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psnet.ahrq.gov/node/42732/psn-pdf
May 05, 2014 - Reducing falls and fall-related injuries in mental health: a
1-year multihospital falls collaborative.
May 5, 2014
Quigley PA, Barnett SD, Bulat T, et al. Reducing falls and fall-related injuries in mental health: a 1-year
multihospital falls collaborative. J Nurs Care Qual. 2014;29(1):51-9.
doi:10.1097/01.NCQ.000…
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psnet.ahrq.gov/node/60284/psn-pdf
April 29, 2020 - Trends in Pregnancy-Related Deaths and Federal Efforts
to Reduce Them.
April 29, 2020
Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20-
248.
https://psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
Maternal harm is a sentinel e…
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psnet.ahrq.gov/node/40152/psn-pdf
January 19, 2011 - Reducing clinical errors in cancer education: interpreter
training.
January 19, 2011
Gany FM, Gonzalez CJ, Basu G, et al. Reducing clinical errors in cancer education: interpreter training. J
Cancer Educ. 2010;25(4):560-4. doi:10.1007/s13187-010-0107-9.
https://psnet.ahrq.gov/issue/reducing-clinical-errors-cancer-…
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psnet.ahrq.gov/node/47908/psn-pdf
April 24, 2019 - "Sorry" is never enough: how state apology laws fail to
reduce medical malpractice liability risk.
April 24, 2019
McMichael BJ, Van Horn L, Viscusi K. "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce
Medical Malpractice Liability Risk. Stanford Law Rev. 2019;71(2):341-409.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/42352/psn-pdf
January 14, 2014 - Doing well by doing good: assessing the cost savings of
an intervention to reduce central line-associated
bloodstream infections in a Hawaii hospital.
January 14, 2014
Hsu E, Lin D, Evans SJ, et al. Doing well by doing good: assessing the cost savings of an intervention to
reduce central line-associated bloodstrea…
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psnet.ahrq.gov/node/42333/psn-pdf
June 05, 2013 - Has improved hand hygiene compliance reduced the risk
of hospital-acquired infections among hospitalized
patients in Ontario? Analysis of publicly reported patient
safety data from 2008 to 2011.
June 5, 2013
DiDiodato G. Has improved hand hygiene compliance reduced the risk of hospital-acquired infections
among h…
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psnet.ahrq.gov/node/47079/psn-pdf
July 02, 2019 - Reduced effectiveness of interruptive drug–drug
interaction alerts after conversion to a commercial
electronic health record.
July 2, 2019
Wright A, Aaron S, Seger DL, et al. Reduced Effectiveness of Interruptive Drug-Drug Interaction Alerts after
Conversion to a Commercial Electronic Health Record. J Gen Intern M…
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psnet.ahrq.gov/node/46277/psn-pdf
August 15, 2017 - Randomized trial of reducing ambulatory malpractice and
safety risk: results of the Massachusetts PROMISES
Project.
August 15, 2017
Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety
Risk: Results of the Massachusetts PROMISES Project. Med Care. 2017;55(8):797-805…
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psnet.ahrq.gov/node/47149/psn-pdf
June 06, 2018 - Reducing serious safety events and priority hospital-
acquired conditions in a pediatric hospital with the
implementation of a patient safety program.
June 6, 2018
Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired
Conditions in a Pediatric Hospital with the Imp…
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psnet.ahrq.gov/node/44629/psn-pdf
December 09, 2015 - Toolkit for Reducing CAUTI in Hospitals.
December 9, 2015
Rockville, MD: Agency for Healthcare Research and Quality; October 2015.
https://psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals
Catheter–associated urinary tract infections (CAUTIs) are common complications in hospitalized patients.
This toolkit was …
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psnet.ahrq.gov/node/43569/psn-pdf
April 25, 2016 - The safe day call: reducing silos in health care through
frontline risk assessment.
April 25, 2016
Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline
Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481.
https://psnet.ahrq.gov/issue/safe-day-call-r…
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psnet.ahrq.gov/node/41554/psn-pdf
January 03, 2017 - Using root cause analysis to reduce falls with injury in
community settings.
January 3, 2017
Lee A, Mills PD, Neily J. Using root cause analysis to reduce falls with injury in community settings. Jt
Comm J Qual Patient Saf. 2012;38(8):366-374.
https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-inj…
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psnet.ahrq.gov/node/43106/psn-pdf
September 27, 2016 - The sterile cockpit: an effective approach to reducing
medication errors?
September 27, 2016
Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication
errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c.
https://psnet.ahrq.gov/issue/sterile-cockpi…
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psnet.ahrq.gov/node/867756/psn-pdf
March 12, 2025 - Why is it so hard to reduce harm from medicines?
March 12, 2025
Rochford A. Why is it so hard to reduce harm from medicines? Future Healthc J. 2024;11(4):100205.
doi:10.1016/j.fhj.2024.100205.
https://psnet.ahrq.gov/issue/why-it-so-hard-reduce-harm-medicines
Medication errors and adverse drug events (ADEs) impact …
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psnet.ahrq.gov/node/46590/psn-pdf
November 01, 2017 - High-alert medications: the safeguards that you should
put in place to reduce risks.
November 1, 2017
Blank C. Drug Topics. October 13, 2017.
https://psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
This magazine article reports on high-alert medications, their potential to …
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psnet.ahrq.gov/node/40764/psn-pdf
December 29, 2014 - Wristbands as aids to reduce misidentification: an
ethnographically guided task analysis.
December 29, 2014
Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically
guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.1093/intqhc/mzr045.
https://psnet…
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psnet.ahrq.gov/node/42212/psn-pdf
April 17, 2013 - Reducing the risk of adverse drug events in older adults.
April 17, 2013
Pretorius RW, Gataric G, Swedlund SK, et al. Reducing the risk of adverse drug events in older adults. Am
Fam Physician. 2013;87(5):331-6.
https://psnet.ahrq.gov/issue/reducing-risk-adverse-drug-events-older-adults
This commentary outlines ty…
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psnet.ahrq.gov/node/850934/psn-pdf
June 21, 2023 - Are apologies a way to reduce malpractice risks?.
June 21, 2023
Sanfilippo JS, Kettering C, Smith SR. Are apologies a way to reduce malpractice risks? Clin Obstet
Gynecol. 2023;66(2):293-297. doi:10.1097/grf.0000000000000772.
https://psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks
Effective apology…
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psnet.ahrq.gov/node/41900/psn-pdf
December 05, 2012 - Impact of an intervention to reduce prescribing errors in a
pediatric intensive care unit.
December 5, 2012
Martinez-Anton A, Sanchez I, Casanueva L. Impact of an intervention to reduce prescribing errors in a
pediatric intensive care unit. Intensive Care Med. 2012;38(9):1532-8. doi:10.1007/s00134-012-2609-x.
http…
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psnet.ahrq.gov/node/853980/psn-pdf
September 27, 2023 - RFID tags reduce restocking errors of anesthesia
medications.
September 27, 2023
Banks MA. Specialty Pharmacy Continuum. September 15, 2023.
https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications
Radiofrequency identification (RFID) devices are being used to improve processes in the…