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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/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/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/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/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/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/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/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/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/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/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/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…
-
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…
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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/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…
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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…
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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…
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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…
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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…
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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…