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psnet.ahrq.gov/issue/hospital-board-checklist-improve-culture-and-reduce-central-line-associated-bloodstream
May 24, 2012 - Commentary
Hospital board checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Pronovost P. Hospital Board Checklist to improve culture and reduce central line-associated bloodstream infections. Jt Comm J Qual…
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psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
September 26, 2016 - Newspaper/Magazine Article
Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community.
Citation Text:
Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. ISMP Medication Safety Alert! Acute …
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psnet.ahrq.gov/node/72533/psn-pdf
January 01, 2021 - Strategies to reduce errors associated with 2-component
vaccines.
December 2, 2020
Samad F, Burton SJ, Kwan D, et al. Strategies to reduce errors associated with 2-component vaccines.
Pharmaceut Med. 2021;35(1):1-9. doi:10.1007/s40290-020-00362-9.
https://psnet.ahrq.gov/issue/strategies-reduce-errors-associated-2-…
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psnet.ahrq.gov/node/47211/psn-pdf
November 16, 2018 - A conceptual framework to reduce inpatient preventable
deaths.
November 16, 2018
Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable
Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003.
https://psnet.ahrq.gov/issue/conceptual-framework-…
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psnet.ahrq.gov/node/46144/psn-pdf
June 28, 2017 - Reducing error in anticoagulant dosing via
multidisciplinary team rounding at point of care.
June 28, 2017
Sharma M, Krishnamurthy M, Snyder R, et al. Reducing error in anticoagulant dosing via multidisciplinary
team rounding at point of care. Clin Pract. 2017;7(2). doi:10.4081/cp.2017.953.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/846451/psn-pdf
March 22, 2023 - Reducing risks in complex care transitions in rural areas:
a grounded theory.
March 22, 2023
Winqvist I, Näppä U, Rönning H, et al. Reducing risks in complex care transitions in rural areas: a
grounded theory. Int J Qual Stud Health Well-being. 2023;18(1):2185964.
doi:10.1080/17482631.2023.2185964.
https://psnet.…
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psnet.ahrq.gov/node/44564/psn-pdf
October 14, 2015 - Reducing falls with a safety spotter program.
October 14, 2015
Primmer P, Borenstein KK, Downing MT, et al. Reducing falls with a safety spotter program. Nursing
(Brux). 2015;45(8):16-9. doi:10.1097/01.NURSE.0000469244.89222.27.
https://psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
Patients at high ri…
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psnet.ahrq.gov/node/46688/psn-pdf
January 01, 2018 - New solutions to reduce wrong route medication errors.
December 18, 2017
Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr
Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279.
https://psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
Tubing misconnec…
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psnet.ahrq.gov/node/44221/psn-pdf
September 27, 2016 - Reducing surgical errors: implementing a three-hinge
approach to success.
September 27, 2016
Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J.
2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013.
https://psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hing…
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psnet.ahrq.gov/node/41835/psn-pdf
May 19, 2015 - Interventions for reducing wrong-site surgery and
invasive procedures.
May 19, 2015
Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical
procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404.pub3.
https://psnet.ahrq.gov/issue/…
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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…
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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…
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psnet.ahrq.gov/node/38981/psn-pdf
September 30, 2009 - Computerized decision support to reduce potentially
inappropriate prescribing to older emergency department
patients: a randomized, controlled trial.
September 30, 2009
Terrell KM, Perkins AJ, Dexter P, et al. Computerized decision support to reduce potentially inappropriate
prescribing to older emergency departme…
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psnet.ahrq.gov/node/38359/psn-pdf
May 27, 2010 - A surgical safety checklist to reduce morbidity and
mortality in a global population.
May 27, 2010
Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a
global population. N Engl J Med. 2009;360(5):491-9. doi:10.1056/NEJMsa0810119.
https://psnet.ahrq.gov/issue/su…
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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…
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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…
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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…
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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…
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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…
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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…