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psnet.ahrq.gov/node/40152/psn-pdf
January 19, 2011 - Reducing clinical errors in cancer education: interpreter
training.
January 19, 2011
Gany FM, Gonzalez CJ, Basu G, et al. Reducing clinical errors in cancer education: interpreter training. J
Cancer Educ. 2010;25(4):560-4. doi:10.1007/s13187-010-0107-9.
https://psnet.ahrq.gov/issue/reducing-clinical-errors-cancer-…
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digital.ahrq.gov/ahrq-funded-projects/virtual-patient-advocate-reduce-ambulatory-adverse-drug-events/final-report
January 01, 2023 - Virtual Patient Advocate to Reduce Ambulatory Adverse Drug Events - Final Report
Citation
Jack B. Virtual Patient Advocate to Reduce Ambulatory Adverse Drug Events - Final Report. (Prepared by Boston Medical Center under Grant No. R18 HS017196). Rockville, MD: Agency for Healthcare Research and Qualit…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
December 01, 2017 - Example: You get the supply from another area or you manage without it
Second-Order
Problem Solving
Reduces
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psnet.ahrq.gov/node/845357/psn-pdf
March 29, 2023 - Reducing hospital harm: establishing a command centre
to foster situational awareness.
March 29, 2023
Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc
Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885.
https://psnet.ahrq.gov/innovation/reducing-hospital-harm-…
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psnet.ahrq.gov/node/38674/psn-pdf
February 17, 2011 - Cost implications of reduced work hours and workloads
for resident physicians.
February 17, 2011
Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for
resident physicians. N Engl J Med. 2009;360(21):2202-15. doi:10.1056/NEJMsa0810251.
https://psnet.ahrq.gov/issue/c…
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psnet.ahrq.gov/node/47226/psn-pdf
August 01, 2018 - Development of a standardized, citywide process for
managing smart-pump drug libraries.
August 1, 2018
Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing
smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900. doi:10.2146/ajhp170262.
https://psne…
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psnet.ahrq.gov/node/39970/psn-pdf
January 22, 2017 - Hospital board checklist to improve culture and reduce
central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Pronovost P. Hospital Board Checklist to improve culture and reduce
central line-associated bloodstream infections. Jt Comm J Qual Patient Saf. 2010;36(11):525-8.
htt…
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psnet.ahrq.gov/node/844790/psn-pdf
January 01, 2020 - Effectiveness of double checking to reduce medication
administration errors: a systematic review.
September 18, 2019
Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication
administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603. doi:10.1136/bmjqs-2019-
00955…
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psnet.ahrq.gov/node/36168/psn-pdf
August 31, 2011 - Computerized prescribing alerts and group academic
detailing to reduce the use of potentially inappropriate
medications in older people.
August 31, 2011
Simon SR, Smith DH, Feldstein AC, et al. Computerized prescribing alerts and group academic detailing to
reduce the use of potentially inappropriate medications i…
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psnet.ahrq.gov/node/39788/psn-pdf
April 21, 2011 - Effects of reducing or eliminating resident work shifts
over 16 hours: a systematic review.
April 21, 2011
Levine AC, Adusumilli J, Landrigan CP. Effects of reducing or eliminating resident work shifts over 16
hours: a systematic review. Sleep. 2010;33(8):1043-53. doi:10.1093/sleep/33.8.1043.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/38331/psn-pdf
October 20, 2010 - Assessment of the implementation of a national patient
safety alert to reduce wrong site surgery.
October 20, 2010
Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to
reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):409-15. doi:10.1136/qshc.2007.0230…
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Learn From Defects Tool—Perioperative Setting
AHRQ Safety Program for Surgery
What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall.
Problem statement: …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse-drug-therapy_policymaker.pdf
August 01, 2016 - Pharmacotherapy for Adults With Alcohol Use Disorder in Outpatient Settings
B A C K G R O U N D
Alcohol use disorder (AUD) includes harmful use of alcohol,
alcohol abuse, and alcohol dependence. In the fifth edition of the
Diagnostic and Statistical Manual of Mental Disorders (DSM-5),
alcohol abuse and alcohol de…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Preventing Device-Associated Infections
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Comp…
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psnet.ahrq.gov/node/43569/psn-pdf
April 25, 2016 - The safe day call: reducing silos in health care through
frontline risk assessment.
April 25, 2016
Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline
Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481.
https://psnet.ahrq.gov/issue/safe-day-call-r…
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psnet.ahrq.gov/node/42212/psn-pdf
April 17, 2013 - Reducing the risk of adverse drug events in older adults.
April 17, 2013
Pretorius RW, Gataric G, Swedlund SK, et al. Reducing the risk of adverse drug events in older adults. Am
Fam Physician. 2013;87(5):331-6.
https://psnet.ahrq.gov/issue/reducing-risk-adverse-drug-events-older-adults
This commentary outlines ty…
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psnet.ahrq.gov/node/40764/psn-pdf
December 29, 2014 - Wristbands as aids to reduce misidentification: an
ethnographically guided task analysis.
December 29, 2014
Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically
guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.1093/intqhc/mzr045.
https://psnet…
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psnet.ahrq.gov/node/850934/psn-pdf
June 21, 2023 - Are apologies a way to reduce malpractice risks?.
June 21, 2023
Sanfilippo JS, Kettering C, Smith SR. Are apologies a way to reduce malpractice risks? Clin Obstet
Gynecol. 2023;66(2):293-297. doi:10.1097/grf.0000000000000772.
https://psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks
Effective apology…
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psnet.ahrq.gov/node/41554/psn-pdf
January 03, 2017 - Using root cause analysis to reduce falls with injury in
community settings.
January 3, 2017
Lee A, Mills PD, Neily J. Using root cause analysis to reduce falls with injury in community settings. Jt
Comm J Qual Patient Saf. 2012;38(8):366-374.
https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-inj…
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psnet.ahrq.gov/node/41900/psn-pdf
December 05, 2012 - Impact of an intervention to reduce prescribing errors in a
pediatric intensive care unit.
December 5, 2012
Martinez-Anton A, Sanchez I, Casanueva L. Impact of an intervention to reduce prescribing errors in a
pediatric intensive care unit. Intensive Care Med. 2012;38(9):1532-8. doi:10.1007/s00134-012-2609-x.
http…