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  1. Psn-Pdf (pdf file)

    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 …
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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 …
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
    January 01, 2008 - Perspective Interruptions and Distractions in Health Care: Improved
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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-…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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