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psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
June 30, 2021 - To address this problem, the Arkansas Children’s Hospital developed an intervention to increase situational … The intervention consisted of four elements:
Objective (e.g., pediatric early warning score [PEWS … 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/node/46985/psn-pdf
July 02, 2019 - The intervention was focused on actionable test results, which constituted less than 10% of all
pending … Even with the intervention, only 60% of tests deemed actionable had any documented
follow-up in the … The
authors conclude that automated clinician notification does not constitute a sufficient intervention
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psnet.ahrq.gov/node/45803/psn-pdf
March 27, 2017 - Safer Delivery of Surgical Services: a Programme of
Controlled Before-and-after Intervention Studies … https://psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention … https://psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-studies-pre … https://psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-studies-pre
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psnet.ahrq.gov/issue/burnout-mediates-association-between-depression-and-patient-safety-perceptions-cross
June 30, 2021 - "Change is what can actually make the tough times better": a patient-centred patient safety intervention … February 22, 2019
A qualitative formative evaluation of a patient-centred patient safety intervention … September 24, 2017
The patient reporting and action for a safe environment (PRASE) intervention … cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention
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psnet.ahrq.gov/issue/parent-experiences-process-sharing-inpatient-safety-concerns-children-medical-complexity
July 06, 2022 - July 6, 2022
A coproduced family reporting intervention to improve safety surveillance … implementation of a coproduced family centered communication programme: multicenter before and after intervention … Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention … implementation of a coproduced family centered communication programme: multicenter before and after intervention
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psnet.ahrq.gov/issue/longitudinal-medication-reconciliation-hospital-admission-discharge-and-post-discharge
August 19, 2020 - June 29, 2022
Evaluating the impact of a pharmacist-led prescribing feedback intervention … June 17, 2020
Pharmacist-led intervention on the reduction of inappropriate medication … use in patients with heart failure: a systematic review of randomized trials and non-randomized intervention … July 8, 2020
Effect of a pharmacist intervention on clinically important medication errors
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - Although a seemingly simple intervention, checklists have a sound
theoretical basis in principles of … This intervention achieved a stunning reduction in line infections, with many ICUs completely
eliminating … doctor-uses-pre-flight-checklist
https://psnet.ahrq.gov/issue/checklist
https://psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu … widely implemented, it has become clear that their success depends on appropriately targeting
the intervention … surgical-safety-checklist-successfully-conducted-observational-study-social-interactions
https://psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician
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psnet.ahrq.gov/issue/labeling-morphine-milligram-equivalents-opioid-packaging-potential-patient-safety
March 06, 2019 - Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention … Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention. … Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention.
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psnet.ahrq.gov/node/33614/psn-pdf
June 01, 2005 - The observed trend provides much more
compelling support for the intervention than would a study with … one data point before and one after the
campaign.(8)
Could the intervention have changed the data … Sometimes implementation of an intervention changes the measurement of the study's outcomes. … Before the intervention, cardiac arrests meant
literal cardiac arrests. … Could the intervention have had adverse effects not reported in the study?
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psnet.ahrq.gov/node/38175/psn-pdf
April 11, 2011 - An intervention to decrease narcotic-related adverse drug
events in children's hospitals. … An intervention to decrease narcotic-related adverse drug
events in children's hospitals. … https://psnet.ahrq.gov/issue/intervention-decrease-narcotic-related-adverse-drug-events-childrens-hospitals … https://psnet.ahrq.gov/issue/intervention-decrease-narcotic-related-adverse-drug-events-childrens-hospitals
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psnet.ahrq.gov/node/47529/psn-pdf
January 21, 2019 - hospital-acquired medication
harm among older inpatients and impact of a state-wide
medication management intervention … hospital-acquired medication harm
among older inpatients and impact of a state-wide medication management intervention … This post-hoc analysis of the intervention found that most
medication-related harm occurred in the community … (70%) rather than the hospital and that the intervention
successfully reduced community-acquired harm
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psnet.ahrq.gov/node/34683/psn-pdf
February 10, 2011 - rate of all adverse drug events (ADEs) and preventable ADEs by chart review and
compared rates in the intervention … and control units before and after the intervention. … The authors found an
almost threefold reduction in ADEs per 1000 patient-days with the intervention. … The authors estimate a total cost savings of $270,000 per year in the 17-bed intervention unit.
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psnet.ahrq.gov/issue/antimicrobial-prescription-errors-hospitalized-children-role-antimicrobial-stewardship
April 07, 2021 - prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention … prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention … prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention
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psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient
January 26, 2022 - Commentary
Disruptive physician behavior: the importance of recognition and intervention … Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient … Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient
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psnet.ahrq.gov/node/46612/psn-pdf
February 22, 2018 - improve hospital
performance in care of patients with acute myocardial
infarction: a mixed-methods intervention … improve hospital
performance in care of patients with acute myocardial infarction: a mixed-methods intervention … This pre–post study examined
how a multimodal quality improvement intervention changed organizational … The
intervention was a learning collaborative model that involved off-site and site-based training and
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psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
March 01, 2023 - preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention … April 21, 2021
Psychological intervention to improve communication and patient safety … preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention … July 6, 2022
Psychological intervention to improve communication and patient safety in
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psnet.ahrq.gov/issue/evaluation-effectiveness-and-safety-pharmacist-independent-prescribers-care-homes-cluster
December 15, 2021 - Patient Safety Innovations
Pharmacist-led mobile health intervention … April 7, 2022
Promoting patient and nurse safety: testing a behavioural health intervention … July 1, 2020
Impact of a pharmacist-administered deprescribing intervention on nursing … December 13, 2017
Effect of a pharmacist-led multicomponent intervention focusing on
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psnet.ahrq.gov/node/41095/psn-pdf
February 01, 2012 - Intervention to reduce transmission of resistant bacteria
in intensive care. … Intervention to reduce transmission of resistant bacteria in
intensive care. … https://psnet.ahrq.gov/issue/intervention-reduce-transmission-resistant-bacteria-intensive-care
Antibiotic-resistant … https://psnet.ahrq.gov/issue/intervention-reduce-transmission-resistant-bacteria-intensive-care
https
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psnet.ahrq.gov/node/46986/psn-pdf
June 27, 2018 - multi-hospital before–after observational study using a
point-prevalence approach with an infusion safety
intervention … Multi-hospital Before-After Observational Study Using a Point-
Prevalence Approach with an Infusion Safety Intervention … Researchers describe the development and implementation of a multicomponent safety intervention bundle … the
overall error rate and medication error rate per 100 medication administrations decreased, the intervention
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - phases.6 During
the intervention phase, participants had 30% fewer total suicide attempts than participants … When all elements of ED-SAFE 1 are implemented, the intervention costs around $1,000 per
patient, per … The clinicians attended a training with a safety planning intervention trainer. … In ED-SAFE 1, compared
with the treatment as usual phase, patients in the intervention phase showed … Time and resources to train staff on the intervention.
Staff to conduct data analysis.