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psnet.ahrq.gov/node/33897/psn-pdf
January 25, 2016 - Reducing Errors in Health Care: Translating Research
Into Practice.
January 25, 2016
Rockville, MD: Agency of Healthcare Research and Quality; AHRQ Publication No. 00-PO58.
https://psnet.ahrq.gov/issue/reducing-errors-health-care-translating-research-practice
This fact sheet on medical errors provides information …
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psnet.ahrq.gov/node/45081/psn-pdf
February 14, 2017 - Quasi-experimental evaluation of the effectiveness of a
large-scale readmission reduction program.
February 14, 2017
Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale
Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681-90.
doi:10.1001/jamainternmed…
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psnet.ahrq.gov/node/50645/psn-pdf
November 06, 2019 - FDA Funding Available for Research Aimed at Reducing
Preventable Harm from Medication
November 6, 2019
Silver Spring, MD; US Food and Drug Administration: October 4, 2019.
https://psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
Medication error is a persistent challen…
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psnet.ahrq.gov/node/39281/psn-pdf
March 05, 2010 - Health Care Leader Action Guide to Reduce Avoidable
Readmissions.
March 5, 2010
Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The
John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.
https://psnet.ahrq.gov/issue/health-care-leader-action-gui…
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psnet.ahrq.gov/node/38423/psn-pdf
September 08, 2010 - Heparin: improving treatment and reducing risk of harm.
September 8, 2010
Daner WE, Gosselin RC, Raschke R, et al. Patient Saf Qual Healthcare. January/February 2009;6:20-25.
https://psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
This article explains safety challenges commonly associated w…
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psnet.ahrq.gov/node/40829/psn-pdf
January 05, 2014 - Guide to Reducing Unintended Consequences of
Electronic Health Records.
January 5, 2014
Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare
Research and Quality; August 2011.
https://psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
…
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psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
November 01, 2016 - Book/Report
Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions.
Citation Text:
Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…
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psnet.ahrq.gov/issue/mbrrace-uk-mothers-and-babies-reducing-risk-through-audits-and-confidential-enquiries-across
July 07, 2021 - Multi-use Website
MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK.
Citation Text:
MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. Oxford, UK: The National Perinatal Epidemiology U…
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psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
March 23, 2012 - Book/Report
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care.
Citation Text:
The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Washington DC: National Quality Forum; 2010.
Copy Citation
Sa…
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psnet.ahrq.gov/issue/potential-role-pharmacogenomics-reducing-adverse-drug-reactions-systematic-review
August 04, 2021 - Review
Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review.
Citation Text:
Phillips KA, Veenstra DL, Oren E, et al. Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. JAMA. 2001;286(18):2270-9.
Copy Citat…
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psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
March 27, 2019 - Toolkit
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions.
Citation Text:
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…
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psnet.ahrq.gov/issue/fda-guidance-document-hospital-bed-system-dimensional-and-assessment-guidance-reduce
July 01, 2009 - Organizational Policy/Guidelines
FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment.
Citation Text:
FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. Rockville MD: Center for Devices a…
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and
Reduce Unnecessary Cesarean Deliveries
July 8, 2022
https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-
cesarean-deliveries
Summary
Started in response to rising maternal morbidity and mortality rates in …
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psnet.ahrq.gov/node/46822/psn-pdf
April 12, 2019 - Effect of an in-hospital multifaceted clinical pharmacist
intervention on the risk of readmission: a randomized
clinical trial.
April 12, 2019
Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist
Intervention on the Risk of Readmission: A Randomized Clinical Trial…
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psnet.ahrq.gov/node/44180/psn-pdf
June 21, 2015 - "Never events" and the quest to reduce preventable harm.
June 21, 2015
Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient
Saf. 2015;41(6):279-288.
https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
The introduction of the term never event…
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psnet.ahrq.gov/node/44289/psn-pdf
November 23, 2024 - Reducing adverse obstetrical outcomes through safety
sciences.
November 23, 2024
Ennen CS, Satin AJ. UpToDate. October 16, 2024.
https://psnet.ahrq.gov/issue/reducing-adverse-obstetrical-outcomes-through-safety-sciences
This review explores the evidence on integrating teamwork, simulation, and unit-based programs …
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psnet.ahrq.gov/node/45755/psn-pdf
December 21, 2016 - Can computers help doctors reduce diagnostic errors?
December 21, 2016
Shryock T. Med Econ. December 5, 2016.
https://psnet.ahrq.gov/issue/can-computers-help-doctors-reduce-diagnostic-errors
Computerized decision support and advanced computing are being used to augment various processes in
health care, such as med…
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psnet.ahrq.gov/node/46385/psn-pdf
October 23, 2018 - The key to reducing doctors' misdiagnoses.
October 23, 2018
Landro L. Wall Street Journal. September 12, 2017.
https://psnet.ahrq.gov/issue/key-reducing-doctors-misdiagnoses
Misdiagnosis has gained recognition as an important patient safety problem. This newspaper article reports
on several areas of research and i…
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psnet.ahrq.gov/node/839330/psn-pdf
November 02, 2022 - Diagnosis: Reducing Errors and Improving Quality.
November 2, 2022
Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine,
21e. New York, NY: McGraw Hill; 2022
https://psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality
The task of performing a …
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psnet.ahrq.gov/node/43896/psn-pdf
October 26, 2015 - Nurses seek to reduce long hours and fatigue.
October 26, 2015
Ungar L. USA Today. February 1, 2015.
https://psnet.ahrq.gov/issue/nurses-seek-reduce-long-hours-and-fatigue
This news article discusses problems associated with nurse fatigue and strategies hospitals are utilizing to
prevent nursing staff from being o…