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psnet.ahrq.gov/node/867702/psn-pdf
September 01, 2021 - Toolkit To Reduce CAUTI and Other HAIs in Long-Term
Care Facilities.
September 1, 2021
Agency for Healthcare Research and Quality. Toolkit To Reduce CAUTI and Other HAIs in Long-Term
Care Facilities. September 2021.
https://psnet.ahrq.gov/issue/toolkit-reduce-cauti-and-other-hais-long-term-care-facilities
Cathete…
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psnet.ahrq.gov/node/47651/psn-pdf
December 12, 2018 - Are national efforts to reduce drug name confusion
paying off?
December 12, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6.
https://psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying
Look-alike and sound-alike medications present a recurring threat to patie…
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
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psnet.ahrq.gov/node/73464/psn-pdf
July 07, 2021 - Errors in breast imaging: how to reduce errors and
promote a safety environment.
July 7, 2021
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.
https://psnet.ahrq.gov/issue/errors-breast-im…
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psnet.ahrq.gov/node/38054/psn-pdf
July 05, 2013 - Ticket to ride: reducing handoff risk during hospital
patient transport.
July 5, 2013
Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient
transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5.
https://psnet.ahrq.gov/issue/ticket-…
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psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - Reducing medical error in the Military Health System: how
can team training help?
March 9, 2009
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can
team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/38569/psn-pdf
May 20, 2009 - Reducing health care hazards: lessons from the
Commercial Aviation Safety Team.
May 20, 2009
Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial
aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hlthaff.28.3.w479.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/50852/psn-pdf
January 29, 2020 - Failure mode and effects analysis to reduce risk of
heparin use.
January 29, 2020
Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin
use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229.
https://psnet.ahrq.gov/issue/failure-mode-and-effect…
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psnet.ahrq.gov/node/866317/psn-pdf
July 17, 2024 - BONE break: a hot debrief tool to reduce second victim
syndrome for nurses.
July 17, 2024
Hess A, Flicek T, Watral AT, et al. BONE break: a hot debrief tool to reduce second victim syndrome for
nurses. Jt Comm J Qual Patient Saf. 2024;50(9):673-677. doi:10.1016/j.jcjq.2024.05.005.
https://psnet.ahrq.gov/issue/bone…
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psnet.ahrq.gov/node/47216/psn-pdf
July 11, 2018 - Progress Made Towards Improving Opioid Safety, But
Further Efforts to Assess Progress and Reduce Risk Are
Needed.
July 11, 2018
Washington, DC: United States Government Accountability Office; May 2018. Publication GAO-18-380.
https://psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-effort…
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psnet.ahrq.gov/issue/what-interventions-could-reduce-diagnostic-error-emergency-departments-review-evidence
November 25, 2020 - Review
What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives.
Citation Text:
Wright B, Faulkner N, Bragge P, et al. What interventions could reduce diagnostic error in emergency departments? A review of evidenc…
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psnet.ahrq.gov/issue/prevalence-preventable-medication-related-hospitalizations-australia-opportunity-reduce-harm
September 23, 2020 - Study
Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm.
Citation Text:
Kalisch LM, Caughey GE, Barratt JD, et al. Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. Int J Qual…
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psnet.ahrq.gov/issue/electronic-prescribing-reduced-prescribing-errors-pediatric-renal-outpatient-clinic
July 08, 2008 - Study
Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic.
Citation Text:
Jani Y, Ghaleb M, Marks SD, et al. Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. J Pediatr. 2008;152(2):214-8. doi:10.1016/j.jpeds.…
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psnet.ahrq.gov/issue/reducing-preventable-medication-safety-events-recognizing-renal-risk
June 27, 2011 - Study
Reducing preventable medication safety events by recognizing renal risk.
Citation Text:
Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476…
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psnet.ahrq.gov/issue/health-care-leader-action-guide-reduce-avoidable-readmissions
March 14, 2018 - Book/Report
Health Care Leader Action Guide to Reduce Avoidable Readmissions.
Citation Text:
Health Care Leader Action Guide to Reduce Avoidable Readmissions. Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Healt…
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psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
May 27, 2020 - Book/Report
Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them.
Citation Text:
Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20-248.
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psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying
December 27, 2018 - Newspaper/Magazine Article
Are national efforts to reduce drug name confusion paying off?
Citation Text:
Are national efforts to reduce drug name confusion paying off? ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6.
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psnet.ahrq.gov/issue/reducing-continuous-intravenous-medication-errors-intensive-care-unit
September 27, 2016 - Commentary
Reducing continuous intravenous medication errors in an intensive care unit.
Citation Text:
OʼByrne N, Kozub EI, Fields W. Reducing Continuous Intravenous Medication Errors in an Intensive Care Unit. J Nurs Care Qual. 2016;31(1):13-16. doi:10.1097/NCQ.0000000000000144.
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psnet.ahrq.gov/issue/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
June 21, 2016 - Study
Ambulatory safety nets to reduce missed and delayed diagnoses of cancer.
Citation Text:
Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010.
C…
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psnet.ahrq.gov/issue/reducing-inappropriate-diagnostic-practice-through-education-and-decision-support
December 13, 2013 - Study
Reducing inappropriate diagnostic practice through education and decision support.
Citation Text:
Bairstow PJ, Persaud J, Mendelson R, et al. Reducing inappropriate diagnostic practice through education and decision support. Int J Qual Health Care. 2010;22(3):194-200. doi:10.1093…