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psnet.ahrq.gov/node/35708/psn-pdf
March 28, 2011 - Interventions in primary care to reduce medication related
adverse events and hospital admissions: systematic
review and meta-analysis.
March 28, 2011
Royal S, Smeaton L, Avery A, et al. Interventions in primary care to reduce medication related adverse
events and hospital admissions: systematic review and meta-an…
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psnet.ahrq.gov/node/37746/psn-pdf
May 14, 2008 - Reducing preventable medication safety events by
recognizing renal risk.
May 14, 2008
Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal
risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f.
https://psnet.ahrq.gov/issue/red…
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psnet.ahrq.gov/node/44343/psn-pdf
July 22, 2015 - Speaking up to reduce noise in the OR.
July 22, 2015
Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9.
doi:10.1016/j.aorn.2015.04.019.
https://psnet.ahrq.gov/issue/speaking-reduce-noise-or
Noise in health care settings can hinder communication and contribute to distractions. This commentary…
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psnet.ahrq.gov/node/47710/psn-pdf
May 11, 2019 - Evaluation of an electronic dosing calculator to reduce
pediatric medication errors.
May 11, 2019
Murray B, Streitz MJ, Hilliard M, et al. Evaluation of an Electronic Dosing Calculator to Reduce Pediatric
Medication Errors. Clin Pediatr (Phila). 2019;58(4):413-416. doi:10.1177/0009922818821871.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/854984/psn-pdf
November 01, 2023 - The PRIDx framework to engage payers in reducing
diagnostic errors in healthcare.
November 1, 2023
Ali KJ, Goeschel CA, DeLia DM, et al. The PRIDx framework to engage payers in reducing diagnostic
errors in healthcare. Diagnosis (Berl). 2024;11(1):17-24. doi:10.1515/dx-2023-0042.
https://psnet.ahrq.gov/issue/pridx…
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psnet.ahrq.gov/node/41553/psn-pdf
December 02, 2014 - Quality improvement initiative to reduce serious safety
events and improve patient safety culture.
December 2, 2014
Muething S, Goudie A, Schoettker PJ, et al. Quality improvement initiative to reduce serious safety events
and improve patient safety culture. Pediatrics. 2012;130(2):e423-31. doi:10.1542/peds.2011-35…
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psnet.ahrq.gov/node/35770/psn-pdf
January 02, 2017 - Actions and implementation strategies to reduce suicidal
events in the Veterans Health Administration.
January 2, 2017
Mills PD, Neily J, Luan D, et al. Actions and Implementation Strategies to Reduce Suicidal Events in the
Veterans Health Administration. The Joint Commission Journal on Quality and Patient Safety. …
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psnet.ahrq.gov/node/35995/psn-pdf
October 28, 2010 - FDA Guidance Document: Hospital Bed System
Dimensional and Assessment Guidance to Reduce
Entrapment.
October 28, 2010
Rockville MD: Center for Devices and Radiological Health, Food and Drug Administration: March 10, 2006.
https://psnet.ahrq.gov/issue/fda-guidance-document-hospital-bed-system-dimensional-and-assess…
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psnet.ahrq.gov/node/40542/psn-pdf
August 25, 2011 - Optimising surgical training: use of feedback to reduce
errors during a simulated surgical procedure.
August 25, 2011
Boyle E, Al-Akash M, Gallagher AG, et al. Optimising surgical training: use of feedback to reduce errors
during a simulated surgical procedure. Postgrad Med J. 2011;87(1030):524-8.
doi:10.1136/pgmj…
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psnet.ahrq.gov/node/37003/psn-pdf
September 14, 2011 - Does incorporating medications in the surveyors'
interpretive guidelines reduce the use of potentially
inappropriate medications in nursing homes?
September 14, 2011
Lapane KL, Hughes CM, Quilliam BJ. Does Incorporating Medications in the Surveyors' Interpretive
Guidelines Reduce the Use of Potentially Inappropria…
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psnet.ahrq.gov/node/37675/psn-pdf
April 09, 2008 - Hospital progress in reducing error: the impact of
external interventions.
April 9, 2008
Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top.
2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20.
https://psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interv…
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psnet.ahrq.gov/node/37850/psn-pdf
June 18, 2008 - Information technology-based approaches to reducing
repeat drug exposure in patients with known drug
allergies.
June 18, 2008
Cresswell K, Sheikh A. Information technology-based approaches to reducing repeat drug exposure in
patients with known drug allergies. J Allergy Clin Immunol. 2008;121(5):1112-1117.e7.
doi…
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psnet.ahrq.gov/node/40849/psn-pdf
January 12, 2012 - Chemotherapy in home care: one team's performance
improvement journey toward reducing medication errors.
January 12, 2012
Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement
journey toward reducing medication errors. Home Healthc Nurse. 2012;30(1):28-37.
doi:10.1097/NH…
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psnet.ahrq.gov/node/39061/psn-pdf
January 03, 2017 - A comprehensive perinatal patient safety program to
reduce preventable adverse outcomes and costs of
liability claims.
January 3, 2017
Simpson KR, Kortz CC, Knox E. A comprehensive perinatal patient safety program to reduce preventable
adverse outcomes and costs of liability claims. Jt Comm J Qual Patient Saf. 200…
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psnet.ahrq.gov/node/39606/psn-pdf
April 11, 2011 - Drug-related problems in older people after hospital
discharge and interventions to reduce them.
April 11, 2011
Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, et al. Drug-related problems in older people after
hospital discharge and interventions to reduce them. Age Ageing. 2010;39(4):430-8.
doi:10.1093/agein…
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psnet.ahrq.gov/node/41272/psn-pdf
April 06, 2012 - Closed medical negligence claims can drive patient safety
and reduce litigation.
April 6, 2012
Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin
Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5.
https://psnet.ahrq.gov/issue/closed-medical-…
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psnet.ahrq.gov/node/36362/psn-pdf
October 27, 2010 - Effectiveness of Toyota process redesign in reducing
thyroid gland fine-needle aspiration error.
October 27, 2010
Raab SS, Grzybicki DM, Sudilovsky D, et al. Effectiveness of Toyota process redesign in reducing thyroid
gland fine-needle aspiration error. Am J Clin Pathol. 2006;126(4):585-92.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/37023/psn-pdf
September 24, 2010 - Applying the Toyota Production System: using a patient
safety alert system to reduce error.
September 24, 2010
Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to
reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386.
https://psnet.ahrq.gov/issue/applying-toyot…
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psnet.ahrq.gov/node/41588/psn-pdf
August 15, 2012 - Implementation of an evidence-based extubation
checklist to reduce extubation failure in patients with
trauma: a pilot study.
August 15, 2012
Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation
failure in patients with trauma: a pilot study. AANA J. 2012;80(3):179-184…
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psnet.ahrq.gov/node/41222/psn-pdf
May 01, 2016 - Reducing Unnecessary Hospital Readmissions: The Role
of the Patient Safety Organization (PSO).
May 1, 2016
Agency for Healthcare Quality and Research.
https://psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-
pso
Patient safety organizations (PSO) present a unique o…