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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/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/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/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/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/39143/psn-pdf
February 14, 2011 - Impact of a pharmacist-facilitated hospital discharge
program: a quasi-experimental study.
February 14, 2011
Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a
quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. doi:10.1001/archinternmed.2009.398…
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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…
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psnet.ahrq.gov/node/41786/psn-pdf
October 24, 2012 - Minnesota hospitals are testing ways to reduce return
trips.
October 24, 2012
Lerner M. Lerner M. Star Tribune. October 11, 2012.
https://psnet.ahrq.gov/issue/minnesota-hospitals-are-testing-ways-reduce-return-trips
This newspaper article reports on how transition coaches can help improve transfer and discharge
c…
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psnet.ahrq.gov/node/35863/psn-pdf
March 18, 2010 - Healthcare industry representatives: maximizing benefits
and reducing risks.
March 18, 2010
PA PSRS Patient Saf Advis 2006 Mar;3(1):13-19.
https://psnet.ahrq.gov/issue/healthcare-industry-representatives-maximizing-benefits-and-reducing-risks
This article addresses strategies for minimizing patient safety risks re…
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psnet.ahrq.gov/node/41874/psn-pdf
November 21, 2012 - Reducing Diagnostic Errors.
November 21, 2012
Boston, MA: National Patient Safety Foundation; 2011.
https://psnet.ahrq.gov/issue/reducing-diagnostic-errors
This online continuing education module will educate participants on diagnostic errors, including
contributing factors and prevention strategies. Dr. Mark Grab…
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psnet.ahrq.gov/node/41581/psn-pdf
August 08, 2012 - How-to Guides: Improving Transitions from the Hospital
to Reduce Avoidable Rehospitalizations.
August 8, 2012
Cambridge, MA: Institute for Healthcare Improvement; June 2012.
https://psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
This series, developed in conjunct…
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psnet.ahrq.gov/node/41202/psn-pdf
March 07, 2012 - Reducing latent errors, drift errors, and stakeholder
dissonance.
March 7, 2012
Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955.
https://psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
This commentary discusses system and user errors in health information technology a…
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psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relating-use-health-it-and-ehrs
December 18, 2013 - Book/Report
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.
Citation Text:
Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Washington, DC: Office of the National Coordinator for Heal…
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psnet.ahrq.gov/issue/why-hospitals-still-make-serious-medical-errors-and-how-they-are-trying-reduce-them
October 04, 2023 - Newspaper/Magazine Article
Why hospitals still make serious medical errors—and how they are trying to reduce them.
Citation Text:
Why hospitals still make serious medical errors—and how they are trying to reduce them. Landro L. Wall Street Journal. March 12, 2023.
Copy Citation …
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-measurement-considerations
March 25, 2020 - Book/Report
Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report
Citation Text:
Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report Washington DC; National Quality Forum: Octobe…
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psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-prevent-catheter-associated-urinary
January 25, 2017 - Review
Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review.
Citation Text:
McCleskey SG, Shek L, Grein J, et al. Economic evaluation of quality improvement interventions to prevent c…
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psnet.ahrq.gov/issue/reducing-nosocomial-transmission-covid-19-implementation-covid-19-triage-system
July 29, 2020 - Commentary
Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system.
Citation Text:
Wake RM, Morgan M, Choi J, et al. Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. Clin Med (Lond). 2020;20(5):e141-e145. doi:10.78…
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psnet.ahrq.gov/issue/successful-implementation-unit-based-quality-nurse-reduce-central-line-associated-bloodstream
September 23, 2020 - Study
Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections.
Citation Text:
Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J …