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psnet.ahrq.gov/node/853980/psn-pdf
September 27, 2023 - RFID tags reduce restocking errors of anesthesia
medications.
September 27, 2023
Banks MA. Specialty Pharmacy Continuum. September 15, 2023.
https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications
Radiofrequency identification (RFID) devices are being used to improve processes in the…
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psnet.ahrq.gov/node/46590/psn-pdf
November 01, 2017 - High-alert medications: the safeguards that you should
put in place to reduce risks.
November 1, 2017
Blank C. Drug Topics. October 13, 2017.
https://psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
This magazine article reports on high-alert medications, their potential to …
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psnet.ahrq.gov/node/43106/psn-pdf
September 27, 2016 - The sterile cockpit: an effective approach to reducing
medication errors?
September 27, 2016
Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication
errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c.
https://psnet.ahrq.gov/issue/sterile-cockpi…
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psnet.ahrq.gov/node/867756/psn-pdf
March 12, 2025 - Why is it so hard to reduce harm from medicines?
March 12, 2025
Rochford A. Why is it so hard to reduce harm from medicines? Future Healthc J. 2024;11(4):100205.
doi:10.1016/j.fhj.2024.100205.
https://psnet.ahrq.gov/issue/why-it-so-hard-reduce-harm-medicines
Medication errors and adverse drug events (ADEs) impact …
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psnet.ahrq.gov/node/44629/psn-pdf
December 09, 2015 - Toolkit for Reducing CAUTI in Hospitals.
December 9, 2015
Rockville, MD: Agency for Healthcare Research and Quality; October 2015.
https://psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals
Catheter–associated urinary tract infections (CAUTIs) are common complications in hospitalized patients.
This toolkit was …
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psnet.ahrq.gov/issue/initiative-reduce-unnecessary-radiation-exposure-medical-imaging
January 17, 2017 - Government Resource
Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging.
Citation Text:
Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging. Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA.
Copy Citati…
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psnet.ahrq.gov/issue/monitoring-and-reducing-central-line-associated-bloodstream-infections-national-survey-state
December 01, 2010 - Study
Monitoring and reducing central line-associated bloodstream infections: a national survey of state hospital associations.
Citation Text:
Murphy DJ, Needham DM, Goeschel CA, et al. Monitoring and reducing central line-associated bloodstream infections: a national survey of state h…
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psnet.ahrq.gov/issue/recognizing-our-biases-understanding-evidence-and-responding-equitably-application
April 05, 2023 - Commentary
Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU.
Citation Text:
McCarty DB. Recognizing our biases, understanding the evidence, and responding equitably: application…
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psnet.ahrq.gov/node/42333/psn-pdf
June 05, 2013 - Has improved hand hygiene compliance reduced the risk
of hospital-acquired infections among hospitalized
patients in Ontario? Analysis of publicly reported patient
safety data from 2008 to 2011.
June 5, 2013
DiDiodato G. Has improved hand hygiene compliance reduced the risk of hospital-acquired infections
among h…
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psnet.ahrq.gov/node/42352/psn-pdf
January 14, 2014 - Doing well by doing good: assessing the cost savings of
an intervention to reduce central line-associated
bloodstream infections in a Hawaii hospital.
January 14, 2014
Hsu E, Lin D, Evans SJ, et al. Doing well by doing good: assessing the cost savings of an intervention to
reduce central line-associated bloodstrea…
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psnet.ahrq.gov/node/46277/psn-pdf
August 15, 2017 - Randomized trial of reducing ambulatory malpractice and
safety risk: results of the Massachusetts PROMISES
Project.
August 15, 2017
Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety
Risk: Results of the Massachusetts PROMISES Project. Med Care. 2017;55(8):797-805…
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psnet.ahrq.gov/node/47149/psn-pdf
June 06, 2018 - Reducing serious safety events and priority hospital-
acquired conditions in a pediatric hospital with the
implementation of a patient safety program.
June 6, 2018
Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired
Conditions in a Pediatric Hospital with the Imp…
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psnet.ahrq.gov/node/47079/psn-pdf
July 02, 2019 - Reduced effectiveness of interruptive drug–drug
interaction alerts after conversion to a commercial
electronic health record.
July 2, 2019
Wright A, Aaron S, Seger DL, et al. Reduced Effectiveness of Interruptive Drug-Drug Interaction Alerts after
Conversion to a Commercial Electronic Health Record. J Gen Intern M…
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psnet.ahrq.gov/node/47908/psn-pdf
April 24, 2019 - "Sorry" is never enough: how state apology laws fail to
reduce medical malpractice liability risk.
April 24, 2019
McMichael BJ, Van Horn L, Viscusi K. "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce
Medical Malpractice Liability Risk. Stanford Law Rev. 2019;71(2):341-409.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/72533/psn-pdf
January 01, 2021 - Strategies to reduce errors associated with 2-component
vaccines.
December 2, 2020
Samad F, Burton SJ, Kwan D, et al. Strategies to reduce errors associated with 2-component vaccines.
Pharmaceut Med. 2021;35(1):1-9. doi:10.1007/s40290-020-00362-9.
https://psnet.ahrq.gov/issue/strategies-reduce-errors-associated-2-…
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psnet.ahrq.gov/node/47211/psn-pdf
November 16, 2018 - A conceptual framework to reduce inpatient preventable
deaths.
November 16, 2018
Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable
Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003.
https://psnet.ahrq.gov/issue/conceptual-framework-…
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psnet.ahrq.gov/node/46144/psn-pdf
June 28, 2017 - Reducing error in anticoagulant dosing via
multidisciplinary team rounding at point of care.
June 28, 2017
Sharma M, Krishnamurthy M, Snyder R, et al. Reducing error in anticoagulant dosing via multidisciplinary
team rounding at point of care. Clin Pract. 2017;7(2). doi:10.4081/cp.2017.953.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/846451/psn-pdf
March 22, 2023 - Reducing risks in complex care transitions in rural areas:
a grounded theory.
March 22, 2023
Winqvist I, Näppä U, Rönning H, et al. Reducing risks in complex care transitions in rural areas: a
grounded theory. Int J Qual Stud Health Well-being. 2023;18(1):2185964.
doi:10.1080/17482631.2023.2185964.
https://psnet.…
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psnet.ahrq.gov/node/44564/psn-pdf
October 14, 2015 - Reducing falls with a safety spotter program.
October 14, 2015
Primmer P, Borenstein KK, Downing MT, et al. Reducing falls with a safety spotter program. Nursing
(Brux). 2015;45(8):16-9. doi:10.1097/01.NURSE.0000469244.89222.27.
https://psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
Patients at high ri…
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psnet.ahrq.gov/node/46688/psn-pdf
January 01, 2018 - New solutions to reduce wrong route medication errors.
December 18, 2017
Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr
Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279.
https://psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
Tubing misconnec…