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psnet.ahrq.gov/node/865677/psn-pdf
April 24, 2024 - The impact of adding a 2-way video monitoring system on
falls and costs for high-risk inpatients.
April 24, 2024
Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and
costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. doi:10.1097/pts.0000000000001197.
…
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psnet.ahrq.gov/node/73955/psn-pdf
October 13, 2021 - The efficacy of mindful practice in improving diagnosis in
healthcare: a systematic review and evidence synthesis.
October 13, 2021
Pinnock R, Ritchie D, Gallagher S, et al. The efficacy of mindful practice in improving diagnosis in
healthcare: a systematic review and evidence synthesis. Adv Health Sci Educ Theory …
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psnet.ahrq.gov/node/74132/psn-pdf
December 01, 2021 - Nurse bias and nursing care disparities related to patient
characteristics: a scoping review of the quantitative and
qualitative evidence
December 1, 2021
Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a
scoping review of the quantitative and qualitative …
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psnet.ahrq.gov/node/73239/psn-pdf
May 12, 2021 - Patient factors associated with new prescribing of
potentially inappropriate medications in multimorbid US
older adults using multiple medications.
May 12, 2021
Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially
inappropriate medications in multimorbid US older adu…
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psnet.ahrq.gov/node/73883/psn-pdf
September 29, 2021 - Emergency departments are higher-risk locations for
wrong blood in tube errors.
September 29, 2021
Dunbar NM, Delaney M, Murphy MF, et al. Emergency departments are higher?risk locations for wrong
blood in tube errors. Transfusion (Paris). 2021;61(9):2601-2610. doi:10.1111/trf.16588.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/866819/psn-pdf
September 25, 2024 - Machine learning to enhance electronic detection of
diagnostic errors.
September 25, 2024
Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors.
JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982.
https://psnet.ahrq.gov/issue/machine-learnin…
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psnet.ahrq.gov/node/73114/psn-pdf
April 07, 2021 - Clinical and financial implications of second-opinion
surgical pathology review.
April 7, 2021
Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion
surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa263.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/72707/psn-pdf
February 03, 2021 - Identification and safe storage of look-alike, sound-alike
medicines in automated dispensing cabinets.
February 3, 2021
Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines
in automated dispensing cabinets. Eur J Hosp Pharm. 2021;28(Suppl 2):e151-e156. doi:10.1…
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psnet.ahrq.gov/node/46042/psn-pdf
July 12, 2017 - Implementation science for ambulatory care safety: a
novel method to develop context-sensitive interventions
to reduce quality gaps in monitoring high-risk patients.
July 12, 2017
McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method to
develop context-sensitive inte…
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psnet.ahrq.gov/node/837672/psn-pdf
July 13, 2022 - Optimizing post-acute care patient safety: a scoping
review of multifactorial fall prevention interventions for
older adults.
July 13, 2022
Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of
multifactorial fall prevention interventions for older adults. J Appl…
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psnet.ahrq.gov/node/836743/psn-pdf
March 16, 2022 - Surgeon burnout, impact on patient safety and
professionalism: a systematic review and meta-analysis.
March 16, 2022
Al-Ghunaim TA, Johnson J, Biyani CS, et al. Surgeon burnout, impact on patient safety and
professionalism: A systematic review and meta-analysis. Am J Surg. 2022;224(1 Pt A):228-238.
doi:10.1016/j.a…
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psnet.ahrq.gov/node/35516/psn-pdf
February 03, 2011 - Supplemental perioperative oxygen and the risk of
surgical wound infection: a randomized controlled trial.
February 3, 2011
Belda J, Aguilera L, de la Asunción JG, et al. Supplemental perioperative oxygen and the risk of surgical
wound infection: a randomized controlled trial. JAMA. 2005;294(16):2035-42.
https://p…
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psnet.ahrq.gov/node/73514/psn-pdf
July 21, 2021 - Association between limiting the number of open records
in a tele-critical care setting and retract-reorder errors.
July 21, 2021
Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-
critical care setting and retract–reorder errors. J Am Med Inform Assoc. 2021;28(…
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psnet.ahrq.gov/node/47745/psn-pdf
March 06, 2019 - "I am administering medication—please do not interrupt
me": red tabards preventing interruptions as perceived by
surgical patients.
March 6, 2019
Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red
Tabards Preventing Interruptions as Perceived by Surgical Patients. …
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psnet.ahrq.gov/node/48079/psn-pdf
June 12, 2019 - Evaluating the implementation and impact of a pharmacy
technician-supported medicines administration service
designed to reduce omitted doses in hospitals: a
qualitative study.
June 12, 2019
Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a pharmacy
technician-supported medi…
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psnet.ahrq.gov/node/855088/psn-pdf
January 01, 2024 - Impact of hospital-acquired pneumonia on the Medicare
program.
November 8, 2023
Baker DL, Giuliano KK, Desmarais M, et al. Impact of hospital-acquired pneumonia on the Medicare
program. Infect Control Hosp Epidemiol. 2024;45(3):316-321. doi:10.1017/ice.2023.221.
https://psnet.ahrq.gov/issue/impact-hospital-acquire…
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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