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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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www.ahrq.gov/hai/cusp/videos/index.html
September 01, 2019 - CUSP Videos
The following videos give examples of CUSP practices.
Introduction
About CUSP—A Doctor's Perspective
About CUSP: A Nurse's Perspective
About CUSP: Overview
Assemble the Team
The 4 E's
Building Your CUSP Team
Psychological Safety
Physician Engagement
Engage the Senior Executive
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/120-key-strategies-target-mrsa-ssi.pdf
April 01, 2025 - Four Key Strategies To Prevent MRSA & SSI
Four Key Strategies To Prevent MRSA & SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI | Surgical Services AHRQ Pub. No. 25-0029
April 2025
• Evidence-based infection prevention best
practices should be followed to prevent SSIs.
• Includes best practices …
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effectivehealthcare.ahrq.gov/sites/default/files/interventions-horizon-scan-high-impact-1306.pdf
June 01, 2013 - with the ultimate goal of
improving health outcomes among medically vulnerable populations while reducing … noted that the program would
fundamentally alter the way patients are managed and could save costs by reducing … could potentially have a larger financial impact if more data show it
can actually can cut costs by reducing … .34-36 One expert with a health systems perspective stated, “Patient outcomes will be
affected by reducing … Some experts suggested that hospitals might
recoup some of the costs by reducing readmissions and shortening
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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