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psnet.ahrq.gov/issue/blinding-or-information-control-diagnosis-could-it-reduce-errors-clinical-decision-making
October 13, 2018 - Review
Blinding or information control in diagnosis: could it reduce errors in clinical decision-making?
Citation Text:
Lockhart JJ, Satya-Murti S. Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? Diagnosis (Berl). 2018;5(4):179-189. doi:1…
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psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
November 16, 2016 - Commentary
Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors.
Citation Text:
Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…
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psnet.ahrq.gov/issue/medication-safety-emergency-medical-services-approaching-evidence-based-method-verification
September 28, 2022 - Study
Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.
Citation Text:
Misasi P, Keebler JR. Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. Ther …
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psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
December 21, 2017 - Newspaper/Magazine Article
No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS.
Citation Text:
Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may go a long way to reducing patie…
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psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
June 26, 2019 - Review
What have we learned about interventions to reduce medical errors?
Citation Text:
Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497. doi:10.1146/annurev.publhealth.0…
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psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
August 04, 2021 - Study
Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward.
Citation Text:
Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…
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psnet.ahrq.gov/issue/contribution-labelling-safe-medication-administration-anaesthetic-practice
March 17, 2021 - Commentary
The contribution of labelling to safe medication administration in anaesthetic practice.
Citation Text:
Merry A, Shipp DH, Lowinger JS. The contribution of labelling to safe medication administration in anaesthetic practice. Best Pract Res Clin Anaesthesiol. 2011;25(2):145-1…
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psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors
May 18, 2022 - Commentary
Reducing pediatric medication errors: children are especially at risk for medication errors.
Citation Text:
Hughes RG, Edgerton EA. Reducing pediatric medication errors: children are especially at risk for medication errors. Am J Nurs. 2005;105(5):79-80, 82, 85 passim.
Cop…
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psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
June 16, 2011 - Commentary
Integrating CUSP and TRIP to improve patient safety.
Citation Text:
Romig M, Goeschel CA, Pronovost P, et al. Integrating CUSP and TRIP to improve patient safety. Hosp Pract (1995). 2010;38(4):114-21. doi:10.3810/hp.2010.11.348.
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DOI Google…
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psnet.ahrq.gov/issue/checklists-prevent-diagnostic-errors-pilot-randomized-controlled-trial
October 12, 2016 - Study
Checklists to prevent diagnostic errors: a pilot randomized controlled trial.
Citation Text:
Ely JW, Graber MA. Checklists to prevent diagnostic errors: a pilot randomized controlled trial. Diagnosis (Berl). 2015;2(3):163-169. doi:10.1515/dx-2015-0008.
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Format:
…
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digital.ahrq.gov/program-overview/research-stories/identifying-patients-high-need-during-care-transitions-improve-care-and-meet-social-needs
January 01, 2023 - Identifying Patients with High Need During Care Transitions to Improve Care and Meet Social Needs
Theme:
Engaging and Empowering Patients and Caregivers
Subtheme:
Improving Care During Patient Transitions
Using health information exchange to identify high-need patients during care transiti…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool4_comm_inv.docx
June 02, 2025 - Tool 4: Community Inventory
Tool 4: Community Inventory TOol
Purpose
Identify clinical, behavioral, and social service resources in the community that can improve posthospital care to reduce readmissions. The community inventory is complementary to the hospital inventory when developing a whole-person and data-info…
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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.
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly-2
January 01, 2023 - Managing Patient Care Transitions: How Health IT can reduce unnecessary re-hospitalizations.
Citation
Jencks S, Jack B, Field T. Managing Patient Care Transitions: How Health IT can reduce unnecessary re-hospitalizations. Webinar presentation sponsored by the AHRQ National Resource Center for Health I…
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digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-3
January 01, 2023 - A Patient and Family Member Fall Prevention Educational (ED) tool to identify fall risk and engage them in creating individualized plan to reduce risks (Chapter 3; Figures 13 and 14; separate specifications document)
Citation
A Patient and Family Member Fall Prevention Educational (ED) tool to identif…
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psnet.ahrq.gov/node/45755/psn-pdf
December 21, 2016 - Can computers help doctors reduce diagnostic errors?
December 21, 2016
Shryock T. Med Econ. December 5, 2016.
https://psnet.ahrq.gov/issue/can-computers-help-doctors-reduce-diagnostic-errors
Computerized decision support and advanced computing are being used to augment various processes in
health care, such as med…
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psnet.ahrq.gov/node/46385/psn-pdf
October 23, 2018 - The key to reducing doctors' misdiagnoses.
October 23, 2018
Landro L. Wall Street Journal. September 12, 2017.
https://psnet.ahrq.gov/issue/key-reducing-doctors-misdiagnoses
Misdiagnosis has gained recognition as an important patient safety problem. This newspaper article reports
on several areas of research and i…
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psnet.ahrq.gov/node/839330/psn-pdf
November 02, 2022 - Diagnosis: Reducing Errors and Improving Quality.
November 2, 2022
Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine,
21e. New York, NY: McGraw Hill; 2022
https://psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality
The task of performing a …