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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…
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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…
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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)…
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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…
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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.
…
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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…
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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…
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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. …
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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…
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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)…
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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…
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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(…
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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…
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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…
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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…
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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…
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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/…
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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.
…
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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-…
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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…