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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
April 06, 2008 - Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences
Implementing an Ambulatory e-Prescribing System:
Strategies Employed and Lessons Learned to
Minimize Unintended Consequences
Emily B. Devine, PharmD, MBA; Jennifer L. Wilson-Norton, RPh, MBA…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Davis_60.pdf
April 07, 2008 - Failure Modes and Effects Analysis Based on In Situ Simulations: A Methodology to Improve Understanding of Risks and Failures
Failure Modes and Effects Analysis Based on
In Situ Simulations: A Methodology to Improve
Understanding of Risks and Failures
Stanley Davis, MD; William Riley, PhD; Ayse P. Gurses, PhD; Kr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
May 01, 2004 - Advances in Patient Safety: Vol. 2
18
modifications reduced the total number of hospitalizations
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www.ahrq.gov/sites/default/files/2025-02/halamek-report.pdf
January 01, 2025 - provided real time automated patient information; facilitated familiarity with the display and
thereby reduced
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www.ahrq.gov/sites/default/files/2024-09/becker-marques-report.pdf
January 01, 2024 - Night Shift and Sleepiness
Traditional examples of night shift-related performance deficits include reduced
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www.ahrq.gov/sites/default/files/2025-02/unruh-report.pdf
January 01, 2025 - Prior research with RN/AAPD has indicated that
negative patient outcomes are reduced at an decreasing
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www.ahrq.gov/sites/default/files/2024-01/kennelty-report.pdf
January 01, 2024 - five pharmacists, and
subsequently the risk of patients filling outdated prescriptions may have been reduced
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www.ahrq.gov/research/shuttered/hospevac4.html
July 01, 2018 - the Three Mile Island (Pennsylvania) incident, hospital staff in the affected area triaged patients, reduced
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
June 15, 2005 - medication list made them more aware of the possibility of
medication errors; the same percentage said it reduced … To examine whether the clinics reduced medication list
discrepancies over time, a statistical process … Figure 2 shows that all three clinics developed a process and reduced the percentage of
medication discrepancies … Anecdotally, it was reported that more accurate
medication lists reduced time spent in reconciliation
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-slides.pptx
September 01, 2022 - Improving Antibiotic Use – Ambulatory Care
Misconceptions About Antibiotic Prescribing
No antibiotics means reduced
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapb.html
April 01, 2018 - We are targeting work savings, reduced burden. … We are targeting work savings, reduced burden.
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www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
February 01, 2017 - If the ventilator days were reduced by just 20 percent, patient throughput would increase, increasing … If heavy sedation is reduced and you can achieve, for example, RASS scores of zero to negative one such
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - employed to encourage reporting, such as
sharing examples of how the event reports led to changes
that reduced … As a result of the standardization effort,
470 unique formulations for 147 drug entities were
reduced
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action.pptx
December 01, 2017 - semi-structured method, similar to one being discussed today, to debrief their safety culture survey results reduced … On average, these teams reduced their infection rates by only 2.2 percent.
4
Making HSOPS Data Meaningful
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
December 01, 2017 - MEASURE PROCESS MEASURE COMPLIANCE IN PATIENTS WITH INFECTIONS
Incision temperature >36°C x/12
Reduced … Are you using either a reduced amount of steroids or no steroids?
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www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - The Mayo Clinic of Rochester, MN, reduced asthma-related emergency department and urgent care center … of these reactions were prevented, cost savings would total $500,000, and hospitalization would be reduced
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - Reduced Variation in Prescribing Practices
In 2004, the Pharmacy and Therapeutics Committee embarked … childrens.harvard.edu
Abstract
Introduction
Background
Methods
Anticoagulation Screening Service Practice
Reduced
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
September 03, 2014 - How will we know we reduced the recurrence risk? … Strengthening Teamwork and Communication7
Effective teamwork and communication strategies contribute to—
Reduced … How will you know the risk is reduced?
Question 1. … Do staff members believe risks were reduced?
DO:
Identify one defect in the video. … How will you know the risk is reduced?
Staff Safety Assessment
Step 1.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-5-table-4.pdf
January 01, 2012 - aspects of the pathophysiology
of SCD, such as increased erythrocyte
hydration, improved rheology, and reduced
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation-facnotes.docx
May 01, 2017 - It looks like the huddle topics are discussed regularly, so observation frequency can be reduced to one