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psnet.ahrq.gov/node/41074/psn-pdf
January 18, 2012 - Patients count on it: an initiative to reduce incorrect
counts and prevent retained surgical items.
January 18, 2012
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:10.1016/j.aorn.2011.06.007.
https://psnet…
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psnet.ahrq.gov/node/846444/psn-pdf
March 22, 2023 - Teamwork is associated with reduced hospital staff
burnout at military treatment facilities: findings from the
2019 Department of Defense Patient Safety Culture
Survey.
March 22, 2023
Godby Vail S, Dierst-Davies R, Kogut D, et al. Teamwork is associated with reduced hospital staff burnout
at military treatment fa…
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psnet.ahrq.gov/node/34068/psn-pdf
July 10, 2008 - Pharmacists on rounding teams reduce preventable
adverse drug events in hospital general medicine units.
July 10, 2008
Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse
drug events in hospital general medicine units. Arch Intern Med. 2003;163(17):2014-8.
https://…
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psnet.ahrq.gov/node/37662/psn-pdf
July 08, 2008 - Interventions to reduce medication prescribing errors in a
paediatric cardiac intensive care unit.
July 8, 2008
Burmester MK, Dionne R, Thiagarajan RR, et al. Interventions to reduce medication prescribing errors in a
paediatric cardiac intensive care unit. Intensive Care Med. 2008;34(6):1083-90. doi:10.1007/s00134…
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psnet.ahrq.gov/node/38211/psn-pdf
May 21, 2009 - Effectiveness of a barcode medication administration
system in reducing preventable adverse drug events in a
neonatal intensive care unit: a prospective cohort study.
May 21, 2009
Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration system
in reducing preventable adverse…
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psnet.ahrq.gov/node/43316/psn-pdf
July 02, 2014 - Optimizing transitions of care to reduce
rehospitalizations.
July 2, 2014
Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med.
2014;81(5):312-20. doi:10.3949/ccjm.81a.13106.
https://psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations
Care…
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psnet.ahrq.gov/node/36981/psn-pdf
September 14, 2011 - A new infusion syringe label system designed to reduce
task complexity during drug preparation.
September 14, 2011
Merry AF, Webster CS, Connell H. A new infusion syringe label system designed to reduce task complexity
during drug preparation. Anaesthesia. 2007;62(5). doi:10.1111/j.1365-2044.2007.04993.x.
https://…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0373-14083.pdf
July 09, 2014 - Topic 0315 Disparities and SMI NSD SJ clean
Interventions to Reduce Disparities among
Patients with Serious Mental Illness
Nomination Summ…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-4-slides.pptx
September 01, 2015 - PowerPoint Presentation
Preventing CAUTI in the ICU Setting
AHRQ Safety Program for Reducing CAUTI in Hospitals
Module 4: Summary and Next Steps
AHRQ Pub No. 15-0073-4-EF
September 2015
AHRQ Safety Program for Reducing CAUTI in Hospitals
1
Summary of Module 1
CAUTI is a common and harmful healthcare- associated i…
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psnet.ahrq.gov/node/41530/psn-pdf
July 18, 2012 - Electronic prescribing and other forms of technology to
reduce inappropriate medication use and polypharmacy
in older people: a review of current evidence.
July 18, 2012
Clyne B, Bradley MC, Hughes C, et al. Electronic prescribing and other forms of technology to reduce
inappropriate medication use and polypharmac…
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psnet.ahrq.gov/node/35679/psn-pdf
June 28, 2010 - Evaluation of a Web-based education program on
reducing medication dosing error: a multicenter,
randomized controlled trial.
June 28, 2010
Frush K, Hohenhaus S, Luo X, et al. Evaluation of a Web-based education program on reducing
medication dosing error: a multicenter, randomized controlled trial. Pediatr Emerg C…
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psnet.ahrq.gov/node/48061/psn-pdf
June 12, 2019 - Interventions to reduce burnout and improve resilience:
impact on a health system's outcomes.
June 12, 2019
Moffatt-Bruce SD, Nguyen MC, Steinberg B, et al. Interventions to Reduce Burnout and Improve
Resilience: Impact on a Health System's Outcomes. Clin Obstet Gynecol. 2019;62(3):432-443.
doi:10.1097/GRF.0000000…
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psnet.ahrq.gov/node/45610/psn-pdf
November 01, 2017 - Economic value of pharmacist-led medication
reconciliation for reducing medication errors after
hospital discharge.
November 1, 2017
Najafzadeh M, Schnipper JL, Shrank WH, et al. Economic value of pharmacist-led medication reconciliation
for reducing medication errors after hospital discharge. Am J Manag Care. 201…
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psnet.ahrq.gov/node/40271/psn-pdf
May 25, 2011 - Collaborative cohort study of an intervention to reduce
ventilator-associated pneumonia in the intensive care
unit.
May 25, 2011
Berenholtz SM, Pham JC, Thompson DA, et al. Collaborative cohort study of an intervention to reduce
ventilator-associated pneumonia in the intensive care unit. Infect Control Hosp Epidem…
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effectivehealthcare.ahrq.gov/sites/default/files/assessing-applicability.ppt
January 01, 2009 - Use of narrow eligibility criteria or a high exclusion rate reduces applicability. … If high levels of nonadherence, adverse effects, or lack of response are found, then this reduces applicability
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psnet.ahrq.gov/node/38866/psn-pdf
August 19, 2009 - Patient misidentification in Papanicolaou tests: a
systems-based approach to reducing errors.
August 19, 2009
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):1297-300. doi:10.1043/1543-2165-
133.8.12…
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psnet.ahrq.gov/node/42674/psn-pdf
September 12, 2016 - Using crew resource management and a 'read-and-do
checklist' to reduce failure-to-rescue events on a step-
down unit.
September 12, 2016
Young-Xu Y, Fore AM, Metcalf A, et al. Using crew resource management and a 'read-and-do checklist' to
reduce failure-to-rescue events on a step-down unit. Am J Nurs. 2013;113(9)…
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psnet.ahrq.gov/node/40162/psn-pdf
December 29, 2014 - Using an enhanced oral chemotherapy computerized
provider order entry system to reduce prescribing errors
and improve safety.
December 29, 2014
Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to
reduce prescribing errors and improve safety. Int J Qual Health Care…
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psnet.ahrq.gov/node/47959/psn-pdf
May 15, 2019 - A quality improvement initiative to reduce safety events
among adolescents hospitalized after a suicide attempt.
May 15, 2019
Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events
Among Adolescents Hospitalized After a Suicide Attempt. Hosp Pediatr. 2019;9(5):365-372.
…
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psnet.ahrq.gov/node/39972/psn-pdf
January 22, 2017 - Executive/senior leader checklist to improve culture and
reduce central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture
and reduce central line-associated bloodstream infections. Jt Comm J Qual Patient S…