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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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-…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45931/psn-pdf
    July 05, 2017 - The CARE approach to reducing diagnostic errors. July 5, 2017 Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol. 2017;56(6):669-673. doi:10.1111/ijd.13532. https://psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors Cognitive aids such as checklists and mnemoni…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50534/psn-pdf
    October 16, 2019 - Strategies to reduce diagnostic errors: a systematic review October 16, 2019 Abimanyi-Ochom J, Mudiyanselage SB, Catchpool M, et al. Strategies to reduce diagnostic errors: a systematic review. BMC Med Inform Decis Mak. 2019;19(1):174. doi:10.1186/s12911-019-0901-1. https://psnet.ahrq.gov/issue/strategies-reduce-d…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36841/psn-pdf
    December 31, 2014 - Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. December 31, 2014 Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. https://psnet.ahrq.gov/issue/using-medica…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41789/psn-pdf
    September 01, 2016 - Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. September 1, 2016 Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. J Am Med Infor…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43961/psn-pdf
    August 02, 2015 - Reducing inappropriate polypharmacy: the process of deprescribing. August 2, 2015 Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324. https://psnet.ahrq.gov/issue/reducing-inappropriate-pol…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38853/psn-pdf
    January 04, 2010 - Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. January 4, 2010 Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. J Nurs Care Qual. 2010;25(1):73-79. doi:10.1097/NCQ.0b013e3…

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