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201. Medical errors and quality of care: from control to commitment. | PSNet
     psnet.ahrq.gov/issue/medical-errors-and-quality-care-control-commitment
     July 15, 2020 - They propose that a commitment-based strategy is necessary in health care, whereas current paradigms … Teamwork Training February 28, 2024 Preventing a parallel pandemic - a national strategy

202. 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

203. 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

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35120/psn-pdf
     November 03, 2015 - /clinical-impact-associated-corrected-results-clinical-microbiology-testing The authors describe a strategy … They conclude that this strategy is effective for identifying preventable adverse events.

205. 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

206. 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

207. 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

208. 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

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45064/psn-pdf
     April 20, 2016 - https://psnet.ahrq.gov/issue/making-care-safer The National Quality Strategy is part of AHRQ's ongoing … Patients program and other initiatives working toward achieving the goals of the National Quality Strategy

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42256/psn-pdf
     May 10, 2013 - rapid-response-systems-should-we-still-question-their-implementation This commentary examines the evidence on rapid response systems as a strategy … rapid-response-systems-should-we-still-question-their-implementation https://psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review

211. Pandemic presents new hurdles, and hope, for people struggling with addiction. | PSNet
     psnet.ahrq.gov/issue/pandemic-presents-new-hurdles-and-hope-people-struggling-addiction
     September 01, 2016 - Physical distancing as a COVID-19 prevention strategy has had a range  of unintended consequences on … August 5, 2020 Preventing a parallel pandemic - a national strategy to protect clinicians

212. COVID-19: patient safety and quality improvement skills to deploy during the surge. | PSNet
     psnet.ahrq.gov/issue/covid-19-patient-safety-and-quality-improvement-skills-deploy-during-surge
     March 23, 2022 - The authors of this editorial propose a five-step strategy for patient safety and quality improvement … July 1, 2020 Preventing a parallel pandemic - a national strategy to protect clinicians

213. The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment. | PSNet
     psnet.ahrq.gov/issue/2017-acgme-common-work-hour-standards-promoting-physician-learning-and-professional
     October 19, 2022 - Resident work hour limits have been a controversial patient safety strategy. … November 16, 2022 A randomized trial of a multifactorial strategy to prevent serious

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40577/psn-pdf
     July 06, 2011 - errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy … errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy

215. 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.

216. 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.

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865570/psn-pdf
     April 10, 2024 - Society of Anesthesiologists (ASA), and (5) high risk for an operating room fire.1 A risk mitigation strategy … Preparing a detailed risk mitigation strategy per the institution’s policy.1 After reviewing these best … the five clinical risk scenarios and trained the clinicians to deploy a recommended risk mitigation strategy … 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.

218. Safety Assurance Factors for EHR Resilience: SAFER Guides. | PSNet
     psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides
     January 10, 2007 - May 13, 2015 Strategy on Reducing Regulatory and Administrative Burden Relating to the … July 29, 2015 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … May 1, 2015 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47233/psn-pdf
     November 02, 2018 - This commentary describes one health system's multimodal strategy to enhance staff understanding of … responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff https://psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture

220. Critical conversations: a call for a nonprocedural "time out." | PSNet
     psnet.ahrq.gov/issue/critical-conversations-call-nonprocedural-time-out
     February 18, 2011 - This commentary describes a structured communication strategy that targets discussions at time of admission … May 25, 2011 Leading clinical handover improvement: a change strategy to implement best