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psnet.ahrq.gov/issue/new-infusion-syringe-label-system-designed-reduce-task-complexity-during-drug-preparation
February 13, 2019 - labels designed to minimize the complexity of medication preparation and found that the new labels helped
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
October 01, 2009 - senior physicians have lost privileges
Safety innovations (rapid response teams, time outs, etc.) have helped … Teamwork training has helped change culture
But more change is needed
Many nurses still feel complaints
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psnet.ahrq.gov/node/45116/psn-pdf
February 15, 2017 - complications did not decrease, but postoperative mortality
improved, raising questions about what mechanism helped
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psnet.ahrq.gov/node/44039/psn-pdf
December 23, 2016 - clinician workflow, resulting in unintended consequences that in some
cases have harmed rather than helped
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psnet.ahrq.gov/node/44176/psn-pdf
August 21, 2015 - Recent
studies have helped quantify the incidence of diagnostic errors and medication errors in primary
-
psnet.ahrq.gov/node/46797/psn-pdf
March 14, 2018 - of recommended medical care including tests and referrals, reminded them about necessary
testing, helped
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psnet.ahrq.gov/node/42938/psn-pdf
February 12, 2014 - The quality nurse helped to educate staff about health
care–associated infections and prevention strategies
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psnet.ahrq.gov/issue/clinically-missed-cancer-how-effectively-can-radiologists-use-computer-aided-detection
October 04, 2023 - A computerized clinical decision support system helped radiologists reduce diagnostic errors in mammogram
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psnet.ahrq.gov/issue/please-reconcile-not-wait-while
April 19, 2023 - Use of Plan-Do-Study-Act cycles helped inform the evolution of the work.
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psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos
April 12, 2019 - These activities helped to design training efforts to enhance awareness of the problem.
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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety
May 29, 2019 - this commentary highlights how the tool and associated time out have reduced some adverse events and helped
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psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
March 14, 2018 - The 2004 Canadian Adverse Events Study helped determine the prevalence of adverse events in Canada.
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psnet.ahrq.gov/issue/assessment-potential-impact-reminder-system-reduction-diagnostic-errors-quasi-experimental
April 19, 2011 - They found that electronic reminders helped a variety of practitioners minimize omissions.
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psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital
April 26, 2023 - the implementation of a standardized team-based paging system at an academic medical center, which helped
-
psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
June 02, 2010 - This assembled volume collectively helped to establish an understanding of the mechanisms by which humans
-
psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
October 15, 2018 - In 1994, the success of the NVASRS study helped foster the development of a program for monitoring and
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psnet.ahrq.gov/issue/interdisciplinary-team-training-identifies-discrepancies-institutional-policies-and-practices
November 26, 2012 - Interdisciplinary teamwork training in obstetrics units helped identify discrepancies between institutional
-
psnet.ahrq.gov/issue/application-aronsons-taxonomy-medication-errors-nursing
January 15, 2009 - previously published taxonomy of medication errors to a database of self-reported medication errors helped
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psnet.ahrq.gov/issue/preventable-harm-index-effective-motivator-facilitate-drive-zero
January 15, 2014 - This commentary describes how a tool developed to aggregate preventable events helped one institution
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psnet.ahrq.gov/issue/high-reliability-emergency-response-teams-hospital-improving-quality-and-safety-using-situ
December 30, 2014 - resuscitation simulations performed in actual patient care units during working hours were well received and helped