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psnet.ahrq.gov/node/41509/psn-pdf
January 03, 2017 - The Henry Ford Health System No Harm Campaign: a
comprehensive model to reduce harm and save lives.
January 3, 2017
Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The
Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives.
in…
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September 07, 2022 - Rethinking use of air-safety principles to reduce fatal
hospital errors.
September 7, 2022
Rethinking use of air-safety principles to reduce fatal hospital errors.
doi:10.1377/forefront.20220824.965364.
https://psnet.ahrq.gov/issue/rethinking-use-air-safety-principles-reduce-fatal-hospital-errors
The safety of co…
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March 28, 2018 - Effectiveness of a clinical knowledge support system for
reducing diagnostic errors in outpatient care in Japan: a
retrospective study.
March 28, 2018
Shimizu T, Nemoto T, Tokuda Y. Effectiveness of a clinical knowledge support system for reducing
diagnostic errors in outpatient care in Japan: A retrospective stud…
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December 07, 2016 - A systematic review of the unintended consequences of
clinical interventions to reduce adverse outcomes.
December 7, 2016
Manojlovich M, Lee S, Lauseng D. A Systematic Review of the Unintended Consequences of Clinical
Interventions to Reduce Adverse Outcomes. J Patient Saf. 2016;12(4):173-179.
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December 13, 2013 - Medication reconciliation: reducing risk for medication
misadventure during transition from hospital to assisted
living.
December 13, 2013
Fitzgibbon M, Lorenz R, Lach H. Medication reconciliation: reducing risk for medication misadventure
during transition from hospital to assisted living. J Gerontol Nurs. 2013;3…
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psnet.ahrq.gov/node/42329/psn-pdf
December 18, 2014 - Health care failure mode and effect analysis to reduce
NICU line–associated bloodstream infections.
December 18, 2014
Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU
line-associated bloodstream infections. Pediatrics. 2013;131(6):e1961-9. doi:10.1542/peds.2012-3…
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April 11, 2011 - Standard drug concentrations and smart-pump
technology reduce continuous-medication-infusion errors
in pediatric patients.
April 11, 2011
Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce
continuous-medication-infusion errors in pediatric patients. Pediatrics. 2005;1…
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February 20, 2019 - Implementation of bar-code medication administration to
reduce patient harm.
February 20, 2019
Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to
Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351.
doi:10.1016/j.mayocpiqo.2018.09.001.
https://ps…
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June 14, 2017 - Does a checklist reduce the number of errors made in
nurse-assembled discharge prescriptions?
June 14, 2017
Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled
discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon.2017.26.8.464.
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April 21, 2021 - Better understanding the downsides of low value
healthcare could reduce harm.
April 21, 2021
Brownlee SM, Korenstein D. Better understanding the downsides of low value healthcare could reduce
harm. BMJ. 2021;372:n117. doi:10.1136/bmj.n117.
https://psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healt…
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March 27, 2019 - Overview of the Environmental Scan of Primary Care-
Based Effort To Reduce Readmissions.
March 27, 2019
Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2019. AHRQ Publication No. 18(19)-0055-EF.
https://psnet.ahrq.gov/issue/overview-environmental-scan-primar…
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psnet.ahrq.gov/node/74176/psn-pdf
December 15, 2021 - Reducing medication errors for adults in hospital
settings.
December 15, 2021
Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings.
Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2.
https://psnet.ahrq.gov/issue/reducing-medi…
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psnet.ahrq.gov/node/43629/psn-pdf
May 01, 2015 - Exposing physicians to reduced residency work hours
did not adversely affect patient outcomes after residency.
May 1, 2015
Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not
adversely affect patient outcomes after residency. Health Aff (Millwood). 2014;33(10):1832-40.…
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January 23, 2019 - Impact of a national QI programme on reducing electronic
health record notifications to clinicians.
January 23, 2019
Shah T, Patel-Teague S, Kroupa L, et al. Impact of a national QI programme on reducing electronic health
record notifications to clinicians. BMJ Qual Saf. 2018;28(1):10-14. doi:10.1136/bmjqs-2017-007…
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psnet.ahrq.gov/node/42938/psn-pdf
February 12, 2014 - Successful implementation of a unit-based quality nurse
to reduce central line-associated bloodstream infections.
February 12, 2014
Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central
line-associated bloodstream infections. Am J Infect Control. 2014;42(2):139-43…
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September 01, 2021 - CancelRx: a health IT tool to reduce medication
discrepancies in the outpatient setting.
September 1, 2021
Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in
the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi:10.1093/jamia/ocab038.
https:…
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October 13, 2010 - Reducing catheter-associated bloodstream infections in
the pediatric intensive care unit: business case for quality
improvement.
October 13, 2010
Nowak JE, Brilli RJ, Lake MR, et al. Reducing catheter-associated bloodstream infections in the pediatric
intensive care unit: Business case for quality improvement. Ped…
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January 01, 2020 - Use of high-fidelity simulation to enhance
interdisciplinary collaboration and reduce patient falls.
May 10, 2017
Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary
Collaboration and Reduce Patient Falls. J Patient Saf. 2020;16(3):245-250.
doi:10.1097/pts.0000…
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psnet.ahrq.gov/node/861278/psn-pdf
January 24, 2024 - Interprofessional learning in multidisciplinary healthcare
teams is associated with reduced patient mortality: a
quantitative systematic review and meta-analysis.
January 24, 2024
Webster CS, Coomber T, Liu S, et al. Interprofessional learning in multidisciplinary healthcare teams is
associated with reduced patien…
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psnet.ahrq.gov/node/42899/psn-pdf
January 29, 2014 - Greatest impact of safe harbor rule may be to improve
patient safety, not reduce liability claims paid by
physicians.
January 29, 2014
Kachalia A, Little A, Isavoran M, et al. Greatest impact of safe harbor rule may be to improve patient safety,
not reduce liability claims paid by physicians. Health Aff (Millwood)…