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psnet.ahrq.gov/issue/medication-safety-certificate-program
September 30, 2020 - October 4, 2017
Effectiveness of pharmacist intervention to reduce medication errors
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psnet.ahrq.gov/issue/how-implicit-bias-harm-patient-care
December 04, 2019 - December 5, 2022
An intervention to decrease catheter-related bloodstream infections
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psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
May 01, 2014 - This is all the more remarkable given widespread agreement that hand hygiene is the most important intervention … There is often a considerable gap between experimental results for an intervention and its transformation … Once you have these data, you can design the action and the intervention. … Hand hygiene requires a multimodal intervention strategy to change practices. … March 4, 2011
Effect of a quality improvement intervention with daily round checklists
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psnet.ahrq.gov/node/43824/psn-pdf
January 21, 2015 - The intervention resulted in a sharp decline in inappropriate medication splitting from a rate
of approximately
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - https://psnet.ahrq.gov//#11
https://psnet.ahrq.gov//#12
https://psnet.ahrq.gov/issue/effect-pharmacist-intervention-clinically-important-medication-errors-after-hospital … engage patients and caregivers utilizing the teach-back method, an evidence-
based health literacy intervention … “Effect of a Pharmacist Intervention on Clinically
Important Medication Errors after Hospital Discharge … “Teach-Back:
Intervention,” 1–2. https://www.ahrq.gov/patient-safety/reports/engage/interventions/teachb
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psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery
April 21, 2021 - April 21, 2021
Psychological intervention to improve communication and patient safety
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psnet.ahrq.gov/issue/medication-tracers-systems-approach-medication-safety
December 21, 2018 - March 30, 2022
Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions
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psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly-20-percent
October 12, 2022 - Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - Moreover, this particular safety problem is largely attributable to an invasive health care intervention … important patient safety issue, and the indwelling urethral catheter must be treated as an invasive intervention … Feedback to nursing staff as an intervention to reduce catheter-associated urinary tract infections. … However, it's unclear whether or not this intervention, which had high face validity, also will lead … This type of policy intervention may also have problems of its own that need to be carefully monitored
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psnet.ahrq.gov/issue/quality-and-safety-education-nurses
November 26, 2014 - November 3, 2010
Prospective pilot intervention study to prevent medication errors in
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psnet.ahrq.gov/issue/video-games-can-help-cut-surgical-errors
January 23, 2008 - 2015
Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention
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psnet.ahrq.gov/issue/learning-action-guide-putting-learning-organization-work
July 24, 2018 - May 24, 2016
A Randomized Field Study of a Leadership WalkRounds-Based Intervention.
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - pervasive contribution of inadequate communication to poor outcomes and demonstrable improvements after intervention … and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention … SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - The patient received pre-procedure anesthesia with a "saddle block" and underwent a successful intervention … Recovery & Discharge Process Recovery is a continuous process that starts with the end of the surgical intervention … Following ambulatory surgery, patients are expected to leave the facility shortly after the intervention
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psnet.ahrq.gov/issue/patient-safety-synergy-technology-and-behavior
February 18, 2015 - April 4, 2011
An intervention to decrease catheter-related bloodstream infections in
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psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
February 11, 2015 - January 15, 2014
Spreading a medication administration intervention organizationwide
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psnet.ahrq.gov/issue/checklist
September 28, 2017 - April 6, 2011
An intervention to decrease catheter-related bloodstream infections in
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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - While this
intervention did not reduce safety incidents like pressure ulcers or falls, it did identify … For example, a health IT patient
engagement intervention used tablet computers to show patients potentially
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psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
September 28, 2010 - June 21, 2010
An intervention to enhance nursing staff teamwork and engagement.
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psnet.ahrq.gov/issue/partnering-heal-teaming-against-healthcare-associated-infections
November 16, 2011 - May 25, 2011
Multiple component patient safety intervention in English hospitals: controlled