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181. Telehealth safety framework: addressing a new frontier in patient safety. | PSNet
     psnet.ahrq.gov/issue/telehealth-safety-framework-addressing-new-frontier-patient-safety
     December 21, 2022 - Telehealth emerged as a primary strategy for care delivery during the COVID pandemic despite concerns … Developing an evaluation strategy to assess large language models for patient safety event report analysis

182. Using Kotter's change model for implementing bedside handoff: a quality improvement project. | PSNet
     psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
     September 23, 2020 - Change management has been described as a critical strategy to ensure safety improvements are sustained … January 19, 2014 Bedside handover: quality improvement strategy to "transform care at

183. An innovative collaborative model of care for undiagnosed complex medical conditions. | PSNet
     psnet.ahrq.gov/issue/innovative-collaborative-model-care-undiagnosed-complex-medical-conditions
     November 21, 2021 - collaborative model of care developed to enhance interdisciplinary teamwork across health care settings as a strategy … October 11, 2017 Evaluation of patient and family outpatient complaints as a strategy

184. Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage 7: a case report. | PSNet
     psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-obtaining-himss-stage-7
     July 17, 2019 - Electronic health records (EHRs) have been widely adopted as a strategy to improve patient safety. … August 28, 2019 Toward safer health care: a review strategy of FDA medical device adverse

185. Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. | PSNet
     psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-blame
     February 02, 2022 - text was identified as an enabler of blameful orientation, and limitations as to word count were one strategy … Achieving a successful patient safety program with implementation of a harm reduction strategy

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40586/psn-pdf
     March 21, 2017 - Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy … Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy … adopting-real-time-surveillance-dashboards-component-enterprisewide- medication-safety Adverse drug event surveillance is an important strategy

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851914/psn-pdf
     August 02, 2023 - insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event https://psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify … https://psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify

188. Measuring Patient Safety | PSNet
     psnet.ahrq.gov/perspective/measuring-patient-safety
     December 14, 2022 - The last goal of the CMS National Quality Strategy is alignment. … We are very excited about the CMS National Quality Strategy. We introduced it in April. … Thank you so much for walking us through CMS’ National Quality Strategy. … and how it is transforming into a digital strategy. … The same is true when it comes to a digital strategy.

189. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.284_slideshow.ppt
     November 01, 2012 - serious adverse effects of transfusion Describe evidence supporting a more restrictive transfusion strategy … surgical and medical patients) In patients with known cardiovascular disease, adhere to restrictive strategy … anemia related to coronary disease) AABB could not recommend for or against liberal or restrictive strategy … In stable, hospitalized patients, a restrictive transfusion strategy, using a hemoglobin concentration … A restrictive transfusion strategy may also be utilized in stable, hospitalized patients with cardiovascular

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49669/psn-pdf
     November 01, 2012 - Describe the evidence supporting a more restrictive transfusion strategy. … Hemoglobin concentration was 1.5% lower in the patients allocated to a restrictive strategy. … The evidence suggests that a restrictive transfusion strategy, utilizing a hemoglobin concentration … In stable, hospitalized patients, a restrictive transfusion strategy, using a hemoglobin concentration … A restrictive transfusion strategy may also be utilized in stable hospitalized patients with existing

191. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet
     psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
     February 26, 2025 - prior to patients undergoing a procedure wherein clinicians respond with a specific risk mitigation strategy … When a positive screen occurs, documentation of whether or not the mitigation strategy was applied. … Preparing a detailed risk mitigation strategy per the institution’s policy. 1 After reviewing these … Consulting with a second clinician is a strategy to avoid these biases. 1 The red team/blue team method … When a positive screen occurs, documentation of whether or not the mitigation strategy was applied.

192. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. | PSNet
     psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
     October 19, 2022 - This article describes the implementation of a hospital-wide patient safety strategy aimed at reducing … The strategy included establishing interdisciplinary patient safety teams to identify areas of preventable

193. A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accuracy of EHR Documentation. | PSNet
     psnet.ahrq.gov/issue/national-web-conference-improving-health-it-safety-through-use-natural-language-processing
     May 01, 2017 - This webinar discussed voice-generated electronic records as a strategy to augment clinical documentation … and highlight natural language processing technologies as a component of this strategy.

194. Making Care Safer. | PSNet
     psnet.ahrq.gov/issue/making-care-safer
     December 18, 2008 - The National Quality Strategy is part of AHRQ's ongoing efforts to enhance patient safety. … Patients program and other initiatives working toward achieving the goals of the National Quality Strategy

195. Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/deprescribing-community-dwelling-older-adults-systematic-review-and-meta-analysis
     May 05, 2021 - Deprescribing is one strategy to reduce polypharmacy among older adults. … July 1, 2020 Sitters as a patient safety strategy to reduce hospital falls: a systematic

196. Factors influencing providers' willingness to deprescribe medications. | PSNet
     psnet.ahrq.gov/issue/factors-influencing-providers-willingness-deprescribe-medications
     November 17, 2021 - Deprescribing is a patient safety strategy to reduce the risk of adverse drug events, particularly for … Patient Safety Primers Deprescribing as a Patient Safety Strategy

197. The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis. | PSNet
     psnet.ahrq.gov/issue/prevalence-and-impact-potentially-inappropriate-prescribing-among-older-persons-primary-care
     July 24, 2019 - Interventions to prevent potentially inappropriate prescribing should be prioritized as a key strategy … June 8, 2022 Aligning patient safety and stewardship: a harm reduction strategy for children

198. COVID-19: an emerging threat to antibiotic stewardship in the emergency department. | PSNet
     psnet.ahrq.gov/issue/covid-19-emerging-threat-antibiotic-stewardship-emergency-department
     October 21, 2020 - Antimicrobial stewardship is one strategy to  improve  antibiotic use to reduce hospital-acquired infections … September 30, 2020 A randomized trial of a multifactorial strategy to prevent serious

199. Cultural transformation after implementation of crew resource management: is it really possible? | PSNet
     psnet.ahrq.gov/issue/cultural-transformation-after-implementation-crew-resource-management-it-really-possible
     November 16, 2022 - Crew resource management (CRM), a type of team training , is a prime example of an aviation strategy … They propose more widespread implementation of CRM as a strategy to enhance safety culture.

200. Missing clinical and behavioral health data in a large electronic health record (EHR) system. | PSNet
     psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
     July 19, 2023 - Electronic health records (EHRs) were promoted as a patient safety improvement strategy, but their promise … January 12, 2022 A randomized trial of a multifactorial strategy to prevent serious fall