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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - Handheld computer-based decision support reduces patient length of stay and antibiotic prescribing in
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psnet.ahrq.gov/perspective/conversation-withsorrel-king
March 01, 2007 - members of the care team (including the patients and family members) can verify their accuracy, which reduces
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - A volunteer companion-observer intervention reduces falls on an acute aged care ward.
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - February 3, 2011
Electronic patient identification for sample labeling reduces wrong
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psnet.ahrq.gov/node/49852/psn-pdf
February 01, 2019 - ICU telemedicine reduces interhospital ICU
transfers in the Veterans Health Administration.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kaprielian_9.pdf
January 01, 2007 - A System to Describe and Reduce Medical Errors in Primary Care
A System to Describe and Reduce Medical Errors in
Primary Care
Victoria Kaprielian, MD; Truls Østbye, MD, PhD; Samuel Warburton, MD;
Devdutta Sangvai, MD, MBA; Lloyd Michener, MD
Abstract
Although much attention has been focused on finding wa…
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psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
June 01, 2021 - Commentary
Reducing the incidence of retained surgical instrument fragments.
Citation Text:
Reece M, Troeleman ND, McGowan JE, et al. Reducing the incidence of retained surgical instrument fragments. AORN J. 2011;94(3):301-4. doi:10.1016/j.aorn.2011.05.014.
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psnet.ahrq.gov/issue/reducing-medication-prescribing-errors-teaching-hospital
August 02, 2010 - Study
Reducing medication prescribing errors in a teaching hospital.
Citation Text:
Garbutt J, Milligan PE, McNaughton C, et al. Reducing medication prescribing errors in a teaching hospital. Jt Comm J Qual Patient Saf. 2008;34(9):528-536.
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Google Sch…
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psnet.ahrq.gov/issue/conceptual-framework-reduce-inpatient-preventable-deaths
April 24, 2018 - Study
A conceptual framework to reduce inpatient preventable deaths.
Citation Text:
Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/119-alabama-alcc-fax-campaign.pdf
June 02, 2025 - Reduce Cardiovascular Risk and Disease: Alabama Fax Campaign
Reduce
Overall, Alabama has the highest rate of CVD events (death, hospitalizations,
ED visits) among all 50 states.
We’re here to help change that.
We’re the Alabama Cardiovascular Cooperative, and we’re launching
a three-year state-wide initiative to…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
January 01, 2014 - Understanding and Reducing Overuse of Potentially Harmful Screening Tests
Research Centers for Excellence
in Clinical Preventive Services
Working to get the right services, to the right people, at the right time
Understanding and Reducing Overuse of Potentially Harmful
Screening Tes…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed.pptx
June 02, 2025 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department
Reducing Unnecessary Urinary Catheter Use in the Emergency Department
Margarita E. Pena, MD, FACEP
Medical Director, Clinical Decision Unit
St. John Hospital and Medical Center
Detroit, MI
Learning Objectives
Explain how to establish gui…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.docx
June 02, 2025 - Janine: Hello, everyone, and thank you for listening today. My name is Janine Rissinger, and I’m a program with the Health Research and Educational Trust. Welcome to the first recording in the Cohort 9ED Educational Webinar Series. Today’s webinar topic is ED Physician Engagement.
For Cohort Education we are using the…
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psnet.ahrq.gov/issue/use-dimensional-analysis-reduce-medication-errors
August 06, 2014 - Study
Use of dimensional analysis to reduce medication errors.
Citation Text:
Use of dimensional analysis to reduce medication errors. Greenfield S; Whelan B; Cohn E.
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psnet.ahrq.gov/issue/strategies-reduce-diagnostic-errors-systematic-review
February 02, 2022 - Review
Strategies to reduce diagnostic errors: a systematic review
Citation Text:
Abimanyi-Ochom J, Mudiyanselage SB, Catchpool M, et al. Strategies to reduce diagnostic errors: a systematic review. BMC Med Inform Decis Mak. 2019;19(1):174. doi:10.1186/s12911-019-0901-1.
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psnet.ahrq.gov/issue/nurses-seek-reduce-long-hours-and-fatigue
March 08, 2019 - Newspaper/Magazine Article
Nurses seek to reduce long hours and fatigue.
Citation Text:
Nurses seek to reduce long hours and fatigue. Ungar L. USA Today. February 1, 2015.
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Fac…
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psnet.ahrq.gov/issue/identifying-hospital-organizational-strategies-reduce-readmissions
May 25, 2016 - Study
Identifying hospital organizational strategies to reduce readmissions.
Citation Text:
Ahmad FS, Metlay JP, Barg FK, et al. Identifying hospital organizational strategies to reduce readmissions. Am J Med Qual. 2013;28(4):278-85. doi:10.1177/1062860612464999.
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psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendation-tracking
June 19, 2012 - Study
Reducing delay in diagnosis: multistage recommendation tracking.
Citation Text:
Wandtke B, Gallagher S. Reducing Delay in Diagnosis: Multistage Recommendation Tracking. AJR Am J Roentgenol. 2017;209(5):970-975. doi:10.2214/AJR.17.18332.
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psnet.ahrq.gov/issue/reduce-medication-errors-through-following-metrics
December 21, 2022 - Newspaper/Magazine Article
Reduce medication errors through following metrics.
Citation Text:
Reduce medication errors through following metrics. Drug Formulary Review. June 1, 2009.
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psnet.ahrq.gov/issue/hospitals-move-reduce-risk-night-shift
August 17, 2016 - Newspaper/Magazine Article
Hospitals move to reduce risk of night shift.
Citation Text:
Hospitals move to reduce risk of night shift. Landro L.
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