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psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic
April 15, 2021 - Toolkit
Stem the Tide: Addressing the Opioid Epidemic.
Citation Text:
Stem the Tide: Addressing the Opioid Epidemic. Chicago, IL: American Hospital Association; 2017.
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psnet.ahrq.gov/node/866992/psn-pdf
May 29, 2024 - Harm Reduction Strategies to Improve Safety for People
Who Use Substances
October 30, 2024
Salisbury-Afshar E, Gale B, Mossburg S. Harm Reduction Strategies to Improve Safety for People Who
Use Substances . PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-w…
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psnet.ahrq.gov/node/35065/psn-pdf
October 05, 2005 - Why the need to reduce medical errors is not obvious.
October 5, 2005
Buetow S.
https://psnet.ahrq.gov/issue/why-need-reduce-medical-errors-not-obvious
The author considers whether medical errors are always problematic and asserts a distinction between
desirable and undesirable errors.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach
July 07, 2021 - Study
Reducing near miss medication events using an evidence-based approach.
Citation Text:
Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630.
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psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-vest-intervention-reduce-medication-errors-during-medication
December 21, 2017 - Study
Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial.
Citation Text:
Berdot S, Vilfaillot A, Bézie Y, et al. Effectiveness of a ‘do not interrupt’ vest intervention to…
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psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-hospital-general-medicine
October 19, 2022 - Study
Classic
Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units.
Citation Text:
Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital …
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psnet.ahrq.gov/issue/reducing-high-risk-medication-use-through-pharmacist-led-interventions-outpatient-setting
September 23, 2020 - Study
Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting.
Citation Text:
Deyo JC, Smith BH, Biola H, et al. Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting. J Am Pharm Assoc. 2020. doi:10.1016/j.…
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psnet.ahrq.gov/issue/statewide-collaborative-reduce-surgical-site-infections-results-hawaii-surgical-unit-based
March 21, 2012 - Study
Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program.
Citation Text:
Lin DM, Carson KA, Lubomski LH, et al. Statewide Collaborative to Reduce Surgical Site Infections: Results of the Hawaii Surgical Unit-Based Safety P…
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psnet.ahrq.gov/issue/assessment-opioid-prescribing-practices-and-after-implementation-health-system-intervention
November 16, 2022 - Study
Emerging Classic
Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing.
Citation Text:
Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…
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psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
September 06, 2023 - Study
Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity.
Citation Text:
Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention…
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psnet.ahrq.gov/issue/final-check-say-it-out-loud
July 31, 2023 - Multi-use Website
The Final Check: Say it Out Loud.
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August 1, 2012
This Web site provides resources to help reduce incidence of …
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psnet.ahrq.gov/node/37630/psn-pdf
February 15, 2011 - The Accreditation Council for Graduate Medical
Education's limits on residents' work hours and patient
safety.
February 15, 2011
Jagsi R, Weinstein DF, Shapiro J, et al. The Accreditation Council for Graduate Medical Education's limits
on residents' work hours and patient safety. A study of resident experiences an…
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psnet.ahrq.gov/node/41101/psn-pdf
October 16, 2012 - System-related interventions to reduce diagnostic errors:
a narrative review.
October 16, 2012
Singh H, Graber ML, Kissam SM, et al. System-related interventions to reduce diagnostic errors: a
narrative review. BMJ Qual Saf. 2012;21(2):160-170. doi:10.1136/bmjqs-2011-000150.
https://psnet.ahrq.gov/issue/system-rel…
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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm
Fatigue
May 1, 2016
Jacques S, Williams E. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet].
2016.
https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
Perspective
Alarm fatigue occurs whe…
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psnet.ahrq.gov/node/37627/psn-pdf
March 19, 2008 - Patient Safety in Obstetrics and Gynecology: Improving
Outcomes, Reducing Risks.
March 19, 2008
Gluck PA, ed. Obstet Gynecol Clin. 2008;35(1):1-168.
https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology-improving-outcomes-reducing-risks
This special issue comprehensively addresses the topics of med…
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psnet.ahrq.gov/node/37829/psn-pdf
April 23, 2014 - Hospitals move to reduce risk of night shift.
April 23, 2014
Landro L.
https://psnet.ahrq.gov/issue/hospitals-move-reduce-risk-night-shift
This article reports how hospitals are aiming to boost the safety of care delivered on nights and weekends
by employing "nocturnists" (a hospitalist subspecialty)—physicians wh…
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psnet.ahrq.gov/node/35937/psn-pdf
June 19, 2007 - Ounce of prevention: to reduce errors, hospitals
prescribe innovative designs.
June 19, 2007
Naik G. Wall Street Journal. May 8, 2006; A1.
https://psnet.ahrq.gov/issue/ounce-prevention-reduce-errors-hospitals-prescribe-innovative-designs
This article reports on innovations implemented at a Wisconsin hospital to im…
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psnet.ahrq.gov/node/35772/psn-pdf
March 15, 2006 - Use of dimensional analysis to reduce medication errors.
March 15, 2006
Greenfield S; Whelan B; Cohn E.
https://psnet.ahrq.gov/issue/use-dimensional-analysis-reduce-medication-errors
The investigators tested second-year nursing students on medication dosage calculation and found that
those students who were taught…
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psnet.ahrq.gov/node/45681/psn-pdf
January 25, 2017 - Economic evaluation of quality improvement
interventions for bloodstream infections related to central
catheters: a systematic review.
January 25, 2017
Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for
Bloodstream Infections Related to Central Catheters: A Systema…
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psnet.ahrq.gov/node/39016/psn-pdf
April 04, 2011 - Variation in hospital mortality associated with inpatient
surgery.
April 4, 2011
Ghaferi AA, Birkmeyer JD, Dimick JB. Variation in hospital mortality associated with inpatient surgery. N
Engl J Med. 2009;361(14):1368-75. doi:10.1056/NEJMsa0903048.
https://psnet.ahrq.gov/issue/variation-hospital-mortality-associate…