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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47082/psn-pdf
    July 02, 2019 - Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. July 2, 2019 Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking on Reducing Adverse Events in the Emergency Department: The CHARMED Cluster Ra…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48016/psn-pdf
    January 01, 2020 - Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. May 22, 2019 Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:10.1177/1062860619845494. https://p…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46711/psn-pdf
    July 01, 2019 - The STOP Measure. Safe and Transparent Opioid Prescribing to Promote Patient Safety and Reduced Risk of Opioid Misuse. July 1, 2019 Washington, DC: America's Health Insurance Plans; 2019. https://psnet.ahrq.gov/issue/stop-measure-safe-and-transparent-opioid-prescribing-promote-patient-safety- and-reduced-risk Gu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44785/psn-pdf
    January 27, 2016 - Reducing Adverse Drug Events Related to Opioids Implementation Guide. January 27, 2016 Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015. https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide Opioids are high-risk medication…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842759/psn-pdf
    January 18, 2023 - Cognitive aids in the management of clinical emergencies: a systematic review. January 18, 2023 Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939. https://psnet.ahrq.gov/issue/cognitive-aids…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46254/psn-pdf
    October 09, 2017 - Using risk stratification to reduce medical errors in cervical cancer prevention. October 9, 2017 Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed.2017.3999. https://psnet.ahrq.gov/is…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73969/psn-pdf
    October 26, 2021 - Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. October 13, 2021 Institute for Safe Medication Practices. October 26, 2021. https://psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially- harmful-dispensing Community …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837211/psn-pdf
    May 25, 2022 - 4 actions to reduce medical errors in U.S. hospitals. May 25, 2022 Toussaint JS, Segel KT. Harvard Business Review. April 20, 2022. https://psnet.ahrq.gov/issue/4-actions-reduce-medical-errors-us-hospitals The patient safety movement has had mixed results in sustaining improvement and commitment. This comment…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840169/psn-pdf
    November 16, 2022 - ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. November 16, 2022 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion Mixed case letters are one suggested strategy to reduce look-alike medication na…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47775/psn-pdf
    April 03, 2019 - Reducing diagnostic errors worldwide through diagnostic management teams. April 3, 2019 Verna R, Velazquez AB, Laposata M. Reducing Diagnostic Errors Worldwide Through Diagnostic Management Teams. Ann Lab Med. 2019;39(2):121-124. doi:10.3343/alm.2019.39.2.121. https://psnet.ahrq.gov/issue/reducing-diagnostic-error…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846755/psn-pdf
    March 29, 2023 - Reducing diagnostic errors in the emergency department at the time of patient treatment. March 29, 2023 Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/1742-6723.14146. https://psnet.ahrq.…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72481/psn-pdf
    November 18, 2020 - Computer-based simulation to reduce EHR-related chemotherapy ordering errors. November 18, 2020 Wyatt KD, Freedman EB, Arteaga GM, et al. Computer?based simulation to reduce EHR?related chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496. https://psnet.ahrq.gov/issue/computer-base…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60628/psn-pdf
    July 14, 2020 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. June 24, 2020 Cambridge, MA; CRICO Strategies: July 14, 2020. https://psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and- financial-loss Malpractice claims can generate …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866441/psn-pdf
    August 07, 2024 - Association of patient photographs and reduced retract- and-reorder events. August 7, 2024 Rzewnicki D, Kanvinde A, Gillespie S, et al. Association of patient photographs and reduced retract-and- reorder events. JAMIA Open. 2024;7(3):ooae042. doi:10.1093/jamiaopen/ooae042. https://psnet.ahrq.gov/issue/association-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47297/psn-pdf
    October 31, 2018 - Reducing treatment errors through point-of-care glucometer configuration. October 31, 2018 Estock JL, Pham I-T, Curinga HK, et al. Reducing Treatment Errors Through Point-of-Care Glucometer Configuration. Jt Comm J Qual Patient Saf. 2018;44(11):683-694. doi:10.1016/j.jcjq.2018.03.014. https://psnet.ahrq.gov/issue/…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47140/psn-pdf
    May 01, 2019 - Reduced verification of medication alerts increases prescribing errors. May 1, 2019 Lyell D, Magrabi F, Coiera E. Reduced Verification of Medication Alerts Increases Prescribing Errors. Appl Clin Inform. 2019;10(1):66-76. doi:10.1055/s-0038-1677009. https://psnet.ahrq.gov/issue/reduced-verification-medication-aler…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838311/psn-pdf
    October 12, 2022 - How to reduce stigma and bias in clinical communication: a narrative review. October 12, 2022 Healy M, Richard A, Kidia K. How to reduce stigma and bias in clinical communication: a narrative review. J Gen Intern Med. 2022;37(10):2533-2540. doi:10.1007/s11606-022-07609-y. https://psnet.ahrq.gov/issue/how-reduce-st…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35038/psn-pdf
    January 02, 2017 - Using Six Sigma to reduce medication errors in a home- delivery pharmacy service. January 2, 2017 Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. https://psnet.ahrq.gov/issue/using-six-sigma-redu…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44872/psn-pdf
    February 12, 2016 - Reducing preventable harm in hospitals. February 12, 2016 Bornstein D. New York Times. January 26, and February 2, 2016. https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals Discussing the importance of designing safeguards to prevent system failures that can result in patient harm, this two-part newsp…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41241/psn-pdf
    June 15, 2012 - Using root cause analysis to reduce falls with injury in the psychiatric unit. June 15, 2012 Lee A, Mills PD, Watts B. Using root cause analysis to reduce falls with injury in the psychiatric unit. Gen Hosp Psychiatry. 2012;34(3):304-11. doi:10.1016/j.genhosppsych.2011.12.007. https://psnet.ahrq.gov/issue/using-ro…

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