-
psnet.ahrq.gov/node/43516/psn-pdf
June 15, 2017 - Application of failure mode effect analysis to improve the
care of septic patients admitted through the emergency
department.
June 15, 2017
Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of
Septic Patients Admitted Through the Emergency Department. J Patient …
-
psnet.ahrq.gov/node/39088/psn-pdf
September 01, 2015 - Laboratory session to improve first-year pharmacy
students' knowledge and confidence concerning the
prevention of medication errors.
September 1, 2015
Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students'
knowledge and confidence concerning the prevention of medica…
-
psnet.ahrq.gov/node/44156/psn-pdf
November 10, 2015 - Exploring the role of communications in quality
improvement: a case study of the 1000 Lives Campaign in
NHS Wales.
November 10, 2015
Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case
study of the 1000 Lives Campaign in NHS Wales. J Commun Healthc. 2015;8(1):76-…
-
psnet.ahrq.gov/node/41423/psn-pdf
January 03, 2017 - Improving documentation of a beta-blocker quality
measure through an anesthesia information management
system and real-time notification of documentation
errors.
January 3, 2017
Nair BG, Peterson GN, Newman S-F, et al. Improving documentation of a beta-blocker quality measure
through an anesthesia information man…
-
psnet.ahrq.gov/node/44941/psn-pdf
October 05, 2016 - An embedded checklist in the Anesthesia Information
Management System improves pre-anaesthetic induction
setup: a randomised controlled trial in a simulation
setting.
October 5, 2016
Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information
Management System improves pre-anaesthe…
-
psnet.ahrq.gov/node/40398/psn-pdf
April 27, 2011 - Knowledge for Improvement.
April 27, 2011
Batalden P, Davidoff F, eds. BMJ Qual Saf. 2011;20(suppl 1):1-105.
https://psnet.ahrq.gov/issue/knowledge-improvement
Articles in this supplement discuss research tactics, cross-disciplinary thinking, and educational strategies,
along with how they can contribute to…
-
psnet.ahrq.gov/node/41581/psn-pdf
August 08, 2012 - How-to Guides: Improving Transitions from the Hospital
to Reduce Avoidable Rehospitalizations.
August 8, 2012
Cambridge, MA: Institute for Healthcare Improvement; June 2012.
https://psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
This series, developed in conjunct…
-
psnet.ahrq.gov/node/38381/psn-pdf
September 29, 2017 - Framework for patient safety research and improvement.
September 29, 2017
Pronovost P, Goeschel CA, Marsteller JA, et al. Framework for patient safety research and improvement.
Circulation. 2009;119(2):330-7. doi:10.1161/CIRCULATIONAHA.107.729848.
https://psnet.ahrq.gov/issue/framework-patient-safety-research-and-i…
-
psnet.ahrq.gov/node/847717/psn-pdf
April 19, 2023 - Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19
pandemic: a "zero harm" approach.
April 19, 2023
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19 pan…
-
psnet.ahrq.gov/node/39970/psn-pdf
January 22, 2017 - Hospital board checklist to improve culture and reduce
central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Pronovost P. Hospital Board Checklist to improve culture and reduce
central line-associated bloodstream infections. Jt Comm J Qual Patient Saf. 2010;36(11):525-8.
htt…
-
psnet.ahrq.gov/node/45641/psn-pdf
October 11, 2017 - Improving health care quality and patient safety through
peer-to-peer assessment: demonstration project in two
academic medical centers.
October 11, 2017
Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-
Peer Assessment: Demonstration Project in Two Academic Med…
-
psnet.ahrq.gov/node/39641/psn-pdf
September 20, 2011 - Adherence to Surgical Care Improvement Project
measures and the association with postoperative
infections.
September 20, 2011
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures
and the association with postoperative infections. JAMA. 2010;303(24):2479-85.
doi:10.1…
-
psnet.ahrq.gov/node/39551/psn-pdf
May 26, 2010 - Simulation-based training improves physicians'
performance in patient care in high-stakes clinical setting
of cardiac surgery.
May 26, 2010
Bruppacher HR, Alam SK, LeBlanc VR, et al. Simulation-based training improves physicians' performance
in patient care in high-stakes clinical setting of cardiac surgery. Anest…
-
psnet.ahrq.gov/node/47392/psn-pdf
January 23, 2019 - Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results
of the MARQUIS study.
January 23, 2019
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results o…
-
psnet.ahrq.gov/node/39147/psn-pdf
January 13, 2010 - Following the patient journey to improve medicines
management and reduce errors.
January 13, 2010
Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing
times. 2009;105(46):12-5.
https://psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-red…
-
psnet.ahrq.gov/node/36760/psn-pdf
August 23, 2011 - A plan for achieving significant improvement in patient
safety.
August 23, 2011
Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual.
2007;22(2):164-71.
https://psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
The authors describe the u…
-
psnet.ahrq.gov/node/42187/psn-pdf
April 10, 2013 - Insurers' Medical Loss Ratios and Quality Improvement
Spending in 2011.
April 10, 2013
Hall M, McCue MJ. New York, NY: The Commonwealth Fund; March 22, 2013.
https://psnet.ahrq.gov/issue/insurers-medical-loss-ratios-and-quality-improvement-spending-2011
This report found that insurance companies spend on average $…
-
psnet.ahrq.gov/node/35100/psn-pdf
November 04, 2015 - Patient Safety Improvement Corps: An AHRQ/VA
partnership.
November 4, 2015
AHRQ; Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/patient-safety-improvement-corps-ahrqva-partnership
The Agency for Healthcare Research and Quality announces the 2007–2008 Patient Safety Improvement
Corps (PSI…
-
psnet.ahrq.gov/node/41089/psn-pdf
January 25, 2012 - Improving patient safety: lessons from rock climbing.
January 25, 2012
Robertson N. Improving patient safety: lessons from rock climbing. Clin Teach. 2012;9(1):41-4.
doi:10.1111/j.1743-498X.2011.00485.x.
https://psnet.ahrq.gov/issue/improving-patient-safety-lessons-rock-climbing
This commentary proposes that apply…
-
psnet.ahrq.gov/node/41477/psn-pdf
June 27, 2012 - Surgical safety checklists: do they improve outcomes?
June 27, 2012
Walker IA, Reshamwalla S, Wilson IH. Surgical safety checklists: do they improve outcomes? Br J
Anaesth. 2012;109(1):47-54. doi:10.1093/bja/aes175.
https://psnet.ahrq.gov/issue/surgical-safety-checklists-do-they-improve-outcomes
This review discus…