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psnet.ahrq.gov/node/35090/psn-pdf
June 22, 2009 - Improving end of life care: an information systems
approach to reducing medical errors.
June 22, 2009
Tamang S, Kopec D, Shagas G, et al. Improving end of life care: an information systems approach to
reducing medical errors. Stud Health Technol Inform. 2005;114:93-104.
https://psnet.ahrq.gov/issue/improving-end-l…
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psnet.ahrq.gov/node/37887/psn-pdf
July 02, 2008 - Medical mistakes no longer billable: bold steps taken by
state to reduce hospital errors.
July 2, 2008
Smith S.
https://psnet.ahrq.gov/issue/medical-mistakes-no-longer-billable-bold-steps-taken-state-reduce-hospital-
errors
Massachusetts government and state insurers have outlined policies whereby they will not r…
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psnet.ahrq.gov/node/837644/psn-pdf
July 06, 2022 - Reducing administrative harm in medicine - clinicians and
administrators together.
July 6, 2022
O’Donnell WJ. Reducing administrative harm in medicine - clinicians and administrators together. N Engl J
Med. 2022;386(25):2429-2432. doi:10.1056/nejmms2202174.
https://psnet.ahrq.gov/issue/reducing-administrative-harm…
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psnet.ahrq.gov/node/35846/psn-pdf
July 22, 2010 - Why worry? Worry, risk perceptions, and willingness to
act to reduce medical errors.
July 22, 2010
Peters E, Slovic P, Hibbard JH, et al. Why worry? Worry, risk perceptions, and willingness to act to reduce
medical errors. Health Psychology. 2006;25(2). doi:10.1037/0278-6133.25.2.144.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/42027/psn-pdf
September 24, 2016 - Tips to reduce dangerous interruptions by healthcare
staff.
September 24, 2016
Lewis TP, Smith CB, Williams-Jones P. Tips to reduce dangerous interruptions by healthcare staff. Nursing
(Brux). 2012;42(11):65-7. doi:10.1097/01.NURSE.0000421387.36112.e0.
https://psnet.ahrq.gov/issue/tips-reduce-dangerous-interruptio…
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psnet.ahrq.gov/node/39437/psn-pdf
March 03, 2011 - Using care bundles to reduce in-hospital mortality:
quantitative survey.
March 3, 2011
Robb E, Jarman B, Suntharalingam G, et al. Using care bundles to reduce in-hospital mortality: quantitative
survey. BMJ. 2010;340:c1234. doi:10.1136/bmj.c1234.
https://psnet.ahrq.gov/issue/using-care-bundles-reduce-hospital-mort…
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psnet.ahrq.gov/issue/interventions-reduce-medication-errors-adult-intensive-care-systematic-review
January 22, 2016 - Review
Interventions to reduce medication errors in adult intensive care: a systematic review.
Citation Text:
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.1365-2125.2…
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psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
May 16, 2018 - Book/Report
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed.
Citation Text:
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
March 01, 2022 - This reduction in bioburden reduces the
likelihood of infection from a patient’s own flora, and it also … reduces the spread of pathogens
from one patient to another. … bloodstream infection in ICU patients.46,47,48,49,51 There is also
evidence that CHG skin bathing reduces … a 5-day regimen.52-56
The impact of nasal decolonization is substantial, as it also significantly reduces … use of decolonization removes highly antibiotic resistant bacteria that are unwanted
on the skin and reduces
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/hWzpnYXDpQzUr8U_5xY6qS
January 01, 2003 - anti-
hypertensive medications in adults with severe (Stage
3) hypertension suggest that treatment reduces
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psnet.ahrq.gov/node/41896/psn-pdf
December 12, 2012 - Bar-code verification: reducing but not eliminating
medication errors.
December 12, 2012
Henneman PL, Marquard J, Fisher DL, et al. Bar-code verification: reducing but not eliminating medication
errors. J Nurs Adm. 2012;42(12):562-6. doi:10.1097/NNA.0b013e318274b545.
https://psnet.ahrq.gov/issue/bar-code-verificat…
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psnet.ahrq.gov/node/60284/psn-pdf
April 29, 2020 - Trends in Pregnancy-Related Deaths and Federal Efforts
to Reduce Them.
April 29, 2020
Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20-
248.
https://psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
Maternal harm is a sentinel e…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-5.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.5. Organizational Goals of Lean
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central H…
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psnet.ahrq.gov/node/38361/psn-pdf
January 31, 2011 - IOM: shorten residents' work shifts to reduce fatigue,
improve patient safety.
January 31, 2011
Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA.
2009;301(3):259-61. doi:10.1001/jama.2008.940.
https://psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue…
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psnet.ahrq.gov/node/39267/psn-pdf
April 01, 2010 - What have we learned about interventions to reduce
medical errors?
April 1, 2010
Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical
errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497.
doi:10.1146/annurev.publhealth.012809.103544.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/46441/psn-pdf
December 06, 2017 - Reducing delay in diagnosis: multistage recommendation
tracking.
December 6, 2017
Wandtke B, Gallagher S. Reducing Delay in Diagnosis: Multistage Recommendation Tracking. AJR Am J
Roentgenol. 2017;209(5):970-975. doi:10.2214/AJR.17.18332.
https://psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendat…
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psnet.ahrq.gov/node/42732/psn-pdf
May 05, 2014 - Reducing falls and fall-related injuries in mental health: a
1-year multihospital falls collaborative.
May 5, 2014
Quigley PA, Barnett SD, Bulat T, et al. Reducing falls and fall-related injuries in mental health: a 1-year
multihospital falls collaborative. J Nurs Care Qual. 2014;29(1):51-9.
doi:10.1097/01.NCQ.000…
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psnet.ahrq.gov/node/47321/psn-pdf
June 19, 2019 - Validation of a mobile app for reducing errors of
administration of medications in an emergency.
June 19, 2019
Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of
medications in an emergency. J Clin Monit Comput. . 2019;33(3):531-539. doi:10.1007/s10877-018-018…
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psnet.ahrq.gov/node/37518/psn-pdf
March 13, 2008 - Innovation in patient safety: a new task design in
reducing patient falls.
March 13, 2008
Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care
Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5.
https://psnet.ahrq.gov/issue/innovation-patient-safety…
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psnet.ahrq.gov/node/43877/psn-pdf
February 25, 2015 - Training situational awareness to reduce surgical errors
in the operating room.
February 25, 2015
Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical
errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643.
https://psnet.ahrq.gov/issue/train…