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psnet.ahrq.gov/node/844782/psn-pdf
September 11, 2019 - Do user-applied safety labels on medication syringes
reduce the incidence of medication errors during rapid
medical response intervention for deteriorating patients
in wards? A systematic search and review.
September 11, 2019
Mikhail J, Grantham H, King L. Do User-Applied Safety Labels on Medication Syringes Reduc…
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psnet.ahrq.gov/node/74098/psn-pdf
January 01, 2023 - Reducing failure to rescue rates in a paediatric in-patient
setting: a 9-year quality improvement study.
November 24, 2021
McHale S, Marufu TC, Manning JC, et al. Reducing failure to rescue rates in a paediatric in?patient setting:
a 9?year quality improvement study. Nurs Crit Care. 2023;28(1):72-79. doi:10.1111/ni…
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psnet.ahrq.gov/node/847532/psn-pdf
April 12, 2023 - The impact of an intervention to improve intrapartum
maternal vital sign monitoring and reduce alarm fatigue.
April 12, 2023
Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum
maternal vital sign monitoring and reduce alarm fatigue. Am J Obstet Gynecol MFM. 2023…
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psnet.ahrq.gov/node/38703/psn-pdf
June 10, 2009 - Reduce medication errors through following metrics.
June 10, 2009
Drug Formulary Review. June 1, 2009.
https://psnet.ahrq.gov/issue/reduce-medication-errors-through-following-metrics
This news piece discusses how using measurement tools in the pharmacy setting could help reduce
medication errors.
https://psnet.a…
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psnet.ahrq.gov/node/40468/psn-pdf
May 26, 2011 - Hospitals overhaul ERs to reduce mistakes.
May 26, 2011
Landro L.
https://psnet.ahrq.gov/issue/hospitals-overhaul-ers-reduce-mistakes
This newspaper article reports on efforts to reduce errors in emergency medicine, including improving
physician–nurse communication, adopting timeouts before discharge, and using tr…
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psnet.ahrq.gov/node/35307/psn-pdf
July 14, 2009 - Color coding to reduce errors.
July 14, 2009
Deboer S, Seaver M, Broselow J. Color coding to reduce errors. Am J Nurs. 2005;105(8):68-71.
https://psnet.ahrq.gov/issue/color-coding-reduce-errors
The authors present a color-coding system that helps estimate the weight of a child in a critical situation so
practition…
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psnet.ahrq.gov/node/36713/psn-pdf
April 29, 2018 - Reducing patient harm from opiates.
April 29, 2018
ISMP Medication Safety Alert! Acute care edition. February 22, 2007.
https://psnet.ahrq.gov/issue/reducing-patient-harm-opiates
This article lists common risks associated with opiates, a high-alert medication, as well as recommended
safety improvements to reduce t…
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psnet.ahrq.gov/node/41278/psn-pdf
April 04, 2012 - Strategies to reduce medication errors in pediatric
ambulatory settings.
April 4, 2012
Mehndiratta S. Strategies to reduce medication errors in pediatric ambulatory settings. J Postgrad Med.
2012;58(1):47-53. doi:10.4103/0022-3859.93252.
https://psnet.ahrq.gov/issue/strategies-reduce-medication-errors-pediatric-am…
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psnet.ahrq.gov/node/36206/psn-pdf
September 30, 2010 - Reducing medication errors by using applied technology.
September 30, 2010
Caesar BR, Hutchinson B. Reducing medication errors by using applied technology. Nursing (Brux).
2006;36(8):24-25.
https://psnet.ahrq.gov/issue/reducing-medication-errors-using-applied-technology
The authors describe their experience in imp…
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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/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/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/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/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/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/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/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/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/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/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…