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psnet.ahrq.gov/issue/evaluating-iatrogenic-prescribing-development-oncology-focused-trigger-tool
December 23, 2020 - October 30, 2024
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment … events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment … January 2, 2009
Minimising treatment-associated risks in systemic cancer therapy.
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psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
January 01, 2024 - activity, participants should be able to:
Recognize appropriate indications for intravenous fluid bolus therapy … Describe effective treatments for hypertensive emergencies. … important role in the management of heart failure with reduced ejection fraction (HFrEF), but this therapy … How Should We Sequence the Treatments for Heart Failure and a Reduced Ejection Fraction? … Optimizing Guideline-directed Medical Therapies for Heart Failure with Reduced Ejection Fraction During
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psnet.ahrq.gov/node/33735/psn-pdf
August 01, 2012 - The quality and safety of warfarin therapy in the nursing home setting have come under particular scrutiny … .(
8) Approximately 10% of nursing home residents receive treatment with warfarin therapy for various … indications, but the percentage of time spent in the therapeutic range is less than 50%. … The opportunity to provide highly effective anticoagulant therapy
with newer agents, with equivalent … The safety of warfarin therapy in the nursing home setting. Am J
Med. 2007;120:539-544.
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psnet.ahrq.gov/issue/indication-specific-opioid-prescribing-us-patients-medicaid-or-private-insurance-2017
August 02, 2017 - For example, patients with chronic non-cancer pain conditions undergoing long-term opioid therapy were … June 14, 2023
Quality and Safety Considerations in Intensity Modulated Radiation Therapy
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - illness progressed and in discussions with her family, the decision was
made to withdraw life-sustaining therapies … The initial management of severe sepsis and septic shock involves treatment with the resuscitation bundle … The hope is that
early recognition and treatment then lead to a decrease in sepsis-related morbidity … In this case, the ED may or may not have had a severe sepsis or septic shock treatment protocol in place … Early goal-
directed therapy in the treatment of severe sepsis and septic shock.
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psnet.ahrq.gov/issue/war-two-fronts-cancer-care-time-covid-19
March 12, 2025 - The authors discuss the need to balance delays in cancer diagnosis or treatment against the harm of COVID … May 20, 2019
Incident and long-term opioid therapy among patients with psychiatric conditions … July 29, 2020
Planning for a pandemic: mitigating risk to radiation therapy service delivery … May 13, 2020
Recommendations of individualized medical treatment and common adverse events
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psnet.ahrq.gov/issue/drug-related-problems-and-pharmacist-interventions-geriatric-unit-employing-electronic
June 26, 2024 - November 30, 2022
Non-dispensing pharmacists' actions and solutions of drug therapy problems … September 1, 2016
Ordering of continuous renal replacement therapy in a computerized
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psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - These delays are harmful: patients with delayed diagnosis and therapy have higher rates of potentially … broadly, clinicians need to recognize that "pneumonia" that does not respond to empiric antibiotic therapy … (or to treatment for a plausible alternative diagnosis). … Empiric treatment of community-acquired pneumonia with fluoroquinolones, and delays in the treatment … Causes to Consider When Pneumonia Does Not Respond to Several Days of Empiric Antibiotic Therapy
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psnet.ahrq.gov/issue/workforce-planning-and-safe-workload-sterile-compounding-hospital-pharmacy-services
October 19, 2022 - November 11, 2020
Planning for a pandemic: mitigating risk to radiation therapy service … August 5, 2020
Impact of clinical decision support therapeutic interchanges on hospital … March 20, 2024
Improving administration and documentation of enteral nutrition support therapy
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psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - The root cause analysis of this adverse event determined that treatment with three anticoagulants was … The committee believed
the overly aggressive treatment had led to the patient's death. … These treatments are costly, prolong hospital length of stay, and often are
continued as an outpatient … The patient was then started on a combination of dual antiplatelet and anticoagulation
therapy, which … The patient might have received hydration and physical therapy, and
perhaps the providers could have
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psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
November 18, 2015 - Infusion therapies are increasingly being administered at home through the use of ambulatory pump devices … regarding how they manage patients using three categories of ambulatory infusion pumps to ensure that therapy
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psnet.ahrq.gov/issue/factors-impacting-patient-setup-analysis-and-error-management-during-breast-cancer
September 15, 2021 - position verification systems, error types associated with immobilization systems, and the influence of treatment … September 9, 2020
Health disparities: impact of health disparities and treatment decision-making … Related Resources
Quality and Safety Considerations in Intensity Modulated Radiation Therapy … January 25, 2023
Identifying patients whose symptoms are underrecognized during treatment … October 19, 2012
Radiation Therapy Safety: The Critical Role of the Radiation Therapist
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psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - In simple risk management terms, most clinical procedures aim to achieve long-term benefits from
treatment … bleeding is less than 1% (such as colonoscopy
including biopsies), and "high risk" (such as polypectomy, treatment … For patients in whom
ongoing anticoagulation is deemed too risky, other treatment options are available … Perioperative complications in patients on
low-molecular-weight heparin bridging therapy. … Perioperative management of antithrombotic therapy:
Antithrombotic Therapy and Prevention of Thrombosis
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psnet.ahrq.gov/node/49559/psn-pdf
April 01, 2008 - Multiple therapies were initiated to reduce the intracranial pressure and swelling, including intubation … There are currently no approved therapies specifically targeting ICH, and
evidence-based acute management … complications.(1)
Elevated intracerebral pressure (ICP) is found in many cases of ICH, and its prompt treatment … result, it should be used only on a very temporary basis in patients with elevated ICP.(4)
Osmotic therapy … By the time osmotic therapy is instituted,
most patients should have ICP monitoring in place.
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psnet.ahrq.gov/node/44516/psn-pdf
June 10, 2018 - psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
Infusion therapies … regarding how they manage patients using three
categories of ambulatory infusion pumps to ensure that therapy
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psnet.ahrq.gov/web-mm/errors-sepsis-management
November 03, 2015 - illness progressed and in discussions with her family, the decision was made to withdraw life-sustaining therapies … The earlier a patient with severe sepsis is identified, the earlier therapy can be started. … The hope is that early recognition and treatment then lead to a decrease in sepsis-related morbidity … Rivers E, Nguyen B, Havstad S, et al; Early Goal-Directed Therapy Collaborative Group. … Early goal-directed therapy in the treatment of severe sepsis and septic shock.
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psnet.ahrq.gov/issue/artificial-intelligence-powered-chatbots-search-engines-cross-sectional-study-quality-and
April 21, 2021 - impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment … March 5, 2025
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … the randomized AMBORA trial to clinical practice: comparison of medication errors in oral antitumor therapy … July 10, 2024
Medication errors during treatment with new oral anticancer agents: consequences
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psnet.ahrq.gov/issue/do-no-harm-novel-safety-checklist-and-research-approach-determine-whether-launch-artificial
September 23, 2020 - Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy … May 31, 2023
Quality and Safety Considerations in Intensity Modulated Radiation Therapy
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psnet.ahrq.gov/issue/impact-digital-hospitals-patient-and-clinician-experience-systematic-review-and-qualitative
August 16, 2023 - August 16, 2023
Interventions designed to improve the safety and quality of therapeutic … July 28, 2021
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … October 13, 2010
ASPEN Safe Practices for Enteral Nutrition Therapy.
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psnet.ahrq.gov/issue/approaches-improving-continuity-care-medication-management-systematic-review
April 13, 2022 - November 7, 2018
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy