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psnet.ahrq.gov/node/46489/psn-pdf
January 01, 2021 - Intervening in interruptions: what exactly is the risk we
are trying to manage?
October 11, 2017
Gao J, Rae AJ, Dekker SWA. Intervening in Interruptions: What Exactly Is the Risk We Are Trying to
Manage? J Patient Saf. 2021;17(7):e684-e688. doi:10.1097/PTS.0000000000000429.
https://psnet.ahrq.gov/issue/intervening…
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psnet.ahrq.gov/node/852460/psn-pdf
August 16, 2023 - Toolkits To Reduce Hypertension in Pregnancy and
Obstetric Hemorrhage.
August 16, 2023
Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
https://psnet.ahrq.gov/issue/toolkits-reduce-hypertension-pregnancy-and-obstetric-hemorrhage
Obstetric hemorrhage and severe high blood pressure during pregna…
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psnet.ahrq.gov/node/45728/psn-pdf
January 23, 2017 - Executive leadership and physician well-being: nine
organizational strategies to promote engagement and
reduce burnout.
January 23, 2017
Shanafelt TD, Noseworthy JH. Executive Leadership and Physician Well-being: Nine Organizational
Strategies to Promote Engagement and Reduce Burnout. Mayo Clin Proc. 2017;92(1):12…
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psnet.ahrq.gov/issue/health-care-associated-infections
December 24, 2008 - Government Resource
Health Care–Associated Infections.
Citation Text:
Health Care–Associated Infections. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
January 26, 2023 - Press Release/Announcement
ISMP survey on tall man (mixed case) lettering to reduce drug name confusion.
Citation Text:
ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. Institute for Safe Medication Practices.
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psnet.ahrq.gov/issue/software-symptoms
March 23, 2009 - Newspaper/Magazine Article
Software for symptoms.
Citation Text:
Software for symptoms. Borzo J. Wall Street Journal. May 23, 2005.
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries
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July 8, 2022
Innovation
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - Combining this standard practice with barcode scanning significantly reduces laboratory testing errors
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psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
November 25, 2020 - are dependent upon an elaborate annular and cruciate pulley system that multiplies mechanical forces, reduces
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psnet.ahrq.gov/web-mm/ebola-are-we-ready
July 01, 2012 - Simulation-based mastery learning reduces complications during central venous catheter insertion in a
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - care including medication administration.( 12 ) Medication reconciliation at the time of admission reduces
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - communication, and procedure implementation can contribute positively to support an education program that reduces
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psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - Standardized ordering and administration of total parenteral nutrition reduces errors in children's hospital
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psnet.ahrq.gov/node/853610/psn-pdf
September 20, 2023 - Ten years later, alarm fatigue is still a safety concern.
September 20, 2023
Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN
Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662.
https://psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-sa…
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psnet.ahrq.gov/node/845642/psn-pdf
March 08, 2023 - Recognizing our biases, understanding the evidence, and
responding equitably: application of the socioecological
model to reduce racial disparities in the NICU.
March 8, 2023
McCarty DB. Recognizing our biases, understanding the evidence, and responding equitably: application of
the socioecological model to reduce…
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psnet.ahrq.gov/node/35909/psn-pdf
October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing
Harm to Patients.
October 7, 2008
McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006.
https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
This report presents ten case studies to illustrate interventions that address p…
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psnet.ahrq.gov/node/47937/psn-pdf
July 31, 2019 - Special Issue on Medication Safety.
July 31, 2019
Chui MA, Pohjanoksa-Mäntylä M, Snyder ME, eds. Res Social Adm Pharm. 2019;15(7):811-906.
https://psnet.ahrq.gov/issue/special-issue-medication-safety
Medication safety is a worldwide challenge. This special issue discusses factors affecting the reliability of
the o…
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psnet.ahrq.gov/node/844768/psn-pdf
September 11, 2019 - Standardized orders for titrating vasopressors: do efforts
to improve safety slow delivery of care?
September 11, 2019
Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow
Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…
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psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during
April 13, 2022 - Commentary
A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.
Citation Text:
Warm E, Ahmad Y, Kinnear B, et al. A dynamic risk management approach for reducing harm from invasive bedside procedures performed during residency.…
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psnet.ahrq.gov/issue/towards-reduction-medication-errors-orthopedics-and-spinal-surgery-outcomes-using-pharmacist
January 30, 2008 - Study
Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach.
Citation Text:
Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led…