-
psnet.ahrq.gov/issue/cardiovascular-medication-errors-children
September 21, 2008 - May 20, 2009
State-mandated hospital infection reporting is not associated with decreased
-
psnet.ahrq.gov/issue/you-cant-blame-wreck-train
March 03, 2011 - May 4, 2010
Decreased bile duct injury rate during laparoscopic cholecystectomy in the
-
psnet.ahrq.gov/issue/patient-safety-surgery-non-technical-aspects-safe-surgical-performance
June 12, 2008 - June 9, 2011
Changes in safety attitude and relationship to decreased postoperative morbidity
-
psnet.ahrq.gov/node/847717/psn-pdf
April 19, 2023 - Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19
pandemic: a "zero harm" approach.
April 19, 2023
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19 pan…
-
psnet.ahrq.gov/node/46283/psn-pdf
April 24, 2018 - Decreasing prescribing errors during pediatric
emergencies: a randomized simulation trial.
April 24, 2018
Larose G, Levy A, Bailey B, et al. Decreasing Prescribing Errors During Pediatric Emergencies: A
Randomized Simulation Trial. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-3200.
https://psnet.ahrq.gov/issue/d…
-
psnet.ahrq.gov/node/36906/psn-pdf
September 01, 2011 - Implementation of a rapid response team decreases
cardiac arrest outside of the intensive care unit.
September 1, 2011
Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of
the intensive care unit. J Trauma. 2007;62(5):1223-7; discussion 1227-8.
https://psnet.ahr…
-
psnet.ahrq.gov/node/35836/psn-pdf
March 28, 2011 - Use of a standardized protocol to decrease medication
errors and adverse events related to sliding scale insulin.
March 28, 2011
Donihi AC, DiNardo MM, Devita MA, et al. Use of a standardized protocol to decrease medication errors
and adverse events related to sliding scale insulin. Qual Saf Health Care. 2006;15(2)…
-
psnet.ahrq.gov/node/38644/psn-pdf
May 20, 2009 - A quality initiative to decrease pathology specimen-
labeling errors using radiofrequency identification in a
high-volume endoscopy center.
May 20, 2009
Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling
errors using radiofrequency identification in a high-volume en…
-
psnet.ahrq.gov/node/43622/psn-pdf
December 19, 2014 - Checklist usage decreases critical task omissions when
training residents to separate from simulated
cardiopulmonary bypass.
December 19, 2014
Petrik EW, Ho D, Elahi M, et al. Checklist usage decreases critical task omissions when training residents
to separate from simulated cardiopulmonary bypass. J Cardiothorac…
-
psnet.ahrq.gov/node/40188/psn-pdf
February 02, 2011 - Decreasing mislabeled laboratory specimens using
barcode technology and bedside printers.
February 2, 2011
Brown JE, Smith N, Sherfy BR. Decreasing mislabeled laboratory specimens using barcode technology
and bedside printers. J Nurs Care Qual. 2011;26(1):13-21. doi:10.1097/NCQ.0b013e3181e4e6dd.
https://psnet.ahrq…
-
psnet.ahrq.gov/node/45263/psn-pdf
September 04, 2016 - PSYCH: a mnemonic to help psychiatric residents
decrease patient handoff communication errors.
September 4, 2016
Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease
Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316-320.
https://psnet.ahrq.gov/i…
-
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…
-
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…
-
psnet.ahrq.gov/node/837961/psn-pdf
August 31, 2022 - Risk reduction strategy to decrease incidence of retained
surgical items.
August 31, 2022
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained
surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
https://psnet.ahrq.gov/issue/risk-reduc…
-
psnet.ahrq.gov/node/836809/psn-pdf
March 30, 2022 - Pharmacist transition-of-care services improve patient
satisfaction and decrease hospital readmissions.
March 30, 2022
March KL, Peters MJ, Finch CK, et al. J Pharm Pract. 2022;35(1):86-93.
https://psnet.ahrq.gov/issue/pharmacist-transition-care-services-improve-patient-satisfaction-and-decrease-
hospital
Tr…
-
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…
-
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.…
-
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…
-
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…
-
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…