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psnet.ahrq.gov/issue/four-states-robust-prescription-drug-monitoring-programs-reduced-opioid-dosages
June 21, 2016 - Study
Classic
Four states with robust prescription drug monitoring programs reduced opioid dosages.
Citation Text:
Haffajee RL, Mello MM, Zhang F, et al. Four States With Robust Prescription Drug Monitoring Programs Reduced Opioid Dosages. Health Aff (Millwood).…
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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/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication
February 16, 2022 - Study
Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study.
Citation Text:
Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional commun…
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psnet.ahrq.gov/issue/intervention-pharmacist-included-multidisciplinary-team-reduce-adverse-drug-event-qualitative
February 12, 2020 - Review
Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event: a qualitative systematic review.
Citation Text:
Zaij S, Pereira Maia K, Leguelinel-Blache G, et al. Intervention of pharmacist included in multidisciplinary team to reduce adverse drug even…
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psnet.ahrq.gov/issue/professional-structural-and-organisational-interventions-primary-care-reducing-medication
December 16, 2020 - Review
Professional, structural and organisational interventions in primary care for reducing medication errors.
Citation Text:
Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary care for reducing medication errors. Cochrane Databas…
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psnet.ahrq.gov/issue/doing-well-doing-good-assessing-cost-savings-intervention-reduce-central-line-associated
March 21, 2012 - Study
Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital.
Citation Text:
Hsu E, Lin D, Evans SJ, et al. Doing well by doing good: assessing the cost savings of an intervention to reduce c…
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psnet.ahrq.gov/node/37353/psn-pdf
March 28, 2012 - Medication Use: A Systems Approach to Reducing Errors,
Second Edition.
March 28, 2012
Porche? RA. Oakbrook Terrace, IL: Joint Commission Resources: 2008. ISBN 9781599400976.
https://psnet.ahrq.gov/issue/medication-use-systems-approach-reducing-errors-second-edition
Co-authored by a host of medication safety expert…
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psnet.ahrq.gov/node/33966/psn-pdf
August 01, 2017 - Enhancing Patient Safety and Reducing Errors in Health
Care.
August 1, 2017
Scheffler A; Zipperer LA, eds. Chicago, IL: National Patient Safety Foundation; 1999. ISBN:
9781579470555.
https://psnet.ahrq.gov/issue/enhancing-patient-safety-and-reducing-errors-health-care
The proceedings from the 1998 Annenberg meeti…
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psnet.ahrq.gov/node/39189/psn-pdf
April 16, 2018 - Neuromuscular blocking agents: reducing associated
wrong-drug errors.
April 16, 2018
https://psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
This article discusses adverse incidents submitted to the Pennsylvania reporting system involving
neuromuscular blocking agents and s…
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psnet.ahrq.gov/node/37922/psn-pdf
May 02, 2018 - Epidural-IV route mix-ups: reducing the risk of deadly
errors.
May 2, 2018
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
https://psnet.ahrq.gov/issue/epidural-iv-route-mix-ups-reducing-risk-deadly-errors
This article reports on the potentially fatal error of administering epidural medicati…
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psnet.ahrq.gov/node/42576/psn-pdf
September 04, 2013 - Exploring Patient Engagement in Reducing Health-Care-
Related Safety Risks.
September 4, 2013
Copenhagen, Denmark: World Health Organization Regional Office for Europe; 2013. ISBN:
9789289002943.
https://psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks
Exploring th…
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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/37192/psn-pdf
November 26, 2008 - Reducing the Risk by Designing a Safer, Shame-free
Health Care Environment.
November 26, 2008
Abrams MA, Hung LL, Kashuba AB, et al. Chicago, IL: American Medical Association; 2007.
https://psnet.ahrq.gov/issue/reducing-risk-designing-safer-shame-free-health-care-environment
This monograph provides background on h…
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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/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/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/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/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/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…