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psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - make some progress in that area, our mission has expanded from safety in health care to the Triple Aim … The
Triple Aim emerged from looking at problems in a new way. … One is the Triple Aim: IHI's vision that all of us in health care need to move
from focus on the experience
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - The aim was hospital safety. … we do in our daily work that would turn energy and
commitment and resources to achieving the 40/20 aim … can
align 10 or 20 levers like that over the same period of time in terms of going toward a common aim
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psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world
March 23, 2022 - Book/Report
Classic
Safer Healthcare: Strategies for the Real World.
Citation Text:
Safer Healthcare: Strategies for the Real World. Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - For example, if a patient receives the correct medications for a particular condition (effectiveness aim … met), but they stop taking the medications because of side effects (patient-centered aim not met), their … health may then be negatively affected (safety aim not met). … Aims of Quality Healthcare Ultimate Potential Implications for Patient Safety if Quality Healthcare Aim … healthcare providers how to integrate population health into primary care to achieve the quintuple aim
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - Nudges to clinicians focus on the design of practice environments that aim to improve workflow and steer … Aim for projects that are of high impact but feasible with available capacity and resources.
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psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
June 29, 2022 - Study
Medication errors in community pharmacies: evaluation of a standardized safety program.
Citation Text:
Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…
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psnet.ahrq.gov/issue/enhancing-safe-medication-use-home-care-insights-informal-caregivers
December 02, 2020 - Study
Enhancing safe medication use in home care: insights from informal caregivers.
Citation Text:
Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.202…
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psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
April 13, 2022 - Study
Classic
Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance.
Citation Text:
Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes …
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psnet.ahrq.gov/issue/patient-complaints-healthcare-systems-systematic-review-and-coding-taxonomy
November 29, 2023 - Review
Patient complaints in healthcare systems: a systematic review and coding taxonomy.
Citation Text:
Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and coding taxonomy. BMJ Qual Saf. 2014;23(8):678-689. doi:10.1136/bmjqs-2013-002437. …
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psnet.ahrq.gov/training-catalog/national-action-alliance-webinars
August 10, 2025 - National Action Alliance: Webinars
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Organization:
Organization
Agency for Healthcare Research and Quality (AHRQ)
Event Des…
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psnet.ahrq.gov/training-catalog/safer-care-save-lives-scsl
June 02, 2025 - Safer Care to Save Lives (SCSL)
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Organization:
Organization
European Society of Anaesthesiology and Intensive Care (ESAIC)
…
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psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
November 11, 2015 - Study
A hybrid methodology for modeling risk of adverse events in complex health-care settings.
Citation Text:
Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702.
…
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psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual
June 23, 2015 - Commentary
Crisis management during anaesthesia: the development of an anaesthetic crisis management manual.
Citation Text:
Runciman WB, Kluger MT, Morris RW, et al. Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. Qual Saf Health Care. …
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psnet.ahrq.gov/node/50897/psn-pdf
February 12, 2020 - Improving Safety and Security for Veterans Act of 2020.
February 12, 2020
HB 5616, 116th Congress: 2020.
https://psnet.ahrq.gov/issue/improving-safety-and-security-veterans-act-2020
This legislation aims to strengthen the US Veterans Health System by requiring reports on the quality of
care and patient safety…
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psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study-within-incharge
July 12, 2023 - Study
Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme.
Citation Text:
Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…
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psnet.ahrq.gov/issue/influence-organizational-climate-and-clinician-morale-seclusion-and-physical-restraint-use
August 21, 2018 - Study
Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units.
Citation Text:
Anderson E, Mohr DC, Regenbogen I, et al. Influence of organizational climate and clinician morale on seclusion and physical restraint use…
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psnet.ahrq.gov/node/50388/psn-pdf
September 25, 2019 - Patient Safety.
September 25, 2019
Harrisburg, PA: Patient Safety Authority. ISSN 2641-4716.
https://psnet.ahrq.gov/issue/patient-safety-17
The Pennsylvania Patient Safety Authority is a long-established source of patient safety data analysis and
application-focused commentary. Their publishing output aims to gene…
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psnet.ahrq.gov/node/865493/psn-pdf
April 03, 2024 - Implement strategies to prevent persistent medication
errors and hazards: 2024.
April 3, 2024
ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
Systemic failures can perpetuate unsafe care if a lack of p…
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psnet.ahrq.gov/node/50876/psn-pdf
April 22, 2021 - Veterans Accountability Improvement Act.
April 22, 2021
SB 1307, 117th Congress: 2021.
https://psnet.ahrq.gov/issue/veterans-accountability-improvement-act
Reporting clinicians who exhibit practice behaviors that are detrimental to safety is challenged by system
and cultural norms. This legislation aims to strengt…
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psnet.ahrq.gov/node/50939/psn-pdf
February 26, 2020 - Homecare safety virtual quality improvement
collaboratives
February 26, 2020
Miller W, Asselbergs M, Bank J, et al. Homecare safety virtual quality improvement collaboratives. Healthc
Q. 2020;22(SP). doi:10.12927/hcq.2020.26042.
https://psnet.ahrq.gov/issue/homecare-safety-virtual-quality-improvement-collaborative…