence supporting
reduction strategy … paediatric care: a systematic review of
epidemiology and an evaluation of evidence supporting reduction strategy
-
psnet.ahrq.gov/node/45277/psn-pdf
July 01, 2017 - really-possible
Crew resource management (CRM), a type of team training, is a prime example of an aviation strategy … They propose more widespread implementation of CRM as a strategy to enhance safety
culture.