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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/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/node/40524/psn-pdf
March 04, 2019 - Principles of pediatric patient safety: reducing harm due
to medical care.
March 4, 2019
Mueller BU, Neuspiel DR, Fisher ERS, et al. Principles of Pediatric Patient Safety: Reducing Harm Due to
Medical Care. Pediatrics. 2019;143(2):e20183649. doi:10.1542/peds.2018-3649.
https://psnet.ahrq.gov/issue/principles-pedi…
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psnet.ahrq.gov/node/44552/psn-pdf
June 21, 2016 - Reducing diagnostic errors—why now?
June 21, 2016
Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-
2493. doi:10.1056/NEJMp1508044.
https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
Diagnostic error has recently garnered attention as a patient safety pr…
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - Decreased hepatic blood
flow and hepatic function reduces medication metabolism, and reduced renal function
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psnet.ahrq.gov/issue/prescription-opioid-crisis-role-anaesthesiologist-reducing-opioid-use-and-misuse
November 16, 2022 - Review
Emerging Classic
The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse.
Citation Text:
Soffin EM, Lee BH, Kumar KK, et al. The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and m…
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psnet.ahrq.gov/issue/new-infusion-syringe-label-system-designed-reduce-task-complexity-during-drug-preparation
February 13, 2019 - Study
A new infusion syringe label system designed to reduce task complexity during drug preparation.
Citation Text:
Merry AF, Webster CS, Connell H. A new infusion syringe label system designed to reduce task complexity during drug preparation. Anaesthesia. 2007;62(5). doi:10.1111/j.1…
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psnet.ahrq.gov/issue/hamilton-acute-pain-service-safety-study-using-root-cause-analysis-reduce-incidence-adverse
January 12, 2011 - Study
Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events.
Citation Text:
Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis to reduce the incidence of adverse events. Anesth…
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psnet.ahrq.gov/issue/interventions-reduce-medication-prescribing-errors-paediatric-cardiac-intensive-care-unit
November 16, 2022 - Study
Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit.
Citation Text:
Burmester MK, Dionne R, Thiagarajan RR, et al. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Intensive Care Med. …
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psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated
August 25, 2010 - Commentary
Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…
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psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk-harm
December 06, 2017 - Book/Report
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm.
Citation Text:
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. Washington, DC: United States Government Accountability Office; October 201…
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psnet.ahrq.gov/issue/how-informatics-nurses-use-bar-code-technology-reduce-medication-errors
August 04, 2021 - Commentary
How informatics nurses use bar code technology to reduce medication errors.
Citation Text:
Gann M. How informatics nurses use bar code technology to reduce medication errors. Nursing (Brux). 2015;45(3):60-6. doi:10.1097/01.NURSE.0000458923.18468.37.
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Format:…
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psnet.ahrq.gov/node/46431/psn-pdf
November 22, 2017 - Prescription Opioids: Medicare Needs to Expand
Oversight Efforts to Reduce the Risk of Harm.
November 22, 2017
Washington, DC: United States Government Accountability Office; October 2017. Publication GAO-18-15.
https://psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk-
…
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events.
March 20, 2014
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt
Comm J Qual Patient Saf. 2014;40(1):39-45.
https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…
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psnet.ahrq.gov/node/39525/psn-pdf
March 13, 2019 - Effect of bar-code technology on the safety of medication
administration.
March 13, 2019
Poon EG, Keohane C, Yoon CS, et al. Effect of bar-code technology on the safety of medication
administration. New Engl J Med. 2010;362(18):1698-1707. doi:10.1056/NEJMsa0907115.
https://psnet.ahrq.gov/issue/effect-bar-code-tech…
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psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - Patient Safety in Primary Care
February 21, 2020
Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/patient-safety-primary-care
Introduction
A strong primary care system is foundational to achieving high-quality, accessible, efficient healthcare …
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psnet.ahrq.gov/node/37043/psn-pdf
May 04, 2015 - To reduce risks, hospitals enlist 'proceduralists.'
May 4, 2015
Landro L.
https://psnet.ahrq.gov/issue/reduce-risks-hospitals-enlist-proceduralists
This article reports on hospitals that are creating dedicated teams of experts who have the skills to
perform risky medical procedures.
https://psnet.ahrq.gov/issue/r…
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
May 06, 2015 - Toolkit
Improving Diagnosis in Medicine Change Package.
Citation Text:
Improving Diagnosis in Medicine Change Package. Chicago, IL: Health Research & Educational Trust; 2018.
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