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psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
May 18, 2022 - Commentary
Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.
Citation Text:
Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…
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psnet.ahrq.gov/issue/debriefing-medical-teams-12-evidence-based-best-practices-and-tips
February 15, 2011 - Commentary
Debriefing medical teams: 12 evidence-based best practices and tips.
Citation Text:
Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527.
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual
June 07, 2008 - Book/Report
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections.
Citation Text:
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Ho…
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psnet.ahrq.gov/issue/story-behind-story-physician-skepticism-about-relying-clinical-information-technologies
July 14, 2010 - Study
The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors.
Citation Text:
McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information tec…
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psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician
April 30, 2014 - Study
Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician.
Citation Text:
Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…
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psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
December 02, 2020 - Commentary
Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events.
Citation Text:
Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …
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psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
November 22, 2017 - Book/Report
Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns.
Citation Text:
Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Washington, DC: United States Government …
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psnet.ahrq.gov/issue/utilizing-improvement-science-methods-improve-physician-compliance-proper-hand-hygiene
April 13, 2011 - Study
Utilizing improvement science methods to improve physician compliance with proper hand hygiene.
Citation Text:
White CM, Statile AM, Conway PH, et al. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. Pediatrics. 2012;129(4):e1042-50.…
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psnet.ahrq.gov/issue/managing-unnecessary-variability-patient-demand-reduce-nursing-stress-and-improve-patient
August 04, 2021 - Study
Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety.
Citation Text:
Litvak E, Buerhaus P, Davidoff F, et al. Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. Jt Comm J Qual Pat…
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psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
July 11, 2018 - Book/Report
Actions Needed to Address Employee Misconduct Process and Ensure Accountability.
Citation Text:
Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137. …
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-radiology
November 16, 2022 - Study
Diagnostic errors in pediatric radiology.
Citation Text:
Taylor GA, Voss SD, Melvin PR, et al. Diagnostic errors in pediatric radiology. Pediatr Radiol. 2011;41(3):327-34. doi:10.1007/s00247-010-1812-6.
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome-indicator-preventing-or-reducing-falls
March 24, 2021 - Commentary
Strategies to improve the patient safety outcome indicator: preventing or reducing falls.
Citation Text:
Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home Healthc Nurse. 2005;23(1):29-36.
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psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
July 07, 2021 - Commentary
I-PASS handover system: a decade of evidence demands action.
Citation Text:
Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314.
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psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic-review
October 03, 2012 - Review
Emerging Classic
Interventions for postsurgical opioid prescribing: a systematic review.
Citation Text:
Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731.
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psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
January 06, 2017 - Study
Decreasing errors in pediatric continuous intravenous infusions.
Citation Text:
Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30.
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psnet.ahrq.gov/issue/effect-workload-reduction-quality-residents-discharge-summaries
February 17, 2011 - Study
The effect of workload reduction on the quality of residents' discharge summaries.
Citation Text:
Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z.
Co…
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psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
November 18, 2016 - Review
Medication errors—new approaches to prevention.
Citation Text:
Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x.
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psnet.ahrq.gov/issue/missed-breast-cancers-us-guided-core-needle-biopsy-how-reduce-them
March 25, 2020 - Review
Missed breast cancers at US-guided core needle biopsy: how to reduce them.
Citation Text:
Youk JH, Kim E-K, Kim MJ, et al. Missed breast cancers at US-guided core needle biopsy: how to reduce them. Radiographics. 2007;27(1):79-94.
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psnet.ahrq.gov/issue/effectiveness-clinical-knowledge-support-system-reducing-diagnostic-errors-outpatient-care
July 31, 2019 - Study
Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient care in Japan: a retrospective study.
Citation Text:
Shimizu T, Nemoto T, Tokuda Y. Effectiveness of a clinical knowledge support system for reducing diagnostic errors in outpatient ca…
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psnet.ahrq.gov/issue/inpatient-notes-reducing-diagnostic-error-new-horizon-opportunities-hospital-medicine
February 24, 2021 - Commentary
Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine.
Citation Text:
Singh H, Zwaan L. Web Exclusives. Annals for Hospitalists Inpatient Notes - Reducing Diagnostic Error-A New Horizon of Opportunities for Hospital Medicine. Ann Inter…