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psnet.ahrq.gov/node/37408/psn-pdf
March 23, 2011 - Surgical adverse outcomes and patients’ evaluation of
quality of care: inherent risk or reduced quality of care?
March 23, 2011
van de Mheen PJM-, van Duijn-Bakker N, Kievit J. Surgical adverse outcomes and patients' evaluation of
quality of care: inherent risk or reduced quality of care? Qual Saf Health Care. 2007…
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psnet.ahrq.gov/node/37798/psn-pdf
May 21, 2019 - Improved outcomes, fewer cesarean deliveries, and
reduced litigation: results of a new paradigm in patient
safety.
May 21, 2019
Clark SL, Belfort MA, Byrum SL, et al. Improved outcomes, fewer cesarean deliveries, and reduced
litigation: results of a new paradigm in patient safety. Am J Obstet Gynecol. 2008;199(2):…
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psnet.ahrq.gov/node/40058/psn-pdf
January 22, 2017 - Infection preventionist checklist to improve culture and
reduce central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Cosgrove SE, et al. Infection preventionist checklist to improve culture and
reduce central line-associated bloodstream infections. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/node/40577/psn-pdf
July 06, 2011 - Reducing potentially fatal errors associated with high
doses of insulin: a successful multifaceted
multidisciplinary prevention strategy.
July 6, 2011
Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of
insulin: a successful multifaceted multidisciplinary preventio…
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psnet.ahrq.gov/node/42414/psn-pdf
July 31, 2013 - Reducing cardiopulmonary arrest rates in a three-year
regional rapid response system collaborative.
July 31, 2013
Rosen MJ, Hoberman AJ, Ruiz RE, et al. Reducing cardiopulmonary arrest rates in a three-year regional
rapid response system collaborative. Jt Comm J Qual Patient Saf. 2013;39(7):328-336.
https://psnet.…
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psnet.ahrq.gov/node/35636/psn-pdf
June 24, 2010 - Improving Papanicolaou test quality and reducing
medical errors by using Toyota production system
methods.
June 24, 2010
Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical
errors by using Toyota production system methods. Am J Obstet Gynecol. 2006;194(1).
doi:10.101…
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psnet.ahrq.gov/node/41677/psn-pdf
September 26, 2012 - Interventions to reduce medication errors in adult
intensive care: a systematic review.
September 26, 2012
Manias E, Williams A, Liew D. Interventions to reduce medication errors in adult intensive care: a
systematic review. Br J Clin Pharmacol. 2012;74(3). doi:10.1111/j.1365-2125.2012.04220.x.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/43223/psn-pdf
April 22, 2015 - Double gloves: a randomized trial to evaluate a simple
strategy to reduce contamination in the operating room.
April 22, 2015
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Double gloves: a randomized trial to evaluate a simple strategy
to reduce contamination in the operating room. Anesth Analg. 2015;120(4):848-52.
…
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psnet.ahrq.gov/node/35485/psn-pdf
May 27, 2011 - Navigating the information technology highway:
computer solutions to reduce errors and enhance patient
safety.
May 27, 2011
Koshy R. Navigating the information technology highway: computer solutions to reduce errors and enhance
patient safety. Transfusion (Paris). 2005;45(4 Suppl):189S-205S.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/39997/psn-pdf
December 17, 2010 - Literature review: do rapid response systems reduce the
incidence of major adverse events in the deteriorating
ward patient?
December 17, 2010
Massey D, Aitken LM, Chaboyer W. Literature review: do rapid response systems reduce the incidence of
major adverse events in the deteriorating ward patient? J Clin Nurs. 2…
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psnet.ahrq.gov/node/41203/psn-pdf
December 18, 2014 - A multicenter collaborative approach to reducing
pediatric codes outside the ICU.
December 18, 2014
Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes
outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227.
https://psnet.ahrq.gov/issue/mu…
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psnet.ahrq.gov/node/44574/psn-pdf
October 21, 2015 - Patient safety and quality improvement: reducing risk of
harm.
October 21, 2015
Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev.
2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
T…
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psnet.ahrq.gov/node/42324/psn-pdf
July 16, 2013 - Reducing risk in maternity by optimising teamwork and
leadership: an evidence-based approach to save mothers
and babies.
July 16, 2013
Cornthwaite K, Edwards S, Siassakos D. Reducing risk in maternity by optimising teamwork and
leadership: an evidence-based approach to save mothers and babies. Best Pract Res Clin …
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psnet.ahrq.gov/node/42971/psn-pdf
February 26, 2014 - Reducing central line–associated bloodstream infections
in North Carolina NICUs.
February 26, 2014
Fisher D, Cochran KM, Provost LP, et al. Reducing central line-associated bloodstream infections in North
Carolina NICUs. Pediatrics. 2013;132(6):e1664-71. doi:10.1542/peds.2013-2000.
https://psnet.ahrq.gov/issue/red…
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psnet.ahrq.gov/node/38737/psn-pdf
July 13, 2009 - Reengineering hospital discharge: a protocol to improve
patient safety, reduce costs, and boost patient
satisfaction.
July 13, 2009
Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and
boost patient satisfaction. Am J Med Qual. 2009;24(4):344-6. doi:10.1177/106286060…
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psnet.ahrq.gov/node/46854/psn-pdf
June 20, 2018 - FDA Safety Communication: recommendations to reduce
surgical fires and related patient injury.
June 20, 2018
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. May 29, 2018.
https://psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-
patient-inju…
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psnet.ahrq.gov/node/41502/psn-pdf
October 03, 2012 - Implementation of a surgical comprehensive unit-based
safety program to reduce surgical site infections.
October 3, 2012
Wick EC, Hobson DB, Bennett JL, et al. Implementation of a surgical comprehensive unit-based safety
program to reduce surgical site infections. J Am Coll Surg. 2012;215(2):193-200.
doi:10.1016/j…
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psnet.ahrq.gov/node/42965/psn-pdf
April 20, 2014 - Development of a Web-based surgical booking and
informed consent system to reduce the potential for error
and improve communication.
April 20, 2014
Siracuse JJ, Benoit E, Burke J, et al. Development of a Web-based surgical booking and informed consent
system to reduce the potential for error and improve communicat…
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psnet.ahrq.gov/node/38108/psn-pdf
September 30, 2014 - No more blame & shame: developing event-reporting
systems may go a long way to reducing patient care
errors in EMS.
September 30, 2014
Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may
go a long way to reducing patient care errors in EMS. EMS magazine. 2008;37(9):61…
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psnet.ahrq.gov/node/836928/psn-pdf
April 13, 2022 - Action on patient safety can reduce health inequalities.
April 13, 2022
Wade C, Malhotra AM, McGuire P, et al. Action on patient safety can reduce health inequalities. BMJ.
2022;376:e067090. doi:10.1136/bmj-2021-067090.
https://psnet.ahrq.gov/issue/action-patient-safety-can-reduce-health-inequalities
The role of h…