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psnet.ahrq.gov/node/41620/psn-pdf
August 22, 2012 - Improving care transitions: optimizing medication
reconciliation.
August 22, 2012
Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication
reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527.
https://psnet.ahrq.gov/issue/improvin…
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psnet.ahrq.gov/node/38898/psn-pdf
August 26, 2009 - Emergency response in outpatient oncology care:
improving patient safety.
August 26, 2009
Schiavone R. Emergency response in outpatient oncology care: improving patient safety. Clin J Oncol
Nurs. 2009;13(4):440-2. doi:10.1188/09.CJON.440-442.
https://psnet.ahrq.gov/issue/emergency-response-outpatient-oncology-care…
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psnet.ahrq.gov/node/47019/psn-pdf
July 11, 2018 - Center of Excellence for Improving Diagnosis.
July 11, 2018
Patient Safety Authority.
https://psnet.ahrq.gov/issue/center-excellence-improving-diagnosis
Diagnostic error has gained recognition as an important patient safety concern. Established within the
Pennsylvania Patient Safety Authority, this center will add…
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psnet.ahrq.gov/node/39052/psn-pdf
July 13, 2010 - Improving handoffs in the emergency department.
July 13, 2010
Cheung DS, Kelly JJ, Beach C, et al. Improving handoffs in the emergency department. Ann Emerg Med.
2010;55(2):171-80. doi:10.1016/j.annemergmed.2009.07.016.
https://psnet.ahrq.gov/issue/improving-handoffs-emergency-department
Reviewing the conceptual f…
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psnet.ahrq.gov/node/35444/psn-pdf
March 11, 2011 - Improving acceptance of computerized prescribing alerts
in ambulatory care.
March 11, 2011
Shah N, Seger AC, Seger DL, et al. Improving acceptance of computerized prescribing alerts in ambulatory
care. J Am Med Inform Assoc. 2006;13(1):5-11.
https://psnet.ahrq.gov/issue/improving-acceptance-computerized-prescribin…
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psnet.ahrq.gov/node/35427/psn-pdf
September 11, 2009 - Information behavior in the context of improving patient
safety.
September 11, 2009
MacIntosh-Murray A, Choo CW. Information behavior in the context of improving patient safety. Journal of
the American Society for Information Science and Technology. 2005;56(12). doi:10.1002/asi.20228.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/36316/psn-pdf
October 26, 2010 - Improving self-reporting of adverse drug events in a West
Virginia hospital.
October 26, 2010
Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia
hospital. Am J Med Qual. 2006;21(5):335-41.
https://psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-even…
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psnet.ahrq.gov/node/38378/psn-pdf
September 24, 2010 - I-CaRe: a case review tool focused on improving inpatient
care.
September 24, 2010
Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt
Comm J Qual Patient Saf. 2009;35(2):115-119, 61.
https://psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpati…
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psnet.ahrq.gov/node/42045/psn-pdf
February 13, 2013 - Improving patient safety through the systematic
evaluation of patient outcomes.
February 13, 2013
Forster AJ, Dervin G, Martin C, et al. Improving patient safety through the systematic evaluation of patient
outcomes. Can J Surg. 2012;55(6):418-25. doi:10.1503/cjs.007811.
https://psnet.ahrq.gov/issue/improving-pati…
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psnet.ahrq.gov/node/35923/psn-pdf
July 26, 2010 - Improving hospital systems for the care of women with
major obstetric hemorrhage.
July 26, 2010
Skupski DW, Lowenwirt IP, Weinbaum FI, et al. Improving hospital systems for the care of women with
major obstetric hemorrhage. Obstet Gynecol. 2006;107(5):977-983.
https://psnet.ahrq.gov/issue/improving-hospital-system…
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psnet.ahrq.gov/node/34961/psn-pdf
June 22, 2009 - Improving hospital performance: culture change is not
the answer.
June 22, 2009
Leggat SG, Dwyer J. Improving hospital performance: culture change is not the answer. Healthc Q.
2005;8(2):60-6.
https://psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
The authors suggest that people man…
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psnet.ahrq.gov/node/43437/psn-pdf
August 13, 2014 - Diagnostic error: untapped potential for improving patient
safety?
August 13, 2014
Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag.
2014;34(1):38-43. doi:10.1002/jhrm.21149.
https://psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-saf…
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psnet.ahrq.gov/node/38344/psn-pdf
January 21, 2009 - The error of omission: a simple checklist approach for
improving operating room safety.
January 21, 2009
Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room
safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0b013e318193472f.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/41158/psn-pdf
February 22, 2012 - Strategies for improving patient safety: linking task type
to error type.
February 22, 2012
Mattox EA. Strategies for improving patient safety: linking task type to error type. Crit Care Nurse.
2012;32(1):52-78. doi:10.4037/ccn2012303.
https://psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-t…
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psnet.ahrq.gov/node/46531/psn-pdf
January 24, 2019 - Tracking progress in improving diagnosis: a framework
for defining undesirable diagnostic events.
January 24, 2019
Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining
Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2.
ht…
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psnet.ahrq.gov/node/45870/psn-pdf
March 25, 2017 - Improving communication with primary care physicians at
the time of hospital discharge.
March 25, 2017
Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the
Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. doi:10.1016/j.jcjq.2016.11.005.
htt…
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psnet.ahrq.gov/node/44411/psn-pdf
May 09, 2017 - Separating residents' inpatient and outpatient
responsibilities: improving patient safety, learning
environments, and relationships with continuity patients.
May 9, 2017
Bates CK, Yang J, Huang GC, et al. Separating Residents' Inpatient and Outpatient Responsibilities:
Improving Patient Safety, Learning Environmen…
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psnet.ahrq.gov/node/47727/psn-pdf
January 23, 2019 - Improving resident and fellow engagement in patient
safety through a graduate medical education incentive
program.
January 23, 2019
Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through
a Graduate Medical Education Incentive Program. J Gen Intern Care. 2018;10(6):671…
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psnet.ahrq.gov/node/37945/psn-pdf
July 26, 2010 - A survey of hospital quality improvement activities.
July 26, 2010
Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care
Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285.
https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
The Instit…
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psnet.ahrq.gov/issue/quick-safety
May 30, 2012 - Newsletter/Journal
Quick Safety.
Citation Text:
Quick Safety. Oakbrook Terrace, IL: The Joint Commission.
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