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  1. www.ahrq.gov/news/newsroom/case-studies/201808.html
    December 01, 2018 - Tampa Hospital Uses AHRQ Tools to Reduce Emergency Department CAUTI Rates by 75 Percent Search All Impact Case Studies December 2018 Tampa General Hospital staff participated in an AHRQ project and implemented several elements from AHRQ’s Comprehensive Unit-based Safety Program (CUSP) to reduce healthcare…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74176/psn-pdf
    December 15, 2021 - Reducing medication errors for adults in hospital settings. December 15, 2021 Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings. Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2. https://psnet.ahrq.gov/issue/reducing-medi…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47872/psn-pdf
    March 27, 2019 - Overview of the Environmental Scan of Primary Care- Based Effort To Reduce Readmissions. March 27, 2019 Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2019. AHRQ Publication No. 18(19)-0055-EF. https://psnet.ahrq.gov/issue/overview-environmental-scan-primar…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47728/psn-pdf
    February 20, 2019 - Implementation of bar-code medication administration to reduce patient harm. February 20, 2019 Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351. doi:10.1016/j.mayocpiqo.2018.09.001. https://ps…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45620/psn-pdf
    December 07, 2016 - A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes. December 7, 2016 Manojlovich M, Lee S, Lauseng D. A Systematic Review of the Unintended Consequences of Clinical Interventions to Reduce Adverse Outcomes. J Patient Saf. 2016;12(4):173-179. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44985/psn-pdf
    January 01, 2020 - Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. March 30, 2016 Bashkin O, Caspi S, Swissa A, et al. Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection. J Patient Saf. 2020;16(1):47-51. do…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46666/psn-pdf
    March 28, 2018 - Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study. March 28, 2018 Shimizu T, Nemoto T, Tokuda Y. Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: A retrospective stud…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838030/psn-pdf
    September 07, 2022 - Rethinking use of air-safety principles to reduce fatal hospital errors. September 7, 2022 Rethinking use of air-safety principles to reduce fatal hospital errors. doi:10.1377/forefront.20220824.965364. https://psnet.ahrq.gov/issue/rethinking-use-air-safety-principles-reduce-fatal-hospital-errors The safety of co…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35182/psn-pdf
    April 11, 2011 - Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. April 11, 2011 Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. Pediatrics. 2005;1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46128/psn-pdf
    June 14, 2017 - Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? June 14, 2017 Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon.2017.26.8.464. https://psnet.ahrq…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73158/psn-pdf
    April 21, 2021 - Better understanding the downsides of low value healthcare could reduce harm. April 21, 2021 Brownlee SM, Korenstein D. Better understanding the downsides of low value healthcare could reduce harm. BMJ. 2021;372:n117. doi:10.1136/bmj.n117. https://psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healt…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41509/psn-pdf
    January 03, 2017 - The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. January 3, 2017 Conway WA, Hawkins S, Jordan J, et al. 2011 John M. Eisenberg Patient Safety and Quality Awards. The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives. in…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39318/psn-pdf
    June 02, 2010 - Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. June 2, 2010 Buetow S, Kiata L, Liew T, et al. Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. Health Soc Care Community. 2…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42681/psn-pdf
    December 13, 2013 - Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. December 13, 2013 Fitzgibbon M, Lorenz R, Lach H. Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. J Gerontol Nurs. 2013;3…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42329/psn-pdf
    December 18, 2014 - Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. December 18, 2014 Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. Pediatrics. 2013;131(6):e1961-9. doi:10.1542/peds.2012-3…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72829/psn-pdf
    March 10, 2021 - Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. March 10, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and- optimization Alert…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867700/psn-pdf
    March 01, 2023 - Toolkit for Reducing Central Line-Associated Blood Stream Infections. March 1, 2023 Agency for Healthcare Research and Quality. Toolkit for Reducing Central Line-Associated Blood Stream Infections. March 2023. https://psnet.ahrq.gov/issue/toolkit-reducing-central-line-associated-blood-stream-infections Eliminatin…
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B. Forms and Training Materials (Appendix Contents) Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42938/psn-pdf
    February 12, 2014 - Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. February 12, 2014 Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J Infect Control. 2014;42(2):139-43…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46956/psn-pdf
    January 23, 2019 - Impact of a national QI programme on reducing electronic health record notifications to clinicians. January 23, 2019 Shah T, Patel-Teague S, Kroupa L, et al. Impact of a national QI programme on reducing electronic health record notifications to clinicians. BMJ Qual Saf. 2018;28(1):10-14. doi:10.1136/bmjqs-2017-007…