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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
    December 01, 2017 - Learn From Defects Tool AHRQ Safety Program for Surgery Learn From Defects Tool – Perioperative Setting What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statem…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38878/psn-pdf
    September 26, 2016 - Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. September 26, 2016 Boehm-Davis DA, Remington R. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strateg…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60627/psn-pdf
    June 24, 2020 - Second opinions improve healthcare outcomes and reduce costs. June 24, 2020 Hébert AR. Second opinions improve healthcare outcomes and reduce costs. Employee Benefit News. 2020;June 8. https://psnet.ahrq.gov/issue/second-opinions-improve-healthcare-outcomes-and-reduce-costs Second opinions are a strategy for redu…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37163/psn-pdf
    May 04, 2015 - A medication safety education program to reduce the risk of harm caused by medication errors. May 4, 2015 Dennison RD. A medication safety education program to reduce the risk of harm caused by medication errors. J Contin Educ Nurs. 2007;38(4):176-84. https://psnet.ahrq.gov/issue/medication-safety-education-progra…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37703/psn-pdf
    February 18, 2011 - Reducing diagnostic errors through effective communication: harnessing the power of information technology. February 18, 2011 Singh H, Naik AD, Rao R, et al. Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology. J Gen Intern Med. 2008;23(4). doi:10.1007/s11606-…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39534/psn-pdf
    June 27, 2011 - Reducing inappropriate diagnostic practice through education and decision support. June 27, 2011 Bairstow PJ, Persaud J, Mendelson R, et al. Reducing inappropriate diagnostic practice through education and decision support. Int J Qual Health Care. 2010;22(3):194-200. doi:10.1093/intqhc/mzq016. https://psnet.ahrq.g…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40027/psn-pdf
    November 24, 2010 - Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm. November 24, 2010 Vasilevskis EE, Ely W, Speroff T, et al. Reducing iatrogenic risks: ICU-acquired delirium and weakness-- crossing the quality chasm. Chest. 2010;138(5):1224-33. doi:10.1378/chest.10-0466. https://psnet.ahrq.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41343/psn-pdf
    December 29, 2014 - Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. December 29, 2014 Kalisch LM, Caughey GE, Barratt JD, et al. Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. Int J Qual Health Care. 2012;24(3):239-4…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38457/psn-pdf
    December 31, 2014 - 10-State project to study methods to reduce central line- associated bloodstream infections in hospital ICUs. December 31, 2014 Rockville, MD: Agency for Healthcare Research and Quality; February 19, 2009. https://psnet.ahrq.gov/issue/10-state-project-study-methods-reduce-central-line-associated-bloodstream- infec…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40824/psn-pdf
    October 05, 2011 - Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. October 5, 2011 Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 2011;20(10):895-902. doi:10.1136/bmj…
  11. www.uspreventiveservicestaskforce.org/home/getfilebytoken/hWzpnYXDpQzUr8U_5xY6qS
    January 01, 2003 - anti- hypertensive medications in adults with severe (Stage 3) hypertension suggest that treatment reduces
  12. digital.ahrq.gov/type-care/acute-care
    January 01, 2023 - Acute Care Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children Description This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-time acces…
  13. digital.ahrq.gov/ahrq-funded-projects/feedback-treatment-intensification-data-reduce-cardiovascular-disease-risk
    January 01, 2023 - Feedback of Treatment Intensification Data to Reduce Cardiovascular Disease Risk Project Final Report ( PDF , 129.07 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily r…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35770/psn-pdf
    January 02, 2017 - Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration. January 2, 2017 Mills PD, Neily J, Luan D, et al. Actions and Implementation Strategies to Reduce Suicidal Events in the Veterans Health Administration. The Joint Commission Journal on Quality and Patient Safety. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47710/psn-pdf
    May 11, 2019 - Evaluation of an electronic dosing calculator to reduce pediatric medication errors. May 11, 2019 Murray B, Streitz MJ, Hilliard M, et al. Evaluation of an Electronic Dosing Calculator to Reduce Pediatric Medication Errors. Clin Pediatr (Phila). 2019;58(4):413-416. doi:10.1177/0009922818821871. https://psnet.ahrq.…
  16. www.ahrq.gov/topics/urinary-tract-infection-uti.html
    Topic: Urinary Tract Infection (UTI) AHRQ has toolkits for reducing catheter-associated urinary tract infections (CAUTI) in hospitals, intensive care units, and long-term care settings and improve safety culture by implementing concepts from the Comprehensive Unit-based Safety Program (CUSP). …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854984/psn-pdf
    November 01, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. November 1, 2023 Ali KJ, Goeschel CA, DeLia DM, et al. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. Diagnosis (Berl). 2024;11(1):17-24. doi:10.1515/dx-2023-0042. https://psnet.ahrq.gov/issue/pridx…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39606/psn-pdf
    April 11, 2011 - Drug-related problems in older people after hospital discharge and interventions to reduce them. April 11, 2011 Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, et al. Drug-related problems in older people after hospital discharge and interventions to reduce them. Age Ageing. 2010;39(4):430-8. doi:10.1093/agein…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37746/psn-pdf
    May 14, 2008 - Reducing preventable medication safety events by recognizing renal risk. May 14, 2008 Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f. https://psnet.ahrq.gov/issue/red…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41553/psn-pdf
    December 02, 2014 - Quality improvement initiative to reduce serious safety events and improve patient safety culture. December 2, 2014 Muething S, Goudie A, Schoettker PJ, et al. Quality improvement initiative to reduce serious safety events and improve patient safety culture. Pediatrics. 2012;130(2):e423-31. doi:10.1542/peds.2011-35…