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psnet.ahrq.gov/node/47455/psn-pdf
October 31, 2018 - Assessment of opioid prescribing practices before and
after implementation of a health system intervention to
reduce opioid overprescribing.
October 31, 2018
Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practices Before and After
Implementation of a Health System Intervention to Red…
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psnet.ahrq.gov/node/45098/psn-pdf
May 04, 2016 - Reducing Risk and Promoting Patient Safety for NIH
Intramural Clinical Research—Final Report.
May 4, 2016
The Clinical Center Working Group Report to the Advisory Committee to the Director, National Institutes of
Health. Bethesda, MD; National Institutes of Health; April 2016.
https://psnet.ahrq.gov/issue/reducing…
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psnet.ahrq.gov/node/47987/psn-pdf
May 08, 2019 - Association between night-time surgery and occurrence
of intraoperative adverse events and postoperative
pulmonary complications.
May 8, 2019
Cortegiani A, Gregoretti C, Neto AS, et al; LAS VEGAS Investigators, PROVE Network, Clinical Trial
Network of the European Society of Anaesthesiology. Br J Anaesth. 2019;122…
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psnet.ahrq.gov/node/47989/psn-pdf
August 14, 2019 - Ambulatory safety nets to reduce missed and delayed
diagnoses of cancer.
August 14, 2019
Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010.
https://psnet.ahrq.gov/issue/ambula…
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psnet.ahrq.gov/node/61077/psn-pdf
October 28, 2020 - Investigation into the Role of Clinical Pharmacy Services
in Helping to Identify and Reduce High-risk Prescribing
Errors in Hospital.
October 28, 2020
Farnborough, UK: Healthcare Safety Investigation Branch; September 24, 2020.
https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-servi…
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psnet.ahrq.gov/node/867702/psn-pdf
September 01, 2021 - Toolkit To Reduce CAUTI and Other HAIs in Long-Term
Care Facilities.
September 1, 2021
Agency for Healthcare Research and Quality. Toolkit To Reduce CAUTI and Other HAIs in Long-Term
Care Facilities. September 2021.
https://psnet.ahrq.gov/issue/toolkit-reduce-cauti-and-other-hais-long-term-care-facilities
Cathete…
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psnet.ahrq.gov/node/47651/psn-pdf
December 12, 2018 - Are national efforts to reduce drug name confusion
paying off?
December 12, 2018
ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6.
https://psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying
Look-alike and sound-alike medications present a recurring threat to patie…
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www.ahrq.gov/patient-safety/settings/ambulatory/reduce-readmissions.html
December 01, 2023 - Primary Care-Based Efforts To Reduce Potentially Preventable Readmissions
High rates of readmissions are a major patient safety problem associated with adverse events such as prescribing errors and misdiagnoses of conditions in the hospital and ambulatory care settings. Building on the Agency's previous investm…
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www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
January 01, 2024 - Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability
Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual
Disability R03 HS022353-02
Title of Project: An Intervention to Reduce Falls Among Adults with
Intellectual Disability
Principal Inv…
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/breast-cancer-medications-for-risk-reduction
September 03, 2019 - Raloxifene reduces risk of vertebral fractures [corrected] in postmenopausal women regardless of prior
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Resident Physicians as Safety Champions
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/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
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www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/hais/index.html
June 01, 2018 - Health Care-Associated Infections
This page features helpful links to information, tools, and resources on healthcare-associated infections (HAIs), which are the most common complication of hospital care and are one of the top 10 leading causes of death in the United States. AHRQ-funded research and initiatives…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-g.pdf
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix G. Urinary Catheter Project Fact Sheet.
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix G. Urinary Catheter Project Fact Sheet
…
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psnet.ahrq.gov/node/73464/psn-pdf
July 07, 2021 - Errors in breast imaging: how to reduce errors and
promote a safety environment.
July 7, 2021
Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety
environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118.
https://psnet.ahrq.gov/issue/errors-breast-im…
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psnet.ahrq.gov/node/38054/psn-pdf
July 05, 2013 - Ticket to ride: reducing handoff risk during hospital
patient transport.
July 5, 2013
Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient
transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5.
https://psnet.ahrq.gov/issue/ticket-…
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psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - Reducing medical error in the Military Health System: how
can team training help?
March 9, 2009
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can
team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/38569/psn-pdf
May 20, 2009 - Reducing health care hazards: lessons from the
Commercial Aviation Safety Team.
May 20, 2009
Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial
aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hlthaff.28.3.w479.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/50852/psn-pdf
January 29, 2020 - Failure mode and effects analysis to reduce risk of
heparin use.
January 29, 2020
Pino FA, Weidemann DK, Schroeder LL, et al. Failure mode and effects analysis to reduce risk of heparin
use. Am J Health Syst Pharm. 2019;76(23):1972-1979. doi:10.1093/ajhp/zxz229.
https://psnet.ahrq.gov/issue/failure-mode-and-effect…
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psnet.ahrq.gov/node/866317/psn-pdf
July 17, 2024 - BONE break: a hot debrief tool to reduce second victim
syndrome for nurses.
July 17, 2024
Hess A, Flicek T, Watral AT, et al. BONE break: a hot debrief tool to reduce second victim syndrome for
nurses. Jt Comm J Qual Patient Saf. 2024;50(9):673-677. doi:10.1016/j.jcjq.2024.05.005.
https://psnet.ahrq.gov/issue/bone…