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psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
December 08, 2021 - Commentary
Reducing surgical errors: implementing a three-hinge approach to success.
Citation Text:
Landers R. Reducing surgical errors: implementing a three-hinge approach to success. AORN J. 2015;101(6):657-65. doi:10.1016/j.aorn.2015.04.013.
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psnet.ahrq.gov/issue/reducing-errors-through-discharge-medication-reconciliation-pharmacy-services
October 20, 2021 - Study
Reducing errors through discharge medication reconciliation by pharmacy services.
Citation Text:
Bishop MA, Cohen BA, Billings LK, et al. Reducing errors through discharge medication reconciliation by pharmacy services. Am J Health Syst Pharm. 2015;72(17 Suppl 2):S120-6. doi:10.21…
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psnet.ahrq.gov/issue/hospital-tones-down-alarms-reduce-fatigue-enhance-safety
June 08, 2011 - Newspaper/Magazine Article
Hospital tones down alarms to reduce fatigue, enhance safety.
Citation Text:
Hospital tones down alarms to reduce fatigue, enhance safety. Olson J.
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psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology-improving-outcomes-reducing-risks
May 29, 2019 - Special or Theme Issue
Patient Safety in Obstetrics and Gynecology: Improving Outcomes, Reducing Risks.
Citation Text:
Patient Safety in Obstetrics and Gynecology: Improving Outcomes, Reducing Risks. Gluck PA, ed. Obstet Gynecol Clin. 2008;35(1):1-168.
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
January 26, 2022 - Toolkit
Reducing Adverse Drug Events Related to Opioids Implementation Guide.
Citation Text:
Reducing Adverse Drug Events Related to Opioids Implementation Guide. Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
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www.ahrq.gov/sites/default/files/2024-07/wears-report.pdf
January 01, 2024 - Final Progress Report: Reducing Risks by Engineering Resilience Into HIT for EDs
Reducing Risks by Engineering Resilience into HIT for EDs
Principal Investigator: Robert L. Wears, MD, MS, PhD
Team Members:
John Wreathall
Rollin (Terry) Fairbanks, MD, MS
Ann M. Bisantz, PhD
Shawna J Perry, MD
Chris Johnson,…
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psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
January 14, 2011 - Study
The value of inking breast cores to reduce specimen mix-up.
Citation Text:
Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
January 01, 2017 - CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients
AHRQ Safety Program for
Mechanically Ventilated Patients
CUSP Guide for Reducing Ventilator-
Associated Events in Mechanically
Ventilated Patients
AHRQ Pub. No. 16(…
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psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
June 06, 2018 - Commentary
Using a change model to reduce the risk of surgical site infection.
Citation Text:
Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-955.
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-worldwide-through-diagnostic-management-teams
May 23, 2018 - Review
Reducing diagnostic errors worldwide through diagnostic management teams.
Citation Text:
Verna R, Velazquez AB, Laposata M. Reducing Diagnostic Errors Worldwide Through Diagnostic Management Teams. Ann Lab Med. 2019;39(2):121-124. doi:10.3343/alm.2019.39.2.121.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/cost-implications.pdf
March 01, 2022 - Estimated Cost Implications of Reducing Bloodstream Infections in Patients With Medical Devices
Decolonization of
Non-ICU Patients With Devices
Section 6 – Estimated Cost Implications
of Reducing Bloodstream Infections
in Patients With Medical Devices
What Is the Cost and Cost Savings Associated With D…
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psnet.ahrq.gov/issue/using-care-bundles-reduce-hospital-mortality-quantitative-survey
April 25, 2018 - Study
Using care bundles to reduce in-hospital mortality: quantitative survey.
Citation Text:
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.
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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors
Final Progress Report
Reducing Harm to Patients from Diagnostic Errors
Eta S. Berner, EdD, Principal Investigator
Team Members:
Marcie H. Battles, MS, Project Assistant
Mark L. Graber, MD, Consultant
Gordon D. Schiff, MD, Consultant
Pat …
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www.ahrq.gov/hai/cusp/videos/05c-know-risk-reduced/index.html
June 01, 2018 - How Will You Know Risk is Reduced?
CUSP Toolkit
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit.
How Will…
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www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
January 01, 2024 - Final Progress Report: Improving Patient Safety by Reducing Medication Errors
Improving Patient Safety by Reducing Medication Errors
Brian Strom, MD, MPH, Principal Investigator:
Director, Administrative Core; Director, Data Collection Core
Harold I. Feldman, MD, MSCE: Co-Principal Investigator; Co-Director, Ad…
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www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals
Improving Patient Flow
and Reducing Emergency
Department Crowding:
A Guide for Hospitals
Improving Patient Flow
and Reducing Emergency
Department Crowding:
A Guide for Hospitals
Megan McHugh, PhD
Kevin Van Dyke, MPP
Mark Mc…
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psnet.ahrq.gov/issue/training-situational-awareness-reduce-surgical-errors-operating-room
November 21, 2012 - Review
Training situational awareness to reduce surgical errors in the operating room.
Citation Text:
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.
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psnet.ahrq.gov/issue/reducing-surgical-specimen-errors-through-multidisciplinary-quality-improvement
July 28, 2021 - Study
Reducing surgical specimen errors through multidisciplinary quality improvement.
Citation Text:
Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003.
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psnet.ahrq.gov/issue/wristbands-aids-reduce-misidentification-ethnographically-guided-task-analysis
November 25, 2009 - Study
Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.
Citation Text:
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:10.109…
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psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
September 12, 2018 - Commentary
Long-term solution to malpractice crises: reduce harm to patients.
Citation Text:
Schoenbaum S, Segel K. Long-term solution to malpractice crises: reduce harm to patients. Physician Exec. 2006;32(2):26-9, 31.
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