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psnet.ahrq.gov/issue/epidural-iv-route-mix-ups-reducing-risk-deadly-errors
May 02, 2018 - Newspaper/Magazine Article
Epidural-IV route mix-ups: reducing the risk of deadly errors.
Citation Text:
Epidural-IV route mix-ups: reducing the risk of deadly errors. ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
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psnet.ahrq.gov/issue/effective-program-reduce-malpractice-claims-and-payments-large-orthopaedic-practice
June 27, 2018 - Study
An effective program to reduce malpractice claims and payments in a large orthopaedic practice.
Citation Text:
Doub TW, Hickson GB, Casey VF, et al. An effective program to reduce malpractice claims and payments in a large orthopaedic practice. J Bone Joint Surg Am. 2024;106(14):12…
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digital.ahrq.gov/ahrq-funded-projects/developing-guide-identifying-and-remediating-unintended-consequences/publication/ucguide
January 01, 2023 - Guide to Reducing Unintended Consequences of Electronic Health Records
Citation
Jones SS, Koppel R, Ridgely MS, et al. Guide to Reducing Unintended Consequences of Electronic Health Records. (Prepared by RAND Corporation under Contract No. 290-06-0017-5). Agency for Healthcare Research and Quality. ht…
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www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
March 09, 2008 - Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities
Using Root Cause Analysis to Reduce Falls
in Rural Health Care Facilities
Patricia Ruddick, RN, MSN; Karen Hannah, MBA; Charles P. Schade, MD; Gail Bellamy, PhD;
John Brehm, MD; David Lomely, BA.
Abstract
Prevention of patient falls i…
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psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
June 29, 2022 - EMERGING INNOVATIONS
Reducing hospital harm: establishing a command centre to foster situational awareness.
Citation Text:
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.
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digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health-4
January 01, 2023 - IT-enabled systems engineering approach to monitoring and reducing ADEs.
Citation
Singh R, Anderson D, McLean-Plunkett E, et al. IT-enabled systems engineering approach to monitoring and reducing ADEs. Am J Manag Care 2012 Mar;18(3):169-75.
Link
Singh R, Anderson D, McLean-Plunkett E, et al. I…
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
September 18, 2019 - Study
Using root cause analysis to reduce falls with injury in the psychiatric unit.
Citation Text:
Lee A, Mills PD, Watts B. Using root cause analysis to reduce falls with injury in the psychiatric unit. Gen Hosp Psychiatry. 2012;34(3):304-11. doi:10.1016/j.genhosppsych.2011.12.007.
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psnet.ahrq.gov/issue/reducing-surgical-mortality-scotland-use-who-surgical-safety-checklist
February 09, 2011 - Study
Classic
Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist.
Citation Text:
Ramsay G, Haynes AB, Lipsitz SR, et al. Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. Br J Surg. 2019;106(8):…
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psnet.ahrq.gov/issue/effectiveness-double-checking-reduce-medication-administration-errors-systematic-review
August 26, 2020 - Review
Effectiveness of double checking to reduce medication administration errors: a systematic review.
Citation Text:
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.…
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psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-dashboards-board-level
February 22, 2010 - Newspaper/Magazine Article
Reducing harm to patients. Using patient safety dashboards at the board level.
Citation Text:
Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level. Healthcare executive. 2007;22(6):62, 64-5.
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psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
November 18, 2011 - Special or Theme Issue
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.
Citation Text:
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. Cambridge, MA: Institute for Healthcare Improvement; Jun…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/psychiatric-readmissions_disposition-comments.pdf
May 21, 2015 - Disposition of Comments for Technical Brief 21, Management Strategies To Reduce Psychiatric Readmissions
Technical Brief Disposition of Comments Report
Research Review Title: Management Strategies To Reduce Psychiatric Readmissions
Draft review available for public comment from December 1, 2014 to Dece…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cultural-competence_research-protocol.pdf
July 09, 2014 - Research Protocol: Improving Cultural Competence To Reduce Health Disparities for Priority Populations
Evidence-based Practice Center Systematic Review Protocol
Project Title: Improving…
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psnet.ahrq.gov/issue/when-policy-meets-physiology-challenge-reducing-resident-work-hours
January 10, 2017 - Study
When policy meets physiology: the challenge of reducing resident work hours.
Citation Text:
Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing resident work hours. Clin Orthop Relat Res. 2006;449:116-127.
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psnet.ahrq.gov/issue/actions-and-implementation-strategies-reduce-suicidal-events-veterans-health-administration
January 05, 2017 - Study
Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration.
Citation Text:
Mills PD, Neily J, Luan D, et al. Actions and Implementation Strategies to Reduce Suicidal Events in the Veterans Health Administration. The Joint Commission Journa…
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psnet.ahrq.gov/issue/use-medical-emergency-team-responses-reduce-hospital-cardiopulmonary-arrests
April 06, 2011 - Study
Classic
Use of medical emergency team responses to reduce hospital cardiopulmonary arrests.
Citation Text:
Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health …
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www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
January 01, 2024 - Final Progress Report: Patient-centered approach to reducing harm from VTE
Title: Patient-centered approach to reducing harm from VTE
Principal Investigator: Michael Rothberg, MD, MPH
Team Members: Aaron Hamilton, Bo Hu, Michael Kattan, Phuc Le, Lei Kou, Jacqueline Fox
Organization: Cleveland Clinic Foundation
In…
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psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks
June 24, 2015 - Book/Report
Exploring Patient Engagement in Reducing Health-Care-Related Safety Risks.
Citation Text:
Exploring Patient Engagement in Reducing Health-Care-Related Safety Risks. Copenhagen, Denmark: World Health Organization Regional Office for Europe; 2013. ISBN: 9789289002943. …
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psnet.ahrq.gov/issue/innovation-patient-safety-new-task-design-reducing-patient-falls
January 04, 2010 - Study
Innovation in patient safety: a new task design in reducing patient falls.
Citation Text:
Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5.
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psnet.ahrq.gov/issue/ticket-ride-reducing-handoff-risk-during-hospital-patient-transport
May 30, 2018 - Commentary
Ticket to ride: reducing handoff risk during hospital patient transport.
Citation Text:
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.0000347446.982…