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psnet.ahrq.gov/node/41695/psn-pdf
July 19, 2017 - ACOG Committee Opinion #531: improving medication
safety.
July 19, 2017
Improvement C on PS and Q. Committee opinion No. 531: improving medication safety. Obstet Gynecol.
2012;120(2 Pt 1):406-410. doi:10.1097/AOG.0b013e3182680478.
https://psnet.ahrq.gov/issue/acog-committee-opinion-531-improving-medication-safety
…
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psnet.ahrq.gov/node/47556/psn-pdf
November 28, 2018 - Improving Diagnosis.
November 28, 2018
Deutsch E, ed. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):1-70.
https://psnet.ahrq.gov/issue/improving-diagnosis
This special issue raises awareness of challenges to reducing diagnostic error. Articles discuss insights
from experts about how to improve diagnosis, t…
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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/46323/psn-pdf
October 29, 2017 - Use of unit-based interventions to improve the quality of
care for hospitalized medical patients: a national survey.
October 29, 2017
O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of
Care for Hospitalized Medical Patients: A National Survey. Jt Comm J Qual Patie…
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psnet.ahrq.gov/node/38229/psn-pdf
November 18, 2016 - SQUIRE 2.0 (Standards for QUality Improvement
Reporting Excellence): revised publication guidelines
from a detailed consensus process.
November 18, 2016
Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality Improvement Reporting
Excellence): revised publication guidelines from a detailed consensu…
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psnet.ahrq.gov/node/48165/psn-pdf
August 28, 2019 - Competencies for improving diagnosis: an
interprofessional framework for education and training in
health care.
August 28, 2019
Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework
for education and training in health care. Diagnosis (Berl). 2019;6(4):335-341. doi…
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psnet.ahrq.gov/node/46612/psn-pdf
February 22, 2018 - Influencing organisational culture to improve hospital
performance in care of patients with acute myocardial
infarction: a mixed-methods intervention study.
February 22, 2018
Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital
performance in care of patients with acute …
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psnet.ahrq.gov/node/867649/psn-pdf
January 01, 2015 - Improving Pain Management for Hospitalized Medical
Patients.
January 1, 2015
Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients.
https://psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients
Pain management presents complex patient safety concerns. Info…
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psnet.ahrq.gov/node/42145/psn-pdf
March 27, 2013 - Trends in adverse events over time: why are we not
improving?
March 27, 2013
Shojania KG, Thomas EJ. Trends in adverse events over time: why are we not improving? BMJ Qual Saf.
2013;22(4):273-7. doi:10.1136/bmjqs-2013-001935.
https://psnet.ahrq.gov/issue/trends-adverse-events-over-time-why-are-we-not-improving
Th…
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psnet.ahrq.gov/node/42213/psn-pdf
April 17, 2013 - Quality: performance improvement, teamwork,
information technology and protocols.
April 17, 2013
Coleman NE, Pon S. Quality: performance improvement, teamwork, information technology and protocols.
Crit Care Clin. 2013;29(2):129-51. doi:10.1016/j.ccc.2012.11.002.
https://psnet.ahrq.gov/issue/quality-performance-im…
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psnet.ahrq.gov/node/40924/psn-pdf
February 23, 2015 - Interdisciplinary teamwork in hospitals: a review and
practical recommendations for improvement.
February 23, 2015
O'Leary KJ, Sehgal NL, Terrell G, et al. Interdisciplinary teamwork in hospitals: a review and practical
recommendations for improvement. J Hosp Med. 2012;7(1):48-54. doi:10.1002/jhm.970.
https://psne…
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psnet.ahrq.gov/node/37220/psn-pdf
October 14, 2011 - Making the Patient Safety and Quality Improvement Act of
2005 work.
October 14, 2011
Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J
Healthc Qual. 2007;29(4):6-10.
https://psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
The aut…
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psnet.ahrq.gov/node/36056/psn-pdf
September 27, 2010 - Path to safety: benefits of the 2005 Patient Safety and
Quality Improvement Act.
September 27, 2010
McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality
Improvement Act. Healthc Financ Manage. 2006;60(6):84-8.
https://psnet.ahrq.gov/issue/path-safety-benefits-2005-patie…
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Perspective
Interruptions and Distractions in Health Care: Improved
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psnet.ahrq.gov/node/44128/psn-pdf
September 12, 2018 - Sustained improvement in neonatal intensive care unit
safety attitudes after teamwork training.
September 12, 2018
Murphy T, Laptook A, Bender J. Sustained Improvement in Neonatal Intensive Care Unit Safety Attitudes
After Teamwork Training. J Patient Saf. 2018;14(3):174-180. doi:10.1097/PTS.0000000000000191.
http…
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psnet.ahrq.gov/node/44754/psn-pdf
March 23, 2016 - Use of failure mode and effects analysis to improve
emergency department handoff processes.
March 23, 2016
Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff
Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000169.
https://psnet.ahrq.gov/issue/use-…
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psnet.ahrq.gov/node/44033/psn-pdf
April 22, 2015 - Quality improvements in decreasing medication
administration errors made by nursing staff in an
academic medical center hospital: a trend analysis during
the journey to Joint Commission International
accreditation and in the post-accreditation era.
April 22, 2015
Wang H-F, Jin J-F, Feng X-Q, et al. Quality improv…
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psnet.ahrq.gov/node/866936/psn-pdf
October 30, 2024 - Improving Hospital Handoffs Using AHRQ's Surveys on
Patient Safety Culture Hospital Survey.
October 30, 2024
Agency for Healthcare Research and Quality. Improving Hospital Handoffs Using AHRQ's Surveys on
Patient Safety Culture Hospital Survey. October 30, 2024.
https://psnet.ahrq.gov/issue/improving-hospital-hand…
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psnet.ahrq.gov/node/46290/psn-pdf
January 01, 2021 - Using prospective risk analysis tools to improve safety in
pharmacy settings: a systematic review and critical
appraisal.
August 2, 2017
Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy
Settings: A Systematic Review and Critical Appraisal. J Patient Saf. 2021…
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psnet.ahrq.gov/node/43710/psn-pdf
October 06, 2016 - Improving medication administration safety: using naïve
observation to assess practice and guide improvements
in process and outcomes.
October 6, 2016
Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve
observation to assess practice and guide improvements in process and…