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psnet.ahrq.gov/node/37353/psn-pdf
March 28, 2012 - Medication Use: A Systems Approach to Reducing Errors,
Second Edition.
March 28, 2012
Porche? RA. Oakbrook Terrace, IL: Joint Commission Resources: 2008. ISBN 9781599400976.
https://psnet.ahrq.gov/issue/medication-use-systems-approach-reducing-errors-second-edition
Co-authored by a host of medication safety expert…
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psnet.ahrq.gov/node/39189/psn-pdf
April 16, 2018 - Neuromuscular blocking agents: reducing associated
wrong-drug errors.
April 16, 2018
https://psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
This article discusses adverse incidents submitted to the Pennsylvania reporting system involving
neuromuscular blocking agents and s…
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psnet.ahrq.gov/node/37922/psn-pdf
May 02, 2018 - Epidural-IV route mix-ups: reducing the risk of deadly
errors.
May 2, 2018
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
https://psnet.ahrq.gov/issue/epidural-iv-route-mix-ups-reducing-risk-deadly-errors
This article reports on the potentially fatal error of administering epidural medicati…
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psnet.ahrq.gov/node/45081/psn-pdf
February 14, 2017 - Quasi-experimental evaluation of the effectiveness of a
large-scale readmission reduction program.
February 14, 2017
Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale
Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681-90.
doi:10.1001/jamainternmed…
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www.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - Hospital Resources
Toolkits, recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors, and increase patient safety.
Sign up: CAHPS Database - Hospital Component Email updates
Sign up: Hospital Survey on Patient Safety Culture Email updates
Sign u…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/healthy-weight-and-weight-gain-during-pregnancy-behavioral-counseling-interventions
July 26, 2018 - Share to Facebook
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Final Research Plan
Healthy Weight and Weight Gain In Pregnancy: Behavioral Counseling Interventions
July 26, 2018
Recommendations made by the USPSTF are independent of th…
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psnet.ahrq.gov/node/42576/psn-pdf
September 04, 2013 - Exploring Patient Engagement in Reducing Health-Care-
Related Safety Risks.
September 4, 2013
Copenhagen, Denmark: World Health Organization Regional Office for Europe; 2013. ISBN:
9789289002943.
https://psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks
Exploring th…
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psnet.ahrq.gov/node/37192/psn-pdf
November 26, 2008 - Reducing the Risk by Designing a Safer, Shame-free
Health Care Environment.
November 26, 2008
Abrams MA, Hung LL, Kashuba AB, et al. Chicago, IL: American Medical Association; 2007.
https://psnet.ahrq.gov/issue/reducing-risk-designing-safer-shame-free-health-care-environment
This monograph provides background on h…
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psnet.ahrq.gov/node/33897/psn-pdf
January 25, 2016 - Reducing Errors in Health Care: Translating Research
Into Practice.
January 25, 2016
Rockville, MD: Agency of Healthcare Research and Quality; AHRQ Publication No. 00-PO58.
https://psnet.ahrq.gov/issue/reducing-errors-health-care-translating-research-practice
This fact sheet on medical errors provides information …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-194-evidence-summary-corticosteroids-asthma.pdf
October 01, 2017 - Intermittent Inhalded Corticosteroids and Long-Acting Muscarinic Antagonists for Asthma
Comparative Effectiveness Review
Number 194
Intermittent Inhaled Corticosteroids and Long-Acting
Muscarinic Antagonists for Asthma
Executive Summary
Objectives and Rationale for the
Review
This report summarizes a systemati…
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digital.ahrq.gov/principal-investigator/genevro-janice
January 01, 2023 - Genevro, Janice
"First, Do No Harm": Using Health Information Technology to Reduce Use of Preventive Services with Potential Harms - 2010
Principal Investigator
Genevro, Janice
Project Name
"First, Do No Harm": Using Health Information Technology to Reduce Use of…
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psnet.ahrq.gov/node/50645/psn-pdf
November 06, 2019 - FDA Funding Available for Research Aimed at Reducing
Preventable Harm from Medication
November 6, 2019
Silver Spring, MD; US Food and Drug Administration: October 4, 2019.
https://psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
Medication error is a persistent challen…
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psnet.ahrq.gov/node/38423/psn-pdf
September 08, 2010 - Heparin: improving treatment and reducing risk of harm.
September 8, 2010
Daner WE, Gosselin RC, Raschke R, et al. Patient Saf Qual Healthcare. January/February 2009;6:20-25.
https://psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
This article explains safety challenges commonly associated w…
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psnet.ahrq.gov/node/39281/psn-pdf
March 05, 2010 - Health Care Leader Action Guide to Reduce Avoidable
Readmissions.
March 5, 2010
Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The
John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.
https://psnet.ahrq.gov/issue/health-care-leader-action-gui…
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psnet.ahrq.gov/node/49645/psn-pdf
February 01, 2012 - To maximize the benefits of e-prescribing, including improved transmission and reduced medication errors
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - care organizations may achieve high compliance with assessment, but this will not be translated into
reduced
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www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - and modifiable to meet individual unit needs and was proven effective through a national project that reduced
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psnet.ahrq.gov/node/36333/psn-pdf
July 10, 2008 - The intervention successfully reduced the likelihood of hospital readmission
for 3 months after discharge
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psnet.ahrq.gov/node/34666/psn-pdf
December 22, 2009 - that teamwork training based on CRM led to successful improvements in specific
teamwork behaviors, reduced
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psnet.ahrq.gov/node/46849/psn-pdf
May 23, 2018 - This commentary describes how one organization
reduced the occurrence of this surgical complication.