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181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60580/psn-pdf
     January 01, 2022 - - improvement-project This article describes the implementation of a hospital-wide patient safety strategy … The strategy included establishing interdisciplinary patient safety teams to identify areas of preventable

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45953/psn-pdf
     July 22, 2020 - root-cause-analysis-health-care-joint-commission-guide-analysis-and- corrective-action Root cause analysis has been widely adopted as a strategy … highlights the use of failure mode and effects analysis as a complementary sentinel event examination strategy

183. 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.

184. 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

185. 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

186. 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.

187. 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

188. 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

189. 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.

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. Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. | PSNet
     psnet.ahrq.gov/issue/changes-prescription-and-over-counter-medication-and-dietary-supplement-use-among-older
     May 06, 2020 - May 6, 2020 A randomized trial of a multifactorial strategy to prevent serious fall injuries … Evaluation of the extended-release/long-acting opioid prescribing Risk Evaluation and Mitigation Strategy … March 30, 2022 Assessment of the FDA Risk Evaluation and Mitigation Strategy for transmucosal

192. Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. | PSNet
     psnet.ahrq.gov/issue/impact-state-nurse-practitioner-regulations-potentially-inappropriate-medication-prescribing
     March 24, 2021 - August 31, 2022 Risk reduction strategy to decrease incidence of retained surgical items … October 21, 2020 A randomized trial of a multifactorial strategy to prevent serious fall … July 29, 2020 Preventing a parallel pandemic - a national strategy to protect clinicians

193. Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
     November 27, 2018 - Root cause analysis has been widely adopted as a strategy to investigate events, despite questions … highlights the use of failure mode and effects analysis as a complementary sentinel event examination strategy

194. AHRQ Safety Program for Improving Antibiotic Use. | PSNet
     psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
     December 24, 2008 - Improving antibiotic use is a strategy to reduce dangerous health care–associated infections . … This project used the Comprehensive Unit-based Safety Program improvement strategy to develop and test

195. National Patient Safety Syllabus 1.0 Training for all NHS Staff. | PSNet
     psnet.ahrq.gov/issue/national-patient-safety-syllabus-10-training-all-nhs-staff
     September 26, 2018 - This report outlines a curriculum that was developed in response to a national improvement strategy … August 1, 2018 View More Related Resources The NHS Patient Safety Strategy

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33766/psn-pdf
     May 01, 2014 - Performance monitoring and feedback was a third element of the strategy. … The last element of the strategy was to push for a change toward hand hygiene as an essential element … Hand hygiene requires a multimodal intervention strategy to change practices. … I cannot tell you what are the most critical elements in the strategy. … For people to adopt a strategy tailored to their needs, they need to be able to adapt this strategy

197. The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. | PSNet
     psnet.ahrq.gov/issue/prescription-opioid-crisis-role-anaesthesiologist-reducing-opioid-use-and-misuse
     November 16, 2022 - Reducing opioid prescribing in pain management is a key strategy to address the opioid crisis . … July 1, 2019 A randomized trial of a multifactorial strategy to prevent serious fall

198. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. | PSNet
     psnet.ahrq.gov/issue/economic-evaluation-pharmacist-led-medication-reviews-residential-aged-care-facilities
     September 21, 2022 - Pharmacist oversight of medication prescribing is an established safety strategy. … inappropriate polypharmacy in aged care facilities and the cost-effectiveness of this risk management strategy

199. Clinical impact associated with corrected results in clinical microbiology testing. | PSNet
     psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing
     December 03, 2008 - The authors describe a strategy for using corrected lab reports to evaluate laboratory-related adverse … They conclude that this strategy is effective for identifying preventable adverse events.

200. Time for prefilled syringes - everywhere. | PSNet
     psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere
     July 13, 2010 - Simplifying complex processes is a strategy to engineer safety into health care. … The author argues for broader acceptance of this strategy across the practice of anesthesiology.