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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/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/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/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/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/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/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/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/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…
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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/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/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/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/issue/errors-breast-imaging-how-reduce-errors-and-promote-safety-environment
July 22, 2020 - Commentary
Errors in breast imaging: how to reduce errors and promote a safety environment.
Citation Text:
Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118.
Cop…
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psnet.ahrq.gov/issue/reducing-falls-hospitalized-children-and-adolescents-cancer-and-blood-disorders-quality
November 16, 2022 - Study
Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey.
Citation Text:
Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvemen…
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psnet.ahrq.gov/issue/implementing-electronic-health-record-default-settings-reduce-opioid-overprescribing-pilot
April 24, 2018 - Study
Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study.
Citation Text:
Zivin K, White JO, Chao S, et al. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study. Pain Med. 2019;20(1):103-…
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psnet.ahrq.gov/issue/effect-reducing-interns-weekly-work-hours-sleep-and-attentional-failures
January 10, 2017 - Study
Effect of reducing interns' weekly work hours on sleep and attentional failures.
Citation Text:
Lockley SW, Cronin JW, Evans EE, et al. Effect of reducing interns' weekly work hours on sleep and attentional failures. N Engl J Med. 2004;351(18):1829-37.
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psnet.ahrq.gov/issue/pharmacist-led-educational-interventions-provided-healthcare-providers-reduce-medication
October 14, 2020 - Study
Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis.
Citation Text:
Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to healthcare providers to redu…