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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838030/psn-pdf
    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…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46666/psn-pdf
    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…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45620/psn-pdf
    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. https://psnet.ahrq.g…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42681/psn-pdf
    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35182/psn-pdf
    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…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47728/psn-pdf
    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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46128/psn-pdf
    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. https://psnet.ahrq…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73158/psn-pdf
    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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47872/psn-pdf
    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46956/psn-pdf
    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73654/psn-pdf
    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:…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39918/psn-pdf
    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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45980/psn-pdf
    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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)…

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