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psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
December 21, 2017 - Newspaper/Magazine Article
No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS.
Citation Text:
Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may go a long way to reducing patie…
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psnet.ahrq.gov/issue/blinding-or-information-control-diagnosis-could-it-reduce-errors-clinical-decision-making
October 13, 2018 - Review
Blinding or information control in diagnosis: could it reduce errors in clinical decision-making?
Citation Text:
Lockhart JJ, Satya-Murti S. Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? Diagnosis (Berl). 2018;5(4):179-189. doi:1…
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psnet.ahrq.gov/issue/reducing-diagnostic-error-through-medical-home-based-primary-care-reform
July 15, 2015 - Commentary
Reducing diagnostic error through medical home-based primary care reform.
Citation Text:
Singh H, Graber ML. Reducing diagnostic error through medical home-based primary care reform. JAMA. 2010;304(4):463-4. doi:10.1001/jama.2010.1035.
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psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
June 26, 2019 - Review
What have we learned about interventions to reduce medical errors?
Citation Text:
Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497. doi:10.1146/annurev.publhealth.0…
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psnet.ahrq.gov/issue/medication-safety-emergency-medical-services-approaching-evidence-based-method-verification
September 28, 2022 - Study
Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.
Citation Text:
Misasi P, Keebler JR. Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. Ther …
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psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
June 16, 2011 - Commentary
Integrating CUSP and TRIP to improve patient safety.
Citation Text:
Romig M, Goeschel CA, Pronovost P, et al. Integrating CUSP and TRIP to improve patient safety. Hosp Pract (1995). 2010;38(4):114-21. doi:10.3810/hp.2010.11.348.
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psnet.ahrq.gov/issue/patients-count-it-initiative-reduce-incorrect-counts-and-prevent-retained-surgical-items
September 29, 2017 - Commentary
Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items.
Citation Text:
Norton EK, Martin C, Micheli AJ. Patients Count on It: An Initiative to Reduce Incorrect Counts and Prevent Retained Surgical Items. AORN J. 2011;95(1). doi:10.…
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - Decreased hepatic blood flow and hepatic function reduces medication metabolism, and reduced renal function
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psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - providers by navigating cost-saving strategies.21 Eliminating barriers to medication access through M2B
reduces
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - reviewed by the guide’s authors shows that including patients and families during care transitions reduces
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psnet.ahrq.gov/node/34748/psn-pdf
March 07, 2005 - Reducing Adverse Drug Events.
March 7, 2005
Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-events
This application-oriented book provides the results of the Institute for Healthcare Improvement (IHI)
Breakthrough S…
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psnet.ahrq.gov/node/73354/psn-pdf
June 02, 2021 - Advancing Maternal Health Equity and Reducing Maternal
Mortality Workshop.
June 2, 2021
National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021.
https://psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
Maternal safety is challenged by clinical, equity…
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psnet.ahrq.gov/node/50672/psn-pdf
January 01, 2020 - Deprescribing as a clinical improvement focus.
November 20, 2019
Dharmarajan TS, Choi H, Hossain N, et al. Deprescribing as a Clinical Improvement Focus. J Am Med Dir
Assoc. 2020;21(3):355-360. doi:10.1016/j.jamda.2019.08.031.
https://psnet.ahrq.gov/issue/deprescribing-clinical-improvement-focus
Polypharmacy is a …
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psnet.ahrq.gov/issue/toolkit-reduce-cauti-and-other-hais-long-term-care-facilities
January 09, 2024 - Toolkit
Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities.
Citation Text:
Agency for Healthcare Research and Quality. Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. September 2021.
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psnet.ahrq.gov/node/44190/psn-pdf
June 03, 2015 - Minimizing medical mistakes: mother's mission to reduce
hospital errors.
June 3, 2015
Takahara D. KDVR. May 19, 2015.
https://psnet.ahrq.gov/issue/minimizing-medical-mistakes-mothers-mission-reduce-hospital-errors
Parents of children who experience harm in the course of medical care serve as advocates to drive saf…
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psnet.ahrq.gov/node/45581/psn-pdf
October 19, 2016 - Reducing diagnostic errors.
October 19, 2016
Gittlen S. HealthLeaders Media. October 1, 2016.
https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-0
The recent recognition of diagnostic error as a blind spot in health care has driven the need to enhance
diagnosis. This news article reports how health systems, a…
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psnet.ahrq.gov/node/865598/psn-pdf
April 17, 2024 - Guardians of grafts: reducing medication errors in
transplant recipients.
April 17, 2024
ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4.
https://psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients
Safe medication therapy for transplant patients is complex and h…
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psnet.ahrq.gov/issue/optimizing-smart-pump-technology-increasing-critical-safety-alerts-and-reducing-clinically
February 12, 2014 - Study
Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts.
Citation Text:
Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Hosp Pharm.…
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psnet.ahrq.gov/issue/improving-patient-safety-and-optimizing-nursing-teamwork-using-crew-resource-management
March 13, 2013 - Study
Improving patient safety and optimizing nursing teamwork using crew resource management techniques.
Citation Text:
West P, Sculli GL, Fore AM, et al. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. J Nurs Adm. 2012;42(1):15-20. do…
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psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
December 26, 2014 - Study
Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors.
Citation Text:
Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-30…