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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…
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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…
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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…
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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…
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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…
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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.…
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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…
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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…
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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…
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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…
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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-…
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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…
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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-…
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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…
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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…
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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…
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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…
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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…
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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;…
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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.…