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psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting
August 05, 2020 - Press Release/Announcement
FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor).
Citation Text:
FDA Drug Safety Communication: FDA warns ab…
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psnet.ahrq.gov/issue/enabling-sustained-communication-patients-safe-and-effective-management-oral-chemotherapy
October 14, 2020 - Study
Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography.
Citation Text:
Mitchell G, Porter S, Manias E. Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a…
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psnet.ahrq.gov/issue/oncology-pharmacist-led-medication-reconciliation-among-cancer-patients-initiating
March 24, 2021 - Study
Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy.
Citation Text:
Chun DS, Faso A, Muss HB, et al. Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. J Oncol Pharm Pract. 2020;26(5):1156-116…
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psnet.ahrq.gov/issue/emergency-department-visits-medical-device-associated-adverse-events-among-children
March 03, 2019 - Study
Emergency department visits for medical device–associated adverse events among children.
Citation Text:
Wang C, Hefflin B, Cope JU, et al. Emergency department visits for medical device-associated adverse events among children. Pediatrics. 2010;126(2):247-59. doi:10.1542/peds.2010-…
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psnet.ahrq.gov/issue/landscape-inappropriate-laboratory-testing-15-year-meta-analysis
February 12, 2020 - Study
The landscape of inappropriate laboratory testing: a 15-year meta-analysis.
Citation Text:
Zhi M, Ding EL, Theisen-Toupal J, et al. The landscape of inappropriate laboratory testing: a 15-year meta-analysis. PLoS One. 2013;8(11):e78962. doi:10.1371/journal.pone.0078962.
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psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims
August 04, 2021 - Study
Communication failures contributing to patient injury in anaesthesia malpractice claims.
Citation Text:
Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016…
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psnet.ahrq.gov/issue/pediatric-adverse-drug-events-outpatient-setting-11-year-national-analysis
September 09, 2010 - Study
Pediatric adverse drug events in the outpatient setting: an 11-year national analysis.
Citation Text:
Bourgeois FT, Mandl KD, Valim C, et al. Pediatric adverse drug events in the outpatient setting: an 11-year national analysis. Pediatrics. 2009;124(4):e744-e750. doi:10.1542/peds…
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psnet.ahrq.gov/issue/injury-and-liability-associated-monitored-anesthesia-care-closed-claims-analysis
June 23, 2009 - Study
Injury and liability associated with monitored anesthesia care: a closed claims analysis.
Citation Text:
Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology. 2006;104(2):228-234.
Cop…
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effectivehealthcare.ahrq.gov/sites/default/files/cer-238-cervical-ripening-appendix-g.xlsx
October 08, 2025 - Appendix G
Appendix G. Risk of Bias Assessments
Table G-1
Table G-1. Risk of bias assessments for randomized controlled trials
Study Randomization Adequate? Allocation Concealment Adequate? Provider and Patient Masked? Outcome Assessor Masked? Groups Similar at Baseline? Intention-to-Treat …
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psnet.ahrq.gov/issue/serious-adverse-events-pediatric-procedural-sedation-and-after-implementation-pre-sedation
February 12, 2020 - Study
Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist.
Citation Text:
Librov S, Shavit I. Serious adverse events in pediatric procedural sedation before and after the implementation of a pre-sedation checklist. J Pai…
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digital.ahrq.gov/health-care-theme/patient-education
January 01, 2023 - Patient Education
Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain
Description
This research examines whether remote therapeutic monitoring can improve ph…
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psnet.ahrq.gov/issue/using-assessment-reasoning-tool-facilitate-feedback-about-diagnostic-reasoning
February 23, 2022 - Study
Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning.
Citation Text:
Cohen AL, Sur M, Falco C, et al. Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Diagnosis (Berl). 2022;9(4):476-484. doi:10.1515/dx-20…
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psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety
December 02, 2014 - Study
Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.
Citation Text:
Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Pediatrics. 2013;131(…
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psnet.ahrq.gov/issue/clinical-data-warehouse-based-process-refining-medication-orders-alerts
March 10, 2011 - Study
A clinical data warehouse-based process for refining medication orders alerts.
Citation Text:
Boussadi A, Caruba T, Zapletal E, et al. A clinical data warehouse-based process for refining medication orders alerts. J Am Med Inform Assoc. 2012;19(5):782-5. doi:10.1136/amiajnl-2012-00…
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psnet.ahrq.gov/issue/use-positive-deviance-approach-improve-health-service-delivery-and-quality-care-scoping
May 29, 2024 - Review
The use of positive deviance approach to improve health service delivery and quality of care: a scoping review.
Citation Text:
Kassie AM, Eakin E, Abate BB, et al. The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. BMC H…
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psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
October 04, 2023 - Review
Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions.
Citation Text:
Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduct…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/treat-release.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Electronic Reports
Table 4. Sample ED Treat and Release Report
Facility Name:
Month:
Average Daily Census
30
Total Transfers (Obs, ED)
11
Resident Days (including bed holds)
300
Tot…
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psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-national-survey-paramedics
August 25, 2021 - Study
Pediatric prehospital medication dosing errors: a national survey of paramedics.
Citation Text:
Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.…
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www.uspreventiveservicestaskforce.org/uspstf/document/published-response---will-recommendations-against-spirometry-make-chronic-obstructive-pulmonary-disease-harder-to-treat/chronic-obstructive-pulmonary-disease-copd-screening-2008
November 15, 2008 - Share to Facebook
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Published Response - Will Recommendations against Spirometry Make Chronic Obstructive Pulmonary Disease Harder to Treat?
Chronic Obstructive Pulmonary Disease (COPD): Scre…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/syphilis-nonpregnant-adults-adolescents-screening-final-rec-bulletin.pdf
September 27, 2022 - U.S. Preventive Services Task Force Issues Final Recommendation on Screening for Syphilis Infection
http://www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Issues
Final Recommendation on Screening for Syphilis Infection
Task Force recommends screening people at increased risk fo…