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psnet.ahrq.gov/node/839831/psn-pdf
November 09, 2022 - A new category of "never events"-ending harmful hospital
policies.
November 9, 2022
Chokshi DA, Beckman AL. A new category of "never events"-ending harmful hospital policies. JAMA Health
Forum. 2022;3(10):e224703. doi:10.1001/jamahealthforum.2022.4703.
https://psnet.ahrq.gov/issue/new-category-never-events-ending-…
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psnet.ahrq.gov/node/848041/psn-pdf
April 26, 2023 - Potentiality of algorithms and artificial intelligence
adoption to improve medication management in primary
care: a systematic review.
April 26, 2023
Damiani G, Altamura G, Zedda M, et al. Potentiality of algorithms and artificial intelligence adoption to
improve medication management in primary care: a systematic…
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psnet.ahrq.gov/node/47818/psn-pdf
April 03, 2019 - Medication safety in emergency medical services:
approaching an evidence-based method of verification to
reduce errors.
April 3, 2019
Misasi P, Keebler JR. Medication safety in emergency medical services: approaching an evidence-based
method of verification to reduce errors. Ther Adv Drug Saf. 2019;10:204209861882…
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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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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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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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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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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/IFQHC_operational_redesign_patient_flow_worksheet.pdf
January 01, 2007 - “Paperless offices can increase patient satisfaction by reducing patient waiting times
because doctors … • Eliminating chart pulls for visits ____
• Eliminating chart pulls for telephone calls ____
• Reducing … document filing time ____
• Reducing staff count/hours ____
Does their EHR software have an integrated
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - climate perceptions between attending physicians, nurse practitioners, and residents; to advocate for reducing … Reducing hospital errors: interventions that build safety culture. … October 31, 2014
Reducing hospital errors: interventions that build safety culture.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/kidney-stone-prevention_research-protocol.pdf
June 15, 2011 - More
narrowly targeted dietary interventions include: reducing dietary oxalate to lower urinary oxalate … and the risk of calcium oxalate stones; reducing dietary animal protein and other purines to lower … Renal calculi associated
with chronic urinary tract
infections with urease-
splitting bacteria
Reducing
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psnet.ahrq.gov/node/44337/psn-pdf
July 22, 2015 - effect-bar-code-technology-safety-medication-administration
https://psnet.ahrq.gov/issue/sign-safety
https://psnet.ahrq.gov/issue/reducing-errors-emergency-surgery … https://psnet.ahrq.gov/issue/reducing-errors-emergency-surgery
https://psnet.ahrq.gov/issue/emerging-issues-and-challenges-improving-patient-safety-mental-health-qualitative-analysis
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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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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