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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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-…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. 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…
  12. 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…
  13. 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.…
  14. 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…
  15. 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…
  16. 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. Copy Citat…
  17. 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. Copy Citation Save S…
  18. 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. Copy …
  19. 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…
  20. 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…

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