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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44009/psn-pdf
    July 18, 2016 - Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors. July 18, 2016 Smith KJ, Handler S, Kapoor WN, et al. Automated Communication Tools and Computer-Based Medication Reconciliation to Decrease Hospital Discharge Medication Errors. Am J Med Qua…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39460/psn-pdf
    March 23, 2011 - Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. March 23, 2011 Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.1136/qshc.2008.028787. https://psnet.a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44422/psn-pdf
    November 17, 2017 - Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. November 17, 2017 Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15-22; quiz 1p following 22. doi:10.4…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852700/psn-pdf
    August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety August 30, 2023 McGaffigan P, Van CM, Mossburg S. In Conversation with.. Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/con…
  5. psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
    January 29, 2021 - Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery Citation Text: Bohringer C, Chavez G. Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qual…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43822/psn-pdf
    July 01, 2016 - Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time- critical medications. July 1, 2016 Graudins LV, Ingram C, Smith BT, et al. Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42932/psn-pdf
    December 30, 2014 - SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. December 30, 2014 Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and decreases incident reports due to com…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44033/psn-pdf
    April 22, 2015 - Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. April 22, 2015 Wang H-F, Jin J-F, Feng X-Q, et al. Quality improv…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47121/psn-pdf
    August 08, 2018 - Assessment of programs aimed to decrease or prevent mistreatment of medical trainees. August 8, 2018 Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870. doi:10.1001/jamanetworkopen.2018.0870. https…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40938/psn-pdf
    November 16, 2011 - Decreasing 30-day readmission rates. November 16, 2011 Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69. doi:10.1097/01.NAJ.0000407308.53587.02. https://psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates Analyzing data from the Pennsylvania Patient Safety Authority Reporting Syste…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39181/psn-pdf
    December 16, 2009 - Decreasing patient misidentification before chemotherapy administration. December 16, 2009 Spruill A, Eron B, Coghill A, et al. Decreasing patient misidentification before chemotherapy administration. Clin J Oncol Nurs. 2009;13(6):716-7. doi:10.1188/09.CJON.716-717. https://psnet.ahrq.gov/issue/decreasing-patient-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35954/psn-pdf
    August 02, 2010 - Decreasing errors in pediatric continuous intravenous infusions. August 2, 2010 Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30. https://psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions Th…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37704/psn-pdf
    April 23, 2008 - Decreasing paediatric prescribing errors in a district general hospital. April 23, 2008 Davey AL, Britland A, Naylor RJ. Decreasing paediatric prescribing errors in a district general hospital. Qual Saf Health Care. 2008;17(2):146-9. doi:10.1136/qshc.2006.021212. https://psnet.ahrq.gov/issue/decreasing-paediatric-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45437/psn-pdf
    September 01, 2018 - Decreasing malpractice claims by reducing preventable perinatal harm. September 1, 2018 Riley W, Meredith LW, Price R, et al. Decreasing Malpractice Claims by Reducing Preventable Perinatal Harm. Health Serv Res. 2016;51(suppl 3):2453-2471. doi:10.1111/1475-6773.12551. https://psnet.ahrq.gov/issue/decreasing-malpr…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42613/psn-pdf
    September 25, 2013 - Approaches to decreasing medication and other care errors in the ICU. September 25, 2013 Valentin A. Approaches to decreasing medication and other care errors in the ICU. Curr Opin Crit Care. 2013;19(5):474-9. doi:10.1097/MCC.0b013e328364d4f9. https://psnet.ahrq.gov/issue/approaches-decreasing-medication-and-other…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41861/psn-pdf
    September 27, 2017 - Surgeon commitment to trauma care decreases missed injuries. September 27, 2017 Lin Y-K, Lin C-J, Chan H-M, et al. Surgeon commitment to trauma care decreases missed injuries. Injury. 2014;45(1):83-7. doi:10.1016/j.injury.2012.10.019. https://psnet.ahrq.gov/issue/surgeon-commitment-trauma-care-decreases-missed-inj…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46135/psn-pdf
    July 11, 2017 - Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. July 11, 2017 Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):1208-1215. doi:10.1097/CCM.0000000000…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38411/psn-pdf
    December 16, 2014 - A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. December 16, 2014 Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-87. https://psnet.ahrq.gov/issue/reengine…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41816/psn-pdf
    September 26, 2016 - Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. September 26, 2016 Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. BMJ Qual Saf. 2012;…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45231/psn-pdf
    February 14, 2017 - 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. February 14, 2017 Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. BMJ. 2016;352:h6781. doi:10.1136/bmj.h6781. https://psnet.…

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