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psnet.ahrq.gov/node/40577/psn-pdf
July 06, 2011 - Reducing potentially fatal errors associated with high
doses of insulin: a successful multifaceted
multidisciplinary prevention strategy.
July 6, 2011
Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of
insulin: a successful multifaceted multidisciplinary preventio…
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psnet.ahrq.gov/node/40058/psn-pdf
January 22, 2017 - Infection preventionist checklist to improve culture and
reduce central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Cosgrove SE, et al. Infection preventionist checklist to improve culture and
reduce central line-associated bloodstream infections. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/node/38853/psn-pdf
January 04, 2010 - Introduction of discharge plan to reduce adverse events
within 72 hours of discharge from the ICU.
January 4, 2010
Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72
hours of discharge from the ICU. J Nurs Care Qual. 2010;25(1):73-79.
doi:10.1097/NCQ.0b013e3…
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psnet.ahrq.gov/node/37408/psn-pdf
March 23, 2011 - Surgical adverse outcomes and patients’ evaluation of
quality of care: inherent risk or reduced quality of care?
March 23, 2011
van de Mheen PJM-, van Duijn-Bakker N, Kievit J. Surgical adverse outcomes and patients' evaluation of
quality of care: inherent risk or reduced quality of care? Qual Saf Health Care. 2007…
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psnet.ahrq.gov/node/43223/psn-pdf
April 22, 2015 - Double gloves: a randomized trial to evaluate a simple
strategy to reduce contamination in the operating room.
April 22, 2015
Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Double gloves: a randomized trial to evaluate a simple strategy
to reduce contamination in the operating room. Anesth Analg. 2015;120(4):848-52.
…
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psnet.ahrq.gov/node/42414/psn-pdf
July 31, 2013 - Reducing cardiopulmonary arrest rates in a three-year
regional rapid response system collaborative.
July 31, 2013
Rosen MJ, Hoberman AJ, Ruiz RE, et al. Reducing cardiopulmonary arrest rates in a three-year regional
rapid response system collaborative. Jt Comm J Qual Patient Saf. 2013;39(7):328-336.
https://psnet.…
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psnet.ahrq.gov/node/35636/psn-pdf
June 24, 2010 - Improving Papanicolaou test quality and reducing
medical errors by using Toyota production system
methods.
June 24, 2010
Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical
errors by using Toyota production system methods. Am J Obstet Gynecol. 2006;194(1).
doi:10.101…
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psnet.ahrq.gov/node/43961/psn-pdf
August 02, 2015 - Reducing inappropriate polypharmacy: the process of
deprescribing.
August 2, 2015
Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing.
JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324.
https://psnet.ahrq.gov/issue/reducing-inappropriate-pol…
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psnet.ahrq.gov/node/41677/psn-pdf
September 26, 2012 - Interventions to reduce medication errors in adult
intensive care: a systematic review.
September 26, 2012
Manias E, Williams A, Liew D. Interventions to reduce medication errors in adult intensive care: a
systematic review. Br J Clin Pharmacol. 2012;74(3). doi:10.1111/j.1365-2125.2012.04220.x.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/35485/psn-pdf
May 27, 2011 - Navigating the information technology highway:
computer solutions to reduce errors and enhance patient
safety.
May 27, 2011
Koshy R. Navigating the information technology highway: computer solutions to reduce errors and enhance
patient safety. Transfusion (Paris). 2005;45(4 Suppl):189S-205S.
https://psnet.ahrq.go…
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digital.ahrq.gov/organization/professional-and-scientific-associates
January 01, 2023 - Professional and Scientific Associates
"First, Do No Harm": Using Health Information Technology to Reduce Use of Preventive Services with Potential Harms - 2010
Principal Investigator
Genevro, Janice
Project Name
"First, Do No Harm": Using Health Information Tech…
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan21/chlamydia-and-gonorrhea-screening-september-2014
June 15, 2013 - Share to Facebook
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Final Research Plan
Chlamydia and Gonorrhea: Screening
June 15, 2013
Recommendations made by the USPSTF are independent of the U.S. government. They should not …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/048-key-evidence-decolonization.docx
October 01, 2024 - Vernon MO, Hayden MK, Trick WE, et al. Archives of Internal Medicine, 2006
Chlorhexidine Gluconate to Cleanse Patients in a Medical Intensive Care Unit: The Effectiveness of Source Control to Reduce the Bioburden of Vancomycin-Resistant Enterococci
Purpose: To evaluate impact of daily chlorhexidine gluconate (CHG) bath…
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www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
December 01, 2012 - Learn from Defects Tool
CUSP Toolkit
Health care organizations can increase the extent to which they learn from defects.
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
June 02, 2025 - Learn From Defects Tool
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be harmed. Most often clinicians recover from mistakes by reducing risks to the patient who suffered a defect.
Wh…
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psnet.ahrq.gov/node/41789/psn-pdf
September 01, 2016 - Drug–drug interactions that should be non-interruptive in
order to reduce alert fatigue in electronic health records.
September 1, 2016
Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in
order to reduce alert fatigue in electronic health records. J Am Med Infor…
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psnet.ahrq.gov/node/73680/psn-pdf
January 01, 2022 - Interventions targeted at reducing diagnostic error:
systematic review.
September 8, 2021
Dave N, Bui S, Morgan C, et al. Interventions targeted at reducing diagnostic error: systematic review. BMJ
Qual Saf. 2022;31(4):297-307. doi:10.1136/bmjqs-2020-012704.
https://psnet.ahrq.gov/issue/interventions-targeted-redu…
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psnet.ahrq.gov/node/42873/psn-pdf
November 23, 2016 - Promoting engagement by patients and families to reduce
adverse events in acute care settings: a systematic
review.
November 23, 2016
Berger ZD, Flickinger TE, Pfoh ER, et al. Promoting engagement by patients and families to reduce
adverse events in acute care settings: a systematic review. BMJ Qual Saf. 2014;23(7…
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psnet.ahrq.gov/node/41203/psn-pdf
December 18, 2014 - A multicenter collaborative approach to reducing
pediatric codes outside the ICU.
December 18, 2014
Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes
outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227.
https://psnet.ahrq.gov/issue/mu…
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psnet.ahrq.gov/node/44574/psn-pdf
October 21, 2015 - Patient safety and quality improvement: reducing risk of
harm.
October 21, 2015
Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev.
2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
T…