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psnet.ahrq.gov/node/37384/psn-pdf
March 28, 2012 - Reducing harm to patients. Using patient safety
dashboards at the board level.
March 28, 2012
Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level.
Healthcare executive. 2007;22(6):62, 64-5.
https://psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-das…
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psnet.ahrq.gov/node/43507/psn-pdf
September 10, 2014 - Surgical 'black box' could reduce errors.
September 10, 2014
Sathya C. CNN. August 22, 2014.
https://psnet.ahrq.gov/issue/surgical-black-box-could-reduce-errors
This news article reports on the development a surgical black box, which includes using cameras and
microphones to record procedures, as a way to track we…
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psnet.ahrq.gov/node/39430/psn-pdf
April 07, 2010 - Mandatory pharmacy residencies: one way to reduce
medication errors.
April 7, 2010
Ibrahim RB, Bahgat-Ibrahim L, Reeves D. Mandatory pharmacy residencies: One way to reduce
medication errors. Am J Health Syst Pharm. 2010;67(6):477-81. doi:10.2146/ajhp090138.
https://psnet.ahrq.gov/issue/mandatory-pharmacy-residenc…
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psnet.ahrq.gov/node/40781/psn-pdf
September 14, 2011 - Reducing the incidence of retained surgical instrument
fragments.
September 14, 2011
Reece M, Troeleman ND, McGowan JE, et al. Reducing the incidence of retained surgical instrument
fragments. AORN J. 2011;94(3):301-4. doi:10.1016/j.aorn.2011.05.014.
https://psnet.ahrq.gov/issue/reducing-incidence-retained-surgica…
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psnet.ahrq.gov/node/41295/psn-pdf
April 11, 2012 - The pursuit of perfection: hospitals take heightened
actions to reduce adverse events.
April 11, 2012
May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare
executive. 2012;27(2):26-8, 30-3.
https://psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened…
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - has gained a lot of steam in recent years because we have strong evidence that naloxone saturation reduces
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - has gained a lot of steam in recent years because we have strong evidence that naloxone saturation reduces
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psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
May 16, 2018 - Book/Report
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed.
Citation Text:
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…
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psnet.ahrq.gov/issue/interventions-reduce-medication-errors-adult-intensive-care-systematic-review
January 22, 2016 - Review
Interventions to reduce medication errors in adult intensive care: a systematic review.
Citation Text:
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.1365-2125.2…
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psnet.ahrq.gov/node/33967/psn-pdf
December 18, 2008 - Reducing and Preventing Adverse Drug Events to
Decrease Hospital Costs.
December 18, 2008
Research in Action, Issue 1. Rockville, MD: Agency for Healthcare Research and Quality; March 2001.
AHRQ Publication no. 01-0020
https://psnet.ahrq.gov/issue/reducing-and-preventing-adverse-drug-events-decrease-hospital-costs…
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psnet.ahrq.gov/node/36402/psn-pdf
June 13, 2011 - Medication reconciliation for reducing drug-discrepancy
adverse events.
June 13, 2011
Boockvar K, LaCorte HC, Giambanco V, et al. Medication reconciliation for reducing drug-discrepancy
adverse events. Am J Geriatr Pharmacother. 2006;4(3):236-43.
https://psnet.ahrq.gov/issue/medication-reconciliation-reducing-drug…
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psnet.ahrq.gov/node/42030/psn-pdf
April 18, 2013 - Reducing hospital errors: interventions that build safety
culture.
April 18, 2013
Singer SJ, Vogus TJ. Reducing hospital errors: interventions that build safety culture. Annu Rev Public
Health. 2013;34:373-96. doi:10.1146/annurev-publhealth-031912-114439.
https://psnet.ahrq.gov/issue/reducing-hospital-errors-inter…
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psnet.ahrq.gov/node/41095/psn-pdf
February 01, 2012 - Intervention to reduce transmission of resistant bacteria
in intensive care.
February 1, 2012
Huskins C, Huckabee CM, O'Grady NP, et al. Intervention to reduce transmission of resistant bacteria in
intensive care. N Engl J Med. 2011;364(15):1407-18. doi:10.1056/NEJMoa1000373.
https://psnet.ahrq.gov/issue/intervent…
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psnet.ahrq.gov/node/43613/psn-pdf
December 19, 2014 - Benefits and risks of using smart pumps to reduce
medication error rates: a systematic review.
December 19, 2014
Ohashi K, Dalleur O, Dykes PC, et al. Benefits and risks of using smart pumps to reduce medication error
rates: a systematic review. Drug Saf. 2014;37(12):1011-1020. doi:10.1007/s40264-014-0232-1.
https…
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psnet.ahrq.gov/node/41369/psn-pdf
May 29, 2015 - Cognitive interventions to reduce diagnostic error: a
narrative review.
May 29, 2015
Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative
review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjqs-2011-000149.
https://psnet.ahrq.gov/issue/cognitive-interventions-re…
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psnet.ahrq.gov/node/43904/psn-pdf
October 13, 2015 - Reducing unacceptable missed doses: pharmacy
assistant–supported medicine administration.
October 13, 2015
Baqir W, Jones K, Horsley W, et al. Reducing unacceptable missed doses: pharmacy assistant-supported
medicine administration. Int J Pharm Pract. 2015;23(5):327-332. doi:10.1111/ijpp.12172.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/72519/psn-pdf
December 02, 2020 - Evaluation of a patient-centered fall-prevention tool kit to
reduce falls and injuries: a nonrandomized controlled
trial.
December 2, 2020
Dykes PC, Burns Z, Adelman JS, et al. Evaluation of a patient-centered fall-prevention tool kit to reduce
falls and injuries: a nonrandomized controlled trial. JAMA Netw Open. …
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psnet.ahrq.gov/node/43378/psn-pdf
August 14, 2014 - Interventions to reduce pediatric medication errors: a
systematic review.
August 14, 2014
Rinke ML, Bundy DG, Velasquez CA, et al. Interventions to reduce pediatric medication errors: a
systematic review. Pediatrics. 2014;134(2):338-360. doi:10.1542/peds.2013-3531.
https://psnet.ahrq.gov/issue/interventions-reduce…
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psnet.ahrq.gov/node/40200/psn-pdf
July 02, 2014 - Checklists to reduce diagnostic errors.
July 2, 2014
Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313.
doi:10.1097/ACM.0b013e31820824cd.
https://psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
Diagnostic errors are rapidly gaining attention as the next f…
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psnet.ahrq.gov/node/41619/psn-pdf
November 27, 2012 - A multicenter, phased, cluster-randomized controlled trial
to reduce central line–associated bloodstream infections
in intensive care units.
November 27, 2012
Marsteller JA, Sexton B, Hsu Y-J, et al. A multicenter, phased, cluster-randomized controlled trial to reduce
central line-associated bloodstream infections…