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psnet.ahrq.gov/node/72509/psn-pdf
November 25, 2020 - Closing the loop on test results to reduce communication
failures: a rapid review of evidence, practice and patient
perspectives.
November 25, 2020
Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a
rapid review of evidence, practice and patient perspectives.…
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psnet.ahrq.gov/node/837960/psn-pdf
August 31, 2022 - Interventions to reduce the incidence of medical error and
its financial burden in health care systems: a systematic
review of systematic reviews.
August 31, 2022
Ahsani-Estahbanati E, Sergeevich Gordeev V, Doshmangir L. Interventions to reduce the incidence of
medical error and its financial burden in health care…
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psnet.ahrq.gov/node/847532/psn-pdf
April 12, 2023 - The impact of an intervention to improve intrapartum
maternal vital sign monitoring and reduce alarm fatigue.
April 12, 2023
Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum
maternal vital sign monitoring and reduce alarm fatigue. Am J Obstet Gynecol MFM. 2023…
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psnet.ahrq.gov/node/74098/psn-pdf
January 01, 2023 - Reducing failure to rescue rates in a paediatric in-patient
setting: a 9-year quality improvement study.
November 24, 2021
McHale S, Marufu TC, Manning JC, et al. Reducing failure to rescue rates in a paediatric in?patient setting:
a 9?year quality improvement study. Nurs Crit Care. 2023;28(1):72-79. doi:10.1111/ni…
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psnet.ahrq.gov/node/44814/psn-pdf
February 24, 2018 - Systematic review of physiologic monitor alarm
characteristics and pragmatic interventions to reduce
alarm frequency.
February 24, 2018
Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and
Pragmatic Interventions to Reduce Alarm Frequency. J Hosp Med. 2016;11(2):136-14…
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psnet.ahrq.gov/node/50707/psn-pdf
December 04, 2019 - Spinal surgery complications: an unsolved problem-Is the
World Health Organization Safety Surgical Checklist an
useful tool to reduce them?
December 4, 2019
Barbanti-Brodano G, Griffoni C, Halme J, et al. Spinal surgery complications: an unsolved problem-Is the
World Health Organization Safety Surgical Checklist a…
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psnet.ahrq.gov/node/837061/psn-pdf
May 11, 2022 - Nursing implications of an early warning system
implemented to reduce adverse events: a qualitative
study.
May 11, 2022
Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to
reduce adverse events: a qualitative study. BMJ Qual Saf. 2022;31(10):716-724. doi:10.1136/bm…
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psnet.ahrq.gov/node/40353/psn-pdf
September 27, 2017 - Identifying and reducing medication errors in psychiatry:
creating a culture of safety through the use of an adverse
event reporting mechanism.
September 27, 2017
Jayaram G, Doyle D, Steinwachs D, et al. Identifying and reducing medication errors in psychiatry: creating
a culture of safety through the use of an ad…
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psnet.ahrq.gov/node/44680/psn-pdf
February 24, 2018 - Measurement is essential for improving diagnosis and
reducing diagnostic error: a report from the Institute of
Medicine.
February 24, 2018
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing
Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2…
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psnet.ahrq.gov/node/43709/psn-pdf
December 04, 2014 - A team-based approach to reducing cardiac monitor
alarms.
December 4, 2014
Dandoy CE, Davies SM, Flesch L, et al. A team-based approach to reducing cardiac monitor alarms.
Pediatrics. 2014;134(6):e1686-e1694. doi:10.1542/peds.2014-1162.
https://psnet.ahrq.gov/issue/team-based-approach-reducing-cardiac-monitor-alar…
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psnet.ahrq.gov/node/47838/psn-pdf
June 02, 2019 - Exploring leadership within a systems approach to
reduce health care–associated infections: a scoping
review of one work system model.
June 2, 2019
Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce
health care-associated infections: A scoping review of one work syste…
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psnet.ahrq.gov/node/844782/psn-pdf
September 11, 2019 - Do user-applied safety labels on medication syringes
reduce the incidence of medication errors during rapid
medical response intervention for deteriorating patients
in wards? A systematic search and review.
September 11, 2019
Mikhail J, Grantham H, King L. Do User-Applied Safety Labels on Medication Syringes Reduc…
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psnet.ahrq.gov/node/60030/psn-pdf
March 11, 2020 - Soft factors, smooth transport? The role of safety climate
and team processes in reducing adverse events during
intrahospital transport in intensive care.
March 11, 2020
Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and
team processes in reducing adverse ev…
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psnet.ahrq.gov/node/36222/psn-pdf
March 10, 2011 - Impact of a computerized clinical decision support
system on reducing inappropriate antimicrobial use: a
randomized controlled trial.
March 10, 2011
McGregor JC, Weekes E, Forrest GN, et al. Impact of a computerized clinical decision support system on
reducing inappropriate antimicrobial use: a randomized controll…
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www.ahrq.gov/hai/clabsi-tools/index.html
March 01, 2023 - Toolkit for Reducing Central Line-Associated Blood Stream Infections
The Toolkit for Reducing Central Line-Associated Blood Stream Infections (CLABSI) can help your unit implement evidence-based practices to reduce and, in many cases, eliminate CLABSI . More than 1,000 intensive care units across the count…
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psnet.ahrq.gov/node/854375/psn-pdf
October 11, 2023 - Multicomponent pharmacist intervention did not reduce
clinically important medication errors for ambulatory
patients initiating direct oral anticoagulants.
October 11, 2023
Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically
important medication errors for ambulatory…
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psnet.ahrq.gov/node/47714/psn-pdf
March 27, 2019 - Quality improvement in ambulatory surgery centers: a
major national effort aimed at reducing infections and
other surgical complications.
March 27, 2019
Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major
National Effort Aimed at Reducing Infections and Other Surgical C…
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www.ahrq.gov/hai/tools.html
June 01, 2024 - Tools To Reduce Healthcare-Associated Infections
AHRQ offers free toolkits designed for clinicians by clinicians. These toolkits offer actionable guidance on what to do and how to do it. They help clinicians and other healthcare staff hardwire improved practices into daily routines and keep patients safe. Ambul…
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psnet.ahrq.gov/node/35307/psn-pdf
July 14, 2009 - Color coding to reduce errors.
July 14, 2009
Deboer S, Seaver M, Broselow J. Color coding to reduce errors. Am J Nurs. 2005;105(8):68-71.
https://psnet.ahrq.gov/issue/color-coding-reduce-errors
The authors present a color-coding system that helps estimate the weight of a child in a critical situation so
practition…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/gout-management-disposition-160721.pdf
March 15, 2016 - statement that "the strength of evidence is low that
treating to a specific target serum urate level reduces … Some will take issue with the statement that evidence does not support the fact that
febuxostat reduces … large body of evidence to strongly suggest that reducing sUA
to a target level over several
years reduces … AHRQ report that “strength of evidence is low that treating to a specific target
serum urate level reduces … Febuxostat is a xanthine oxidase inhibitor and
reduces serum uric acid levels for chronic gout patients