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psnet.ahrq.gov/node/42716/psn-pdf
November 06, 2013 - Reducing cognitive errors in dermatology: can anything
be done?
November 6, 2013
Dunbar M, Helms SE, Brodell RT. Reducing cognitive errors in dermatology: can anything be done? J Am
Acad Dermatol. 2013;69(5):810-813. doi:10.1016/j.jaad.2013.07.008.
https://psnet.ahrq.gov/issue/reducing-cognitive-errors-dermatology…
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psnet.ahrq.gov/node/42278/psn-pdf
June 10, 2013 - Reducing errors in emergency surgery.
June 10, 2013
Watters DAK, Truskett PG. Reducing errors in emergency surgery. ANZ J Surg. 2013;83(6):434-437.
doi:10.1111/ans.12194.
https://psnet.ahrq.gov/issue/reducing-errors-emergency-surgery
In the context of emergency surgery, this review summarizes error classification,…
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psnet.ahrq.gov/node/47282/psn-pdf
August 08, 2018 - Making surgical wards safer for patients with diabetes:
reducing hypoglycaemia and insulin errors.
August 8, 2018
Singh A, Adams A, Dudley B, et al. Making surgical wards safer for patients with diabetes: reducing
hypoglycaemia and insulin errors. BMJ Open Qual. 2018;7(3):e000312. doi:10.1136/bmjoq-2017-000312.
ht…
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psnet.ahrq.gov/node/50855/psn-pdf
January 29, 2020 - Is one-pen, one-patient achievable in the hospital? A
quality improvement project to reduce risks of inadvertent
insulin pen sharing at a large academic medical center.
January 29, 2020
Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality
Improvement Project to Reduce Risks …
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psnet.ahrq.gov/node/43593/psn-pdf
May 06, 2015 - Reducing the Risks of Wrong-Site Surgery: Safety
Practices from The Joint Commission Center for
Transforming Healthcare Project.
May 6, 2015
Chicago, IL: American Hospital Association, Health Research and Educational Trust, and Joint
Commission Center for Transforming Healthcare; 2014.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/849318/psn-pdf
May 24, 2023 - The impact of a nursing-led intervention bundle with a
bedside checklist to reduce mortality during the initial
COVID-19 pandemic and implications for future
emergencies.
May 24, 2023
Pugh S, Chan F, Han S, et al. The impact of a nursing-led intervention bundle with a bedside checklist to
reduce mortality during …
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psnet.ahrq.gov/node/41942/psn-pdf
July 24, 2017 - Improving situation awareness to reduce unrecognized
clinical deterioration and serious safety events.
July 24, 2017
Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical
deterioration and serious safety events. Pediatrics. 2013;131(1):e298-308. doi:10.1542/peds.2012-…
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psnet.ahrq.gov/node/38366/psn-pdf
January 28, 2009 - Benchmarking surgical incident reports using a database
and a triage system to reduce adverse outcomes.
January 28, 2009
Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a
triage system to reduce adverse outcomes. Arch Surg. 2008;143(12):1192-7.
doi:10.1001/archsu…
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psnet.ahrq.gov/node/37546/psn-pdf
June 14, 2011 - Effective interventions and implementation strategies to
reduce adverse drug events in the Veterans Affairs (VA)
system.
June 14, 2011
Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse
drug events in the Veterans Affairs (VA) system. Qual Saf Health Care. …
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psnet.ahrq.gov/node/44433/psn-pdf
June 21, 2016 - Ambulance diversion associated with reduced access to
cardiac technology and increased one-year mortality.
June 21, 2016
Shen Y-C, Hsia RY. Ambulance diversion associated with reduced access to cardiac technology and
increased one-year mortality. Health Aff (Millwood). 2015;34(8):1273-80. doi:10.1377/hlthaff.2014.1…
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psnet.ahrq.gov/node/839817/psn-pdf
January 01, 2023 - Ethical leadership supports safety voice by increasing
risk perception and reducing ethical ambiguity: evidence
from the COVID-19 pandemic.
November 9, 2022
Cakir MS, Wardman JK, Trautrims A. Ethical leadership supports safety voice by increasing risk perception
and reducing ethical ambiguity: evidence from the CO…
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psnet.ahrq.gov/node/867013/psn-pdf
October 23, 2024 - Reducing automated dispensing cabinet overrides in the
peri-anesthesia care unit: a quality improvement project.
October 23, 2024
Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-
anesthesia care unit: a quality improvement project. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/node/44494/psn-pdf
June 21, 2016 - Electronic trigger-based intervention to reduce delays in
diagnostic evaluation for cancer: a cluster randomized
controlled trial.
June 21, 2016
Murphy DR, Wu L, Thomas EJ, et al. Electronic Trigger-Based Intervention to Reduce Delays in Diagnostic
Evaluation for Cancer: A Cluster Randomized Controlled Trial. J Cl…
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psnet.ahrq.gov/node/37358/psn-pdf
January 02, 2017 - Reducing surgical complications.
January 2, 2017
Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5.
https://psnet.ahrq.gov/issue/reducing-surgical-complications
The author supports the Institute for Healthcare Improvement’s 5 Million Lives Campaign by
recommending several ch…
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psnet.ahrq.gov/node/37405/psn-pdf
January 06, 2017 - Reducing methicillin-resistant Staphylococcus aureus
(MRSA) infections.
January 6, 2017
Griffin F. 5 Million Lives Campaign. Reducing methicillin-resistant Staphylococcus aureus (MRSA)
infections. Jt Comm J Qual Patient Saf. 2007;33(12):726-31.
https://psnet.ahrq.gov/issue/reducing-methicillin-resistant-staphyloco…
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psnet.ahrq.gov/node/35880/psn-pdf
April 12, 2008 - Long-term solution to malpractice crises: reduce harm to
patients.
April 12, 2008
Schoenbaum S, Segel K. Long-term solution to malpractice crises: reduce harm to patients. Physician
Exec. 2006;32(2):26-9, 31.
https://psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
The authors advoc…
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psnet.ahrq.gov/node/35869/psn-pdf
July 23, 2010 - Five ways you can reduce inappropriate prescribing in the
elderly: a systematic review.
July 23, 2010
Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam
Pract. 2006;55(4):305-12.
https://psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-el…
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - Patient Safety Innovations
Hospital at Home℠ Care Reduces
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psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
December 24, 2008 - Multi-use Website
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization (PSO).
Citation Text:
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization (PSO). Agency for Healthcare Quality and Research.
Copy Citation
…
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psnet.ahrq.gov/node/42046/psn-pdf
September 24, 2016 - Identifying and reducing distractions and interruptions in
a pharmacy department.
September 24, 2016
Raimbault M, Guérin A, Caron E, et al. Identifying and reducing distractions and interruptions in a
pharmacy department. Am J Health Syst Pharm. 2013;70(3):186, 188, 190. doi:10.2146/ajhp120344.
https://psnet.ahrq.…