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psnet.ahrq.gov/issue/educational-strategy-reduce-medication-errors-neonatal-intensive-care-unit
November 03, 2008 - Study
Educational strategy to reduce medication errors in a neonatal intensive care unit.
Citation Text:
Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Educational strategy to reduce medication errors in a neonatal intensive care unit. Acta Paediatr. 2009;98(5):782-5. doi:10.1…
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psnet.ahrq.gov/issue/reducing-readmission-academic-medical-center-results-pharmacy-facilitated-discharge
August 04, 2021 - Study
Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program.
Citation Text:
Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…
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psnet.ahrq.gov/issue/optimizing-smart-pump-technology-increasing-critical-safety-alerts-and-reducing-clinically
February 12, 2014 - Study
Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts.
Citation Text:
Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Hosp Pharm.…
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psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
June 27, 2018 - Study
A multicomponent fall prevention strategy reduces falls at an academic medical center.
Citation Text:
France D, Slayton J, Moore S, et al. A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. The Joint Commission Journal on Quality and Patient Safe…
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psnet.ahrq.gov/issue/experiences-lean-six-sigma-improvement-strategy-reduce-parenteral-medication-administration
October 13, 2021 - Commentary
Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm.
Citation Text:
van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce pa…
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psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
April 19, 2023 - Study
Reducing retained foreign objects in the operating room: a quality improvement initiative.
Citation Text:
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.10…
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psnet.ahrq.gov/issue/paradoxical-effects-hospital-based-multi-intervention-programme-aimed-reducing-medication
September 13, 2023 - Study
Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions.
Citation Text:
Tomietto M, Sartor A, Mazzocoli E, et al. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round …
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psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed-chest-radiography-findings
August 20, 2018 - Commentary
Reducing errors resulting from commonly missed chest radiography findings.
Citation Text:
Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003.
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psnet.ahrq.gov/issue/safety-stand-down-technique-improving-and-sustaining-hand-hygiene-compliance-among-health
August 01, 2018 - Study
The safety stand-down: a technique for improving and sustaining hand hygiene compliance among health care personnel.
Citation Text:
Cunningham D, Brilli RJ, McClead RE, et al. The Safety Stand-down: A Technique for Improving and Sustaining Hand Hygiene Compliance Among Health Care …
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psnet.ahrq.gov/issue/medication-safety-neonatal-intensive-care-unit-big-measures-our-smallest-patients
September 18, 2024 - Commentary
Medication safety in the neonatal intensive care unit: big measures for our smallest patients.
Citation Text:
Rostas SE. Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients. J Perinat Neonatal Nurs. 2017;31(1):15-19. doi:10.1097/JPN.00…
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psnet.ahrq.gov/issue/impact-intervention-reduce-prescribing-errors-pediatric-intensive-care-unit
March 09, 2022 - Study
Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit.
Citation Text:
Martinez-Anton A, Sanchez I, Casanueva L. Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit. Intensive Care Med. 2012;38(9):1532-8. do…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_4-speaker-notes.docx
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals
Preventing CAUTI in the ICU Setting
Module 4: Summary and Next Steps
SAY:
SLIDE 1
SAY:
You’ve now seen three modules on how to stop catheter-associated urinary tract infections, or CAUTI, in your intensive care unit, or ICU. In Module 1, you learned that hos…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-214-afib-disposition-comments.pdf
October 30, 2019 - increase in
stroke/systemic embolism but no statistically
significant difference in bleeding with reduced … dose
vs standard dose apixaban in patients without a
renal indication for reduced dosing; in the same … analysis, there was no difference in the benefit :
risk of reduced dose vs. standard dose rivaroxaban … I think it would be worth noting that all of the
newer agents reduced the risk of hemorrhagic
stroke … This summary states that in the
third study dabigatran reduced
stroke in diabetic patients which
was
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/main-apps-surv-rept-1-acute-pain.pdf
May 01, 2022 - Cold therapy was associated with reduced use of oxycodone 5 mg at day 1 (18% vs.
52%) and day 6 (11% … Reduced pain and opioid use in the early
postoperative period in patients undergoing
a frontotemporal … A randomized controlled noninferiority
trial of reduced vs routine opioid
prescription after prolapse … Examining reduced opioid prescriptions
after gynecologic laparoscopy: a randomized
controlled trial … Reduced opioid use among patients who
received liposomal bupivacaine for ACL
reconstruction.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
March 01, 2020 - If
the threshold was >/-1, the sensitivity improved but the specificity was reduced.14
Arendts (2017 … Nonpharmacological
interventions significantly reduced delirium incidence in four trials,4,5,7,12 while … The NuDESC (threshold ≥1)
had improved sensitivity (80%;
95% CI 65 to 91) but reduced
specificity … Incidence of delirium was reduced
(15.7% vs. 9.4%, p=.04). … Use of
multicomponent interventions
reduced prevalence of delirium; to
enable use, education of the
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
August 01, 2025 - ■ A nursing home medication safety project implemented an active medication monitoring system that
reduced … Affairs National Surgical Quality Improvement
Program (NSQIP) in private hospitals, demonstrating reduced … ■ Enhance Patient Outcomes: Reduced adverse events in high-risk environments (e.g., intensive care … Thirty-day postoperative morbidity
in private sector hospitals was reduced with the implementation of … was relatively insensitive to cost of care, and the risk of
stroke influenced the decision only when reduced
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary5/visual-impairment-in-children-ages-1-5-screening-2011
January 15, 2011 - examination, age-specific visual acuity testing, and cover-uncover test) from 8 through 37 months of age reduced … rather than screening versus no screening. 20 Although it found that repeated preschool screening reduced … results
Hyperopia >3.0 D; myopia >1.0 D; strabismus; ptosis
Cross-sectional; 4-7 y; N = 288; reduced … 5 y old) in 1 eye, worse than 20/40 (20/30) in contralateral eye, and bilateral amblyogenic factor; reduced … "very important to detect and treat early" conditions: 5.4% (135/2588); amblyopia: 2.9% (75/2588); reduced
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
April 01, 2022 - of evidence-based care, improved communication, appropriate use of equipment, minimized errors, and reduced
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/005-ss-preop-chlorhexidine-fg.docx
April 01, 2025 - In an unadjusted analysis, the risk of SSIs was reduced by 84 percent in the group that used the preoperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
January 01, 2004 - Salt Lake City, a computerized
physician/provider order entry (CPOE) system with decision support reduced