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psnet.ahrq.gov/node/44877/psn-pdf
April 27, 2016 - Actions Needed to Help Ensure Appropriate Medication
Continuation and Prescribing Practices.
April 27, 2016
Washington, DC: United States Government Accountability Office; January 5, 2016. Publication GAO-16-
158.
https://psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-
pre…
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psnet.ahrq.gov/node/47279/psn-pdf
July 23, 2018 - No Place Like Home: Advancing the Safety of Care in the
Home.
July 23, 2018
Boston, MA: Institute for Healthcare Improvement; 2018.
https://psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
The home care setting harbors unique challenges to patient safety. This report builds on a previous
evidence ass…
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psnet.ahrq.gov/node/46861/psn-pdf
February 28, 2018 - Special K with no license to kill: accidental ketamine
overdose on induction of general anesthesia.
February 28, 2018
Warner LL, Smischney N. Accidental Ketamine Overdose on Induction of General Anesthesia. Am J Case
Rep. 2018;19:10-12.
https://psnet.ahrq.gov/issue/special-k-no-license-kill-accidental-ketamine-ove…
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psnet.ahrq.gov/node/837961/psn-pdf
August 31, 2022 - Risk reduction strategy to decrease incidence of retained
surgical items.
August 31, 2022
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained
surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
https://psnet.ahrq.gov/issue/risk-reduc…
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www.ahrq.gov/patient-safety/reports/healthaffairs.html
March 01, 2019 - AHRQ-Funded Patient Safety Research Featured in Health Affairs
AHRQ-funded research studies focused on critical aspects of patient safety and health information technology were published in a November 2018 patient safety-themed issue of Health Affairs . As part of its commitment to lead patient-safety efforts …
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psnet.ahrq.gov/node/837694/psn-pdf
July 20, 2022 - Implementing root cause analysis and action: integrating
human factors to create strong interventions and reduce
risk of patient harm.
July 20, 2022
Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to
create strong interventions and reduce risk of patient har…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections.html
May 01, 2017 - Toolkit Sections
Implementation
Implementation Guide : It may be helpful to review this guide before starting a project to reduce infections and other complications in your ambulatory surgery center. The guide takes users step by step through the execution of technical and cultural interventions surroundi…
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www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
August 01, 2024 - Whereas antimicrobial stewardship programs focus
on optimizing management (e.g., reducing inappropriate … more
appropriate use of blood transfusions.80-82 The goals of these multidisciplinary teams include reducing
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psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - prescribing and pharmacist review of medications, both with patients and prescribers, have evidence of reducing
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psnet.ahrq.gov/web-mm/crossing-line
December 01, 2012 - SPOTLIGHT CASE
Crossing the Line
Citation Text:
Feldman JP, Gould MK. Crossing the Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote…
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psnet.ahrq.gov/node/47364/psn-pdf
October 31, 2018 - explains how artificial intelligence presents clinicians with an
opportunity to improve practice by reducing … medicine-and-rise-robots-qualitative-review-recent-advances-artificial-intelligence-health
https://psnet.ahrq.gov/issue/key-reducing-doctors-misdiagnoses
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Pichert_51.pdf
March 22, 2008 - While we certainly agree that “reducing lawsuits requires preventing errors and improving
safety, not
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psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - Enhancing patient
safety by effectively reducing the likelihood of error necessitates that actions be
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
September 04, 2020 - Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction
PATIENT
SAFETY
e
Issue Brief 3
Evidence on Use of Clinical
Reasoning Checklists for
Diagnostic Error Reduction
e
Issue Brief
Evidence on Use of Clinical
Reasoning Checklists for
Diagnostic Error Reduction
Prepared for:
…
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psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
November 27, 2018 - 23, 2016
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing … May 18, 2016
Reducing Adverse Drug Events Related to Opioids Implementation Guide. … January 27, 2016
Toolkit for Reducing CAUTI in Hospitals.
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psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
December 24, 2008 - 26, 2019
Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing … August 17, 2016
Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety … May 1, 2016
Toolkit for Reducing CAUTI in Hospitals.
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psnet.ahrq.gov/node/46659/psn-pdf
December 06, 2017 - Topics covered include the need for improvements in documentation and the radiologist's role in reducing … impact-electronic-alert-notification-system-embedded-radiologists-workflow-closed-loop
https://psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendation-tracking
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psnet.ahrq.gov/node/43355/psn-pdf
July 23, 2014 - Nearing zero...reducing grade C medication errors. … Nearing zero..reducing grade C medication errors.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0543_05-24-2013.pdf
January 01, 2013 - Summary: alternative strategies, including educational strategies and antibiotic management, for
reducing … Individuals with acute cough illness Intervention(s): Educational and
antimicrobial strategies for reducing … present with ACI, what is the comparative effectiveness of various
from Nominator: interventions for reducing
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
January 01, 2018 - Microsoft PowerPoint - Updated Handouts - Read-Only
REDUCING MEDICATIONS SAFELY
TO MEET LIFE’S CHANGES … taking:_____________________
Your dose: _____________________________________________
WHY CONSIDER REDUCING … Adapted from “Reducing Medications Safely to Meet Life’s Changes, Focus on Benzodiazepine Receptor Agonists