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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - The CDC guideline cited AHRQ-
sponsored clinical evidence reviews on the minimal effectiveness of long-term … staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study
https://psnet.ahrq.gov/issue/nurses-perceived-causes-medication-administration-errors-qualitative-systematic-review … The effectiveness and risks of long-term opioid therapy for
chronic pain: a systematic review for a … Systematic evaluation of state policy interventions
targeting the US opioid epidemic, 2007-2018.
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - OPIOID
DOSE STACKING
THE COMMENTARY
By Hollie Porras, PharmD, BCPS and Cathy Lammers, MD
10
A SYSTEMATIC … APPROACH TO
IMPROVING PATIENT SAFETY
11
A Systematic Approach to Improving Patient Safety (1) … resources in place, it can be challenging to provide adequate, yet
safe, pain management.
12
A Systematic … Case #2 Details (2)
Case #2 Details (3)
Patient Safety events involving opioid dose stacking
A systematic … approach to improving patient safety
A Systematic Approach to Improving Patient Safety (1)
A Systematic
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psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm-canadian-hospital
June 05, 2013 - affecting resident and patient safety work in residential settings and nursing homes: a qualitative systematic
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psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators
January 23, 2017 - January 23, 2017
Systematic review and meta-analysis of the effectiveness of pharmacist-led
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psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
May 18, 2022 - Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic
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psnet.ahrq.gov/issue/principles-conservative-prescribing
April 22, 2017 - medication reconciliation tools aimed at healthcare professionals to support medication reconciliation: a systematic
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psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year
February 22, 2023 - March 1, 2023
Dimensions of safety culture: a systematic review of quantitative, qualitative
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psnet.ahrq.gov/issue/how-can-interventions-more-directly-address-drivers-unprofessional-behaviour-between
October 09, 2024 - 2025
Interventions promoting employee "speaking-up" within healthcare workplaces: a systematic
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psnet.ahrq.gov/issue/understanding-enablers-and-barriers-implementing-patient-led-escalation-system-qualitative
January 18, 2023 - August 31, 2022
Failure to rescue deteriorating patients: a systematic review of root
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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - December 9, 2020
Artificial intelligence versus clinicians: systematic review of design
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psnet.ahrq.gov/issue/comparison-medication-administration-errors-original-medication-packaging-and-multi
July 24, 2024 - Clinical outcomes associated with medication regimen complexity in older people: a systematic
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psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology
November 23, 2012 - The effect of prescriber education on medication-related patient harm in the hospital: a systematic
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psnet.ahrq.gov/issue/prevalence-and-impact-potentially-inappropriate-prescribing-among-older-persons-primary-care
July 24, 2019 - A systematic review and meta-analysis.
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psnet.ahrq.gov/issue/negligent-care-and-malpractice-claiming-behavior-utah-and-colorado
June 23, 2015 - , 2011
Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic
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psnet.ahrq.gov/issue/frequency-and-nature-prescribing-problems-general-practitioners-training-revisit
December 16, 2020 - Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic
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psnet.ahrq.gov/issue/analysis-iatrogenic-and-hospital-medication-errors-reported-united-states-poison-centers
November 28, 2018 - medication errors and medication-related harm following discharge from hospital to community settings: a systematic
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psnet.ahrq.gov/issue/clinical-efficacy-combined-surgical-patient-safety-system-and-world-health-organizations
November 03, 2015 - 2019
The need for surgical safety checklists in neurosurgery now and in the future - a systematic
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psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case
March 30, 2022 - improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic
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psnet.ahrq.gov/issue/middle-manager-responses-hospital-co-workers-unprofessional-behaviours-within-context
May 01, 2024 - A systematic review and meta-analysis.
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psnet.ahrq.gov/issue/identifying-health-information-technology-usability-issues-contributing-medication-errors
November 03, 2021 - March 29, 2023
Role of artificial intelligence in patient safety outcomes: systematic