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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…
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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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psnet.ahrq.gov/node/39318/psn-pdf
June 02, 2010 - Approaches to reducing the most important patient errors
in primary health-care: patient and professional
perspectives.
June 2, 2010
Buetow S, Kiata L, Liew T, et al. Approaches to reducing the most important patient errors in primary
health-care: patient and professional perspectives. Health Soc Care Community. 2…
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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…
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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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psnet.ahrq.gov/node/72829/psn-pdf
March 10, 2021 - Safe Practices to Reduce CPOE Alert Fatigue through
Monitoring, Analysis, and Optimization.
March 10, 2021
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021.
https://psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and-
optimization
Alert…
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psnet.ahrq.gov/node/867700/psn-pdf
March 01, 2023 - Toolkit for Reducing Central Line-Associated Blood
Stream Infections.
March 1, 2023
Agency for Healthcare Research and Quality. Toolkit for Reducing Central Line-Associated Blood Stream
Infections. March 2023.
https://psnet.ahrq.gov/issue/toolkit-reducing-central-line-associated-blood-stream-infections
Eliminatin…
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psnet.ahrq.gov/issue/infection-preventionist-checklist-improve-culture-and-reduce-central-line-associated
January 15, 2014 - Commentary
Infection preventionist checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Cosgrove SE, et al. Infection preventionist checklist to improve culture and reduce central line-associated bloodstream i…
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psnet.ahrq.gov/node/40837/psn-pdf
September 27, 2016 - Nurses' behaviors and visual scanning patterns may
reduce patient identification errors.
September 27, 2016
Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient
identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/a0025261.
https://psnet.ahrq.…
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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:…
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psnet.ahrq.gov/node/866690/psn-pdf
September 11, 2024 - The effectiveness of checklists and error reporting
systems in enhancing patient safety and reducing
medical errors in hospital settings: a narrative review.
September 11, 2024
Chance EA, Florence D, Sardi Abdoul I. The effectiveness of checklists and error reporting systems in
enhancing patient safety and reducin…
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psnet.ahrq.gov/node/48155/psn-pdf
August 07, 2019 - How to prevent or reduce prescribing errors: an evidence
brief for policy authors.
August 7, 2019
de Araújo BC, de Melo RC, de Bortoli MC, et al. How to prevent or reduce prescribing errors: an evidence
brief for policy authors. Front Pharmacol. 2019;10:439. doi:10.3389/fphar.2019.00439.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/44235/psn-pdf
January 22, 2016 - Interventions to reduce nurses' medication administration
errors in inpatient settings: a systematic review and meta-
analysis.
January 22, 2016
Berdot S, Roudot M, Schramm C, et al. Interventions to reduce nurses' medication administration errors in
inpatient settings: A systematic review and meta-analysis. Int J…
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psnet.ahrq.gov/node/45325/psn-pdf
April 08, 2018 - Diagnosis is a team sport—partnering with allied health
professionals to reduce diagnostic errors: a case study
on the role of a vestibular therapist in diagnosing
dizziness.
April 8, 2018
Thomas DB, Newman-Toker DE. Diagnosis is a team sport - partnering with allied health professionals to
reduce diagnostic erro…
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psnet.ahrq.gov/node/44722/psn-pdf
March 15, 2016 - Patient safety's missing link: using clinical expertise to
recognize, respond to and reduce risks at a population
level.
March 15, 2016
Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize,
respond to and reduce risks at a population level. Int J Qual Health C…
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psnet.ahrq.gov/node/38104/psn-pdf
February 18, 2011 - Patient reported receipt of medication instructions for
warfarin is associated with reduced risk of serious
bleeding events.
February 18, 2011
Metlay JP, Hennessy S, Localio R, et al. Patient reported receipt of medication instructions for warfarin is
associated with reduced risk of serious bleeding events. J Gen …
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psnet.ahrq.gov/node/43006/psn-pdf
April 02, 2014 - Hamilton Acute Pain Service Safety Study: using root
cause analysis to reduce the incidence of adverse events.
April 2, 2014
Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis
to reduce the incidence of adverse events. Anesthesiology. 2014;120(1):97-109.
doi:1…
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psnet.ahrq.gov/node/41959/psn-pdf
January 16, 2013 - Use of FMEA analysis to reduce risk of errors in
prescribing and administering drugs in paediatric wards:
a quality improvement report.
January 16, 2013
Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and
administering drugs in paediatric wards: a quality improv…
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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)…
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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…