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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40271/psn-pdf
    May 25, 2011 - Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. May 25, 2011 Berenholtz SM, Pham JC, Thompson DA, et al. Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit. Infect Control Hosp Epidem…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38866/psn-pdf
    August 19, 2009 - Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. August 19, 2009 Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-300. doi:10.1043/1543-2165- 133.8.12…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42674/psn-pdf
    September 12, 2016 - Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step- down unit. September 12, 2016 Young-Xu Y, Fore AM, Metcalf A, et al. Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. Am J Nurs. 2013;113(9)…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40162/psn-pdf
    December 29, 2014 - Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. December 29, 2014 Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. Int J Qual Health Care…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47959/psn-pdf
    May 15, 2019 - A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt. May 15, 2019 Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events Among Adolescents Hospitalized After a Suicide Attempt. Hosp Pediatr. 2019;9(5):365-372. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39972/psn-pdf
    January 22, 2017 - Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. January 22, 2017 Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream infections. Jt Comm J Qual Patient S…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42819/psn-pdf
    October 31, 2014 - Implementing a national program to reduce catheter- associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. October 31, 2014 Fakih MG, George C, Edson B, et al. Implementing a national prog…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41456/psn-pdf
    September 26, 2016 - Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. September 26, 2016 Tomietto M, Sartor A, Mazzocoli E, et al. Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions. J Nurs Manag. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43070/psn-pdf
    August 20, 2014 - Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. August 20, 2014 Sacks GD, Diggs BS, Hadjizacharia P, et al. Reducing the rate of catheter-associated bloodstream infections in a surgical intensive c…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72626/psn-pdf
    January 13, 2021 - Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. January 13, 2021 Friebe MP, LeGrand JR, Shepherd BE, et al. Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. Appl Clin Inform. 2020;11(5)…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39003/psn-pdf
    January 28, 2010 - Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. January 28, 2010 Konrad D, Jäderling G, Bell M, et al. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Intensive Care Med. 2010;36(1):100-6. doi:10.1007/s00134-00…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37820/psn-pdf
    February 18, 2011 - Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. February 18, 2011 Loeb M, Hunt D, O'Halloran K, et al. Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. J Gen Intern Med. 2008;23(…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41462/psn-pdf
    July 03, 2016 - The use of patient pictures and verification screens to reduce computerized provider order entry errors. July 3, 2016 Hyman D, Laire M, Redmond D, et al. The use of patient pictures and verification screens to reduce computerized provider order entry errors. Pediatrics. 2012;130(1):e211-9. doi:10.1542/peds.2011-298…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44505/psn-pdf
    January 22, 2016 - Reducing continuous intravenous medication errors in an intensive care unit. January 22, 2016 O?Byrne N, Kozub EI, Fields W. Reducing Continuous Intravenous Medication Errors in an Intensive Care Unit. J Nurs Care Qual. 2016;31(1):13-16. doi:10.1097/NCQ.0000000000000144. https://psnet.ahrq.gov/issue/reducing-conti…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50936/psn-pdf
    February 26, 2020 - Sitters as a patient safety strategy to reduce hospital falls: a systematic review. February 26, 2020 Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628. https://psnet.ahrq.gov/issue/sitters-patient-safety-st…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41482/psn-pdf
    June 27, 2012 - Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication errors in primary care. June 27, 2012 Hemming K, Chilton PJ, Lilford RJ, et al. Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication e…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44578/psn-pdf
    February 24, 2016 - A new frontier in healthcare risk management: working to reduce avoidable patient suffering. February 24, 2016 Card AJ, Klein VR. A new frontier in healthcare risk management: Working to reduce avoidable patient suffering. J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.21207. https://psnet.ahrq.gov/issue/…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42915/psn-pdf
    January 01, 2016 - Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. February 5, 2014 McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204, AP2. doi:10.1016/s1553- 7250(14)40026-6. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837506/psn-pdf
    June 22, 2022 - Reducing pediatric emergency department prescription errors. June 22, 2022 Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696. https://psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47859/psn-pdf
    May 15, 2019 - The design and conduct of Project RedDE: a cluster- randomized trial to reduce diagnostic errors in pediatric primary care. May 15, 2019 Bundy DG, Singh H, Stein RE, et al. The design and conduct of Project RedDE: A cluster-randomized trial to reduce diagnostic errors in pediatric primary care. Clin Trials. 2019;1…

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