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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - Health plans can improve access by adding more providers to their network or implementing programs that
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - The survey was also able to help identify barriers to implementing best practices; the three most common
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - transitions that is updated and as close to real-time as possible, and laboratory values. 10 However, implementing
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psnet.ahrq.gov/node/42338/psn-pdf
November 18, 2015 - Patient Safety Resource Centre.
November 18, 2015
The Health Foundation.
https://psnet.ahrq.gov/issue/patient-safety-resource-centre
This Web site offers resources to support safety improvement in the United Kingdom, including
implementation guidelines and case studies.
https://psnet.ahrq.gov/issue/patient-safety…
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psnet.ahrq.gov/node/36618/psn-pdf
July 24, 2008 - Software for symptoms.
July 24, 2008
Borzo J. Wall Street Journal. May 23, 2005.
https://psnet.ahrq.gov/issue/software-symptoms
This article discusses decision support system implementation and use, and its role in preventing physician
misdiagnosis.
https://psnet.ahrq.gov/issue/software-symptoms
https://psnet.ahr…
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psnet.ahrq.gov/node/35459/psn-pdf
December 10, 2014 - Death by handwriting.
December 10, 2014
Glabman M. Death by handwriting. Trustee : the journal for hospital governing boards. 2005;58(9):29-32.
https://psnet.ahrq.gov/issue/death-handwriting
This article discusses several strategies implemented by hospitals to improve the legibility of physicians'
medication order…
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psnet.ahrq.gov/node/35566/psn-pdf
December 14, 2005 - Hospitals try to break a deadly 'code.'
December 14, 2005
Kowalczyk L.
https://psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
This article reports on the implementation of rapid response teams in Boston hospitals and the potential for
reducing patient mortality.
https://psnet.ahrq.gov/issue/hospitals-try-br…
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psnet.ahrq.gov/node/38954/psn-pdf
September 16, 2009 - For all the right reasons.
September 16, 2009
Hagland M.
https://psnet.ahrq.gov/issue/all-right-reasons
This article discusses approaching computerized provider order entry (CPOE) implementation from a
patient safety perspective and shares success stories from numerous US hospitals.
https://psnet.ahrq.gov/issue/a…
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psnet.ahrq.gov/node/36170/psn-pdf
December 30, 2012 - Standardizing safety.
December 30, 2012
Meyers S. Standardizing safety. Trustee. 2006;59(7):12-4, 21, 1.
https://psnet.ahrq.gov/issue/standardizing-safety
The author describes how several hospitals implemented crew resource management programs to improve
communication.
https://psnet.ahrq.gov/issue/standardizing-s…
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psnet.ahrq.gov/node/36887/psn-pdf
May 16, 2007 - Hospitals tie CEO bonuses to safety.
May 16, 2007
Rowland C.
https://psnet.ahrq.gov/issue/hospitals-tie-ceo-bonuses-safety
This article reports on Massachusetts hospitals that are basing hospital executive bonuses on the extent to
which their hospitals implement and comply with safety measures.
https://psnet.ahrq…
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psnet.ahrq.gov/innovations-video
August 09, 2025 - Learn About the Submit an Innovation Process
PSNet’s Submit an Innovation feature allows organizations to share successfully implemented innovative practices and/or interventions that have resulted in improved patient safety and reduced harm. Watch the video below to learn more about the Submit an Innovation process…
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psnet.ahrq.gov/node/42044/psn-pdf
February 13, 2013 - Patient Safety.
February 13, 2013
Minnesota Hospital Association; MHA.
https://psnet.ahrq.gov/issue/patient-safety-10
This Web site provides access to materials for patient safety improvement efforts in Minnesota, including
initiatives to reduce adverse drug events and hospital collaboratives to implement best pra…
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psnet.ahrq.gov/node/39346/psn-pdf
March 10, 2010 - How-to Guide: Multidisciplinary Rounds.
March 10, 2010
Cambridge, MA: Institute for Healthcare Improvement; February 2010.
https://psnet.ahrq.gov/issue/how-guide-multidisciplinary-rounds
This manual offers practical advice on how to plan for and implement care team rounds that involve a
variety of health care prov…
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psnet.ahrq.gov/node/42817/psn-pdf
December 18, 2013 - Medication Reconciliation for Hospitalists.
December 18, 2013
Society of Hospital Medicine.
https://psnet.ahrq.gov/issue/medication-reconciliation-hospitalists
This Web site provides resources to help health systems implement the Multi-Center Medication
Reconciliation Quality Improvement Study (MARQUIS) medication…
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - Duplicate Insulin Order
Citation Text:
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…
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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
Editor's note: Dr. David Urbach is Professor of Surgery and Health Policy, Management, and Evaluation
at the University…
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - Annual Perspective
Patient Safety in the Ambulatory Care Setting
August 5, 2022
View more articles from the same authors.
Citation Text:
Schiff G, Mossburg SE, Dowell P, et al. Patient Safety in the Ambulatory Care Setting. PSNet [internet]. Rockville (MD): …
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psnet.ahrq.gov/node/35260/psn-pdf
January 25, 2010 - The enterprise take on patient safety.
January 25, 2010
Rogoski RR. The enterprise take on patient safety. Health management technology. 2005;26(8):12, 14, 16-
7.
https://psnet.ahrq.gov/issue/enterprise-take-patient-safety
This article reports on two efforts to reduce medical errors through information technology …
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psnet.ahrq.gov/node/35814/psn-pdf
April 05, 2006 - Patient-safety and quality initiatives in the intensive-care
unit.
April 5, 2006
Winters B; Dorman T.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-initiatives-intensive-care-unit
The authors summarize several initiatives being implemented in intensive care units to help ensure patient
safety.
https://…
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
May 12, 2021 - Study
A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial.
Citation Text:
Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized c…