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psnet.ahrq.gov/node/845632/psn-pdf
March 08, 2023 - Pharmacists reducing medication risk in medical
outpatient clinics: a retrospective study of 18 clinics.
March 8, 2023
Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient
clinics: a retrospective study of 18 clinics. Intern Med J. 2023;53(1):95-103. doi:10.1111/imj.15504.…
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psnet.ahrq.gov/node/837631/psn-pdf
July 06, 2022 - The impact of an electronic alert to reduce the risk of co-
prescription of low molecular weight heparins and direct
oral anticoagulants.
July 6, 2022
Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of
low molecular weight heparins and direct oral anticoag…
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psnet.ahrq.gov/node/43496/psn-pdf
November 01, 2016 - Designing and Delivering Whole-Person Transitional
Care: Hospital Guide to Reducing Medicaid
Readmissions.
November 1, 2016
Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality;
September 2016. AHRQ Publication No. 16-0047-EF.
https://psnet.ahrq.gov/issue/designing-…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/resources.html
March 01, 2017 - Resources
Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities
This section aggregates all of the instructional guidance, tools, and resources cited throughout the project.
Guides
Implementation: Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Lon…
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psnet.ahrq.gov/node/866733/psn-pdf
September 18, 2024 - A coproduced family reporting intervention to improve
safety surveillance and reduce disparities.
September 18, 2024
Khan A, Baird JD, Mauskar S, et al. A coproduced family reporting intervention to improve safety
surveillance and reduce disparities. Pediatrics. 2024;154(4):e2023065245. doi:10.1542/peds.2023-065245…
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psnet.ahrq.gov/node/861767/psn-pdf
January 31, 2024 - Health literacy-informed communication to reduce
discharge medication errors in hospitalized children: a
randomized clinical trial.
January 31, 2024
Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge
medication errors in hospitalized children: a randomized clinica…
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psnet.ahrq.gov/node/34829/psn-pdf
April 06, 2011 - Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests.
April 6, 2011
Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4.
https://psnet.ahrq.gov/issue/use-medical-emerg…
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psnet.ahrq.gov/node/73913/psn-pdf
January 01, 2022 - A standardized formulary to reduce pediatric medication
dosing errors: a mixed methods study.
October 6, 2021
Bosson N, Kaji AH, Gausche-Hill M. A standardized formulary to reduce pediatric medication dosing errors:
a mixed methods study. Prehosp Emerg Care. 2022;26(4):492-502. doi:10.1080/10903127.2021.1955058.
h…
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psnet.ahrq.gov/node/836722/psn-pdf
March 09, 2022 - Key use cases for artificial intelligence to reduce the
frequency of adverse drug events: a scoping review.
March 9, 2022
Syrowatka A, Song W, Amato MG, et al. Key use cases for artificial intelligence to reduce the frequency of
adverse drug events: a scoping review. Lancet Digit Health. 2022;4(2):e137-e148. doi:10…
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psnet.ahrq.gov/node/48066/psn-pdf
July 24, 2019 - What interventions could reduce diagnostic error in
emergency departments? A review of evidence, practice
and consumer perspectives.
July 24, 2019
Wright B, Faulkner N, Bragge P, et al. What interventions could reduce diagnostic error in emergency
departments? A review of evidence, practice and consumer perspectiv…
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psnet.ahrq.gov/node/852271/psn-pdf
August 09, 2023 - Redesign of health care systems to reduce diagnostic
errors: leveraging human experience and artificial
intelligence.
August 9, 2023
Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and
artificial intelligence. J Clin Outcomes Manag. 2023;30(3):67-70. doi:10.12788/j…
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psnet.ahrq.gov/node/72526/psn-pdf
January 01, 2021 - How effective are electronic medication systems in
reducing medication error rates and associated harm
among hospital inpatients? A systematic review and
meta-analysis.
December 2, 2020
Gates PJ, Hardie R-A, Raban MZ, et al. How effective are electronic medication systems in reducing
medication error rates and as…
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psnet.ahrq.gov/node/38995/psn-pdf
March 04, 2011 - Does computerized provider order entry reduce
prescribing errors for hospital inpatients? A systematic
review.
March 4, 2011
Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing
errors for hospital inpatients? A systematic review. J Am Med Inform Assoc. 2009;16(5):613-…
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psnet.ahrq.gov/node/60002/psn-pdf
March 04, 2020 - Reduce the likelihood of patient harm associated with the
use of anticoagulant therapy: commentary from the
Anticoagulation Forum on the Updated Joint Commission
NPSG.03.05.01 Elements of Performance
March 4, 2020
Dager WE, Ansell J, Barnes GD, et al. “Reduce the Likelihood of Patient Harm Associated with the Use …
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psnet.ahrq.gov/node/60250/psn-pdf
April 22, 2020 - Implementation of a comprehensive unit-based safety
program to reduce surgical site infections in cesarean
delivery.
April 22, 2020
Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to
reduce surgical site infections in cesarean delivery. Am J Infect Control. 2020;4…
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psnet.ahrq.gov/node/44907/psn-pdf
May 25, 2016 - Bundle interventions used to reduce prescribing and
administration errors in hospitalized children: a
systematic review.
May 25, 2016
Bannan DF, Tully MP. Bundle interventions used to reduce prescribing and administration errors in
hospitalized children: a systematic review. J Clin Pharm Ther. 2016;41(3):246-55. d…
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psnet.ahrq.gov/node/46312/psn-pdf
August 15, 2018 - Improving adherence to long-term opioid therapy
guidelines to reduce opioid misuse in primary care: a
cluster-randomized trial.
August 15, 2018
Liebschutz JM, Xuan Z, Shanahan CW, et al. Improving Adherence to Long-term Opioid Therapy
Guidelines to Reduce Opioid Misuse in Primary Care. JAMA Intern Med. 2017;177(9)…
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psnet.ahrq.gov/node/45876/psn-pdf
January 01, 2021 - Making residents part of the safety culture: improving
error reporting and reducing harms.
February 15, 2017
Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error
Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378.
doi:10.1097/PTS.0000000000000344.
https://…
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psnet.ahrq.gov/node/851363/psn-pdf
July 12, 2023 - Health literacy and systemic racism—using clear
communication to reduce health care inequities.
July 12, 2023
Coleman C, Birk S, DeVoe J. Health literacy and systemic racism—using clear communication to reduce
health care inequities. JAMA Intern Med. 2023;183(8):753-754. doi:10.1001/jamainternmed.2023.2558.
https:…
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psnet.ahrq.gov/node/838252/psn-pdf
October 05, 2022 - A longitudinal study of a multifaceted intervention to
reduce newborn falls while preserving rooming-in on a
mother-baby unit.
October 5, 2022
Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce
newborn falls while preserving rooming-in on a mother-baby unit. Jt Co…