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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/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/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/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/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/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/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/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/46493/psn-pdf
January 24, 2019 - Four states with robust prescription drug monitoring
programs reduced opioid dosages.
January 24, 2019
Haffajee RL, Mello MM, Zhang F, et al. Four States With Robust Prescription Drug Monitoring Programs
Reduced Opioid Dosages. Health Aff (Millwood). 2018;37(6):964-974. doi:10.1377/hlthaff.2017.1321.
https://psnet…
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psnet.ahrq.gov/node/46887/psn-pdf
May 03, 2018 - Financial incentives to reduce hospital-acquired
infections under alternative payment arrangements.
May 3, 2018
Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under
Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 2018;39(5):509-515.
doi:10.1017/ice.201…
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psnet.ahrq.gov/node/73957/psn-pdf
October 13, 2021 - Effectiveness of a ‘do not interrupt’ vest intervention to
reduce medication errors during medication
administration: a multicenter cluster randomized
controlled trial.
October 13, 2021
Berdot S, Vilfaillot A, Bézie Y, et al. Effectiveness of a ‘do not interrupt’ vest intervention to reduce
medication errors duri…
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psnet.ahrq.gov/node/50823/psn-pdf
January 22, 2020 - Reducing inappropriate polypharmacy in primary care
through pharmacy-led interventions.
January 22, 2020
Bryant E, Claire K, Needham R. Reducing inappropriate polypharmacy in primary care through pharmacy-
led interventions. Pharm J. 2019;303(7932). doi:10.1211/pj.2019.20207385.
https://psnet.ahrq.gov/issue/reduci…
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psnet.ahrq.gov/node/46511/psn-pdf
December 19, 2017 - Professional, structural and organisational interventions
in primary care for reducing medication errors.
December 19, 2017
Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary
care for reducing medication errors. Cochrane Database Syst Rev. 2017;10:CD003942.
d…
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psnet.ahrq.gov/node/46926/psn-pdf
March 07, 2018 - A comprehensive program to reduce rates of hospital-
acquired pressure ulcers in a system of community
hospitals.
March 7, 2018
Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital-
Acquired Pressure Ulcers in a System of Community Hospitals. J Patient Saf. 2018;14(1):54…
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psnet.ahrq.gov/node/73388/psn-pdf
June 16, 2021 - Reducing surgical specimen errors through
multidisciplinary quality improvement.
June 16, 2021
Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement.
Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003.
https://psnet.ahrq.gov/issue/reduci…
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psnet.ahrq.gov/node/73888/psn-pdf
September 29, 2021 - Interventions to reduce medication dispensing,
administration, and monitoring errors in pediatric
professional healthcare settings: a systematic review.
September 29, 2021
Koeck JA, Young NJ, Kontny U, et al. Interventions to reduce medication dispensing, administration, and
monitoring errors in pediatric professi…
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psnet.ahrq.gov/node/60557/psn-pdf
January 01, 2021 - Implementing receiver-driven handoffs to the emergency
department to reduce miscommunication.
June 3, 2020
Huth K, Stack AM, Hatoun J, et al. Implementing receiver-driven handoffs to the emergency department to
reduce miscommunication. BMJ Qual Saf. 2021;30(3):208-215. doi:10.1136/bmjqs-2019-010540.
https://psnet.…
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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…
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psnet.ahrq.gov/node/845302/psn-pdf
March 01, 2023 - Reducing preventable adverse events in obstetrics by
improving interprofessional communication skills--results
of an intervention study.
March 1, 2023
Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by
improving interprofessional communication skills – results of an int…
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psnet.ahrq.gov/node/73867/psn-pdf
September 22, 2021 - A dynamic risk management approach for reducing harm
from invasive bedside procedures performed during
residency.
September 22, 2021
Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from
invasive bedside procedures performed during residency. Acad Med. 2021;96(9):1268-1275.
…