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psnet.ahrq.gov/node/40742/psn-pdf
May 28, 2014 - Implementation of a protocol to reduce occurrence of
retained sponges after vaginal delivery.
May 28, 2014
Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained
sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.
https://psnet.ahrq.gov/issue/implementa…
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psnet.ahrq.gov/node/35039/psn-pdf
February 24, 2019 - Managing unnecessary variability in patient demand to
reduce nursing stress and improve patient safety.
February 24, 2019
Litvak E, Buerhaus P, Davidoff F, et al. Managing unnecessary variability in patient demand to reduce
nursing stress and improve patient safety. Jt Comm J Qual Patient Saf. 2005;31(6):330-8.
ht…
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psnet.ahrq.gov/node/36932/psn-pdf
September 01, 2011 - Cost-effectiveness of an electronic medication ordering
and administration system in reducing adverse drug
events.
September 1, 2011
Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration
system in reducing adverse drug events. J Eval Clin Pract. 2007;13(3):440-8.
h…
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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/72781/psn-pdf
February 24, 2021 - Reducing prescribing errors in hospitalized children on
the ketogenic diet.
February 24, 2021
Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the
ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009.
https://psnet.ahrq.gov/issue/red…
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psnet.ahrq.gov/node/40943/psn-pdf
September 26, 2012 - Getting the message: a quality improvement initiative to
reduce pages sent to the wrong physician.
September 26, 2012
Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce
pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):855-62.
https://psnet.ahrq.gov/is…
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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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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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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/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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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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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/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/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/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/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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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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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-263-postpartum-hypertensive-pregnancy-executive-summary.pdf
May 01, 2023 - generation) of
health disparities
Reduction of
disparities in BP
surveillance
✓ ✓
HBPM probably reduces