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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/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.
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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.
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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/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/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/web-mm/when-meds-dont-reach-bed
May 16, 2022 - providers by navigating cost-saving strategies. 21 Eliminating barriers to medication access through M2B reduces
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - reduce in-hospital mortality in adults & children (low SOE).
o Cardiorespiratory Arrest: Significantly reduces
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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/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/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…
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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/issue/contribution-labelling-safe-medication-administration-anaesthetic-practice
March 17, 2021 - Commentary
The contribution of labelling to safe medication administration in anaesthetic practice.
Citation Text:
Merry A, Shipp DH, Lowinger JS. The contribution of labelling to safe medication administration in anaesthetic practice. Best Pract Res Clin Anaesthesiol. 2011;25(2):145-1…
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psnet.ahrq.gov/issue/checklists-prevent-diagnostic-errors-pilot-randomized-controlled-trial
October 12, 2016 - Study
Checklists to prevent diagnostic errors: a pilot randomized controlled trial.
Citation Text:
Ely JW, Graber MA. Checklists to prevent diagnostic errors: a pilot randomized controlled trial. Diagnosis (Berl). 2015;2(3):163-169. doi:10.1515/dx-2015-0008.
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psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors
May 18, 2022 - Commentary
Reducing pediatric medication errors: children are especially at risk for medication errors.
Citation Text:
Hughes RG, Edgerton EA. Reducing pediatric medication errors: children are especially at risk for medication errors. Am J Nurs. 2005;105(5):79-80, 82, 85 passim.
Cop…
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psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
November 16, 2016 - Commentary
Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors.
Citation Text:
Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…
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psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-serious-safety-events-and-improve-patient-safety
July 24, 2017 - Study
Quality improvement initiative to reduce serious safety events and improve patient safety culture.
Citation Text:
Muething S, Goudie A, Schoettker PJ, et al. Quality improvement initiative to reduce serious safety events and improve patient safety culture. Pediatrics. 2012;130(2):e…
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psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
October 19, 2016 - Book/Report
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project.
Citation Text:
Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…