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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - The bundle is referred to as the ABCDEF or A-F bundle. 7 The A-F bundle is an evidence-based complex intervention … Results
Overall, the Innovation Team saw improvements in both the intervention and control groups over … time, with larger improvements seen in the intervention group. … The study used a quasi-experimental design with four ICU units in the intervention group and four unmatched … In intervention units, compliance was associated with a 16% lower likelihood of next-day ICU transfer
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psnet.ahrq.gov/node/36115/psn-pdf
September 28, 2010 - Safe prescribing: an educational intervention for medical
students. … Safe prescribing: an educational intervention for medical students. … https://psnet.ahrq.gov/issue/safe-prescribing-educational-intervention-medical-students
The authors … describe an intervention to improve prescribing by medical students, and they found the
program was … https://psnet.ahrq.gov/issue/safe-prescribing-educational-intervention-medical-students
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psnet.ahrq.gov/node/46182/psn-pdf
June 28, 2017 - What we know about designing an effective improvement
intervention (but too often fail to put into practice … What we know about designing an effective improvement
intervention (but too often fail to put into practice … https://psnet.ahrq.gov/issue/what-we-know-about-designing-effective-improvement-intervention-too-often … This
commentary outlines lessons learned by a team that implemented a multifaceted safety intervention … https://psnet.ahrq.gov/issue/what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice
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psnet.ahrq.gov/node/45725/psn-pdf
December 21, 2016 - The patient reporting and action for a safe environment
(PRASE) intervention: a feasibility study. … The patient reporting and action for a safe environment (PRASE)
intervention: a feasibility study. … https://psnet.ahrq.gov/issue/patient-reporting-and-action-safe-environment-prase-intervention-feasibility … In this feasibility study, authors describe the
development and testing of an intervention designed … https://psnet.ahrq.gov/issue/patient-reporting-and-action-safe-environment-prase-intervention-feasibility-study
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psnet.ahrq.gov/node/836811/psn-pdf
April 07, 2022 - To address this
problem, the Arkansas Children’s Hospital developed an intervention to increase situational … The intervention consisted of four elements:
1. … This intervention was piloted on the Infant-Toddler unit and was expanded across all other medical-surgical … Nurses reported that the intervention
empowered them to proactively respond to patient deterioration … This intervention leverages proven safety practices (i.e., triggers, huddles) and has broad applicability
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psnet.ahrq.gov/issue/patient-perceptions-and-experiences-medication-related-activities-emergency-department
September 22, 2017 - qualitative study explored patient perceptions of medication safety before and during an ED pharmacist-led intervention … November 30, 2022
Investigating the impact of a pharmacist intervention on inappropriate … August 21, 2024
Effectiveness of a 'Do not interrupt' bundled intervention to reduce … Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention … preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention
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psnet.ahrq.gov/issue/eradicating-central-line-associated-bloodstream-infections-statewide-hawaii-experience
January 15, 2014 - Building on the success of the landmark Keystone ICU project , this study demonstrated that a similar intervention … Using the opportunity estimator tool to improve engagement in a quality and safety intervention … February 21, 2012
Collaborative cohort study of an intervention to reduce ventilator-associated … January 27, 2016
Impact of a national multimodal intervention to prevent catheter-related
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psnet.ahrq.gov/node/36551/psn-pdf
February 17, 2011 - An intervention to decrease catheter-related bloodstream
infections in the ICU. … An intervention to decrease catheter-related
bloodstream infections in the ICU. … The
intervention was remarkably successful, nearly eliminating CRBSI entirely in most ICUs over an 18 … A related editorial lauds the success of the intervention and calls for all U.S. hospitals to
adopt … https://psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
https:
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psnet.ahrq.gov/node/40231/psn-pdf
February 23, 2011 - Multiple component patient safety intervention in English
hospitals: controlled evaluation of second … Multiple component patient safety intervention in English
hospitals: controlled evaluation of second … https://psnet.ahrq.gov/issue/multiple-component-patient-safety-intervention-english-hospitals-controlled … https://psnet.ahrq.gov/issue/multiple-component-patient-safety-intervention-english-hospitals-controlled-evaluation-second … https://psnet.ahrq.gov/issue/multiple-component-patient-safety-intervention-english-hospitals-controlled-evaluation-second
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psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due
June 01, 2016 - and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention … and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention … and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention … View More
Related Resources
Handoff mnemonics used in perioperative handoff intervention … SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention
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psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme
April 24, 2018 - implementation of a coproduced family centered communication programme: multicenter before and after intervention … implementation of a coproduced family centered communication programme: multicenter before and after intervention … implementation of a coproduced family centered communication programme: multicenter before and after intervention … Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention … September 9, 2015
A coproduced family reporting intervention to improve safety surveillance
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psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-vest-intervention-reduce-medication-errors-during-medication
December 21, 2017 - Study
Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication … Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication … Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication … Related Resources From the Same Author(s)
Effectiveness of a 'Do not interrupt' bundled intervention … September 2, 2020
Effectiveness of pharmacist intervention to reduce medication errors
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psnet.ahrq.gov/issue/multiple-component-patient-safety-intervention-english-hospitals-controlled-evaluation-second
February 23, 2011 - Study
Multiple component patient safety intervention in English hospitals: controlled … Multiple component patient safety intervention in English hospitals: controlled evaluation of second … Multiple component patient safety intervention in English hospitals: controlled evaluation of second … Citation
Related Resources From the Same Author(s)
Large scale organisational intervention … June 30, 2011
Large scale organisational intervention to improve patient safety in four
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psnet.ahrq.gov/issue/collaborative-cohort-study-intervention-reduce-ventilator-associated-pneumonia-intensive-care
September 20, 2011 - Study
Collaborative cohort study of an intervention to reduce ventilator-associated … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive … Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive … June 16, 2011
An intervention to decrease catheter-related bloodstream infections in … Using the opportunity estimator tool to improve engagement in a quality and safety intervention
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psnet.ahrq.gov/issue/more-just-crushing-prospective-pre-post-intervention-study-reduce-drug-preparation-errors
November 02, 2010 - Study
More than just crushing: a prospective pre-post intervention study to reduce … More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors … More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors … Download Citation
Related Resources From the Same Author(s)
Prospective pilot intervention … Complex Dosing
June 24, 2020
Effectiveness of a 'Do not interrupt' bundled intervention
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psnet.ahrq.gov/node/40580/psn-pdf
July 06, 2011 - Teaching medical error apologies: development of a
multi-component intervention. … Teaching medical error apologies: development of a multi-
component intervention. … https://psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention … This educational intervention taught error disclosure to first-year medical students and found that … https://psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention
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psnet.ahrq.gov/node/39476/psn-pdf
April 28, 2010 - Pharmacy–nursing intervention to improve accuracy and
completeness of medication histories. … Pharmacy–nursing intervention to improve accuracy and
completeness of medication histories. … https://psnet.ahrq.gov/issue/pharmacy-nursing-intervention-improve-accuracy-and-completeness-
medication-histories … https://psnet.ahrq.gov/issue/pharmacy-nursing-intervention-improve-accuracy-and-completeness-medication-histories … https://psnet.ahrq.gov/issue/pharmacy-nursing-intervention-improve-accuracy-and-completeness-medication-histories
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psnet.ahrq.gov/node/39915/psn-pdf
December 18, 2014 - Improving the quality of discharge communication with
an educational intervention. … Improving the quality of discharge communication with an
educational intervention. … https://psnet.ahrq.gov/issue/improving-quality-discharge-communication-educational-intervention
After … an educational intervention, pediatric residents' discharge summaries were more concise yet
contained … https://psnet.ahrq.gov/issue/improving-quality-discharge-communication-educational-intervention
https
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psnet.ahrq.gov/node/41503/psn-pdf
January 18, 2013 - Medication safety in primary care practice: results from a
PPRNet quality improvement intervention. … Medication Safety in Primary Care Practice: results from a
PPRNet quality improvement intervention. … //psnet.ahrq.gov/issue/medication-safety-primary-care-practice-results-pprnet-quality-improvement-
intervention … https://psnet.ahrq.gov/issue/medication-safety-primary-care-practice-results-pprnet-quality-improvement-intervention … https://psnet.ahrq.gov/issue/medication-safety-primary-care-practice-results-pprnet-quality-improvement-intervention
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psnet.ahrq.gov/node/44494/psn-pdf
June 21, 2016 - Electronic trigger-based intervention to reduce delays in
diagnostic evaluation for cancer: a cluster … Electronic Trigger-Based Intervention to Reduce Delays in Diagnostic
Evaluation for Cancer: A Cluster … https://psnet.ahrq.gov/issue/electronic-trigger-based-intervention-reduce-delays-diagnostic-evaluation … Investigators randomized physicians to either no intervention or to receive triggers related to cancer … https://psnet.ahrq.gov/issue/electronic-trigger-based-intervention-reduce-delays-diagnostic-evaluation-cancer-cluster