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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73480/psn-pdf
    December 17, 2024 - Improving Patient Safety with Human Factors Methods. December 17, 2024 Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025. https://psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods Human factors engineering (HFE) is a primary strategy for advancing safety in healt…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36072/psn-pdf
    July 05, 2006 - VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. July 5, 2006 Washington DC; Government Accountability Office; May 2006. Report no GAO-06-544. https://psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-c…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38137/psn-pdf
    October 15, 2008 - Ethical and legal issues in the use of health information technology to improve patient safety. October 15, 2008 Berner ES. Ethical and legal issues in the use of health information technology to improve patient safety. HEC Forum. 2008;20(3):243-58. doi:10.1007/s10730-008-9074-5. https://psnet.ahrq.gov/issue/ethic…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41484/psn-pdf
    September 26, 2012 - An institution-wide handoff task force to standardise and improve physician handoffs. September 26, 2012 Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve physician handoffs. BMJ Qual Saf. 2012;21(10):863-71. https://psnet.ahrq.gov/issue/institution-wide-ha…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40658/psn-pdf
    August 03, 2011 - Development and validation of a tool to improve paediatric referral/consultation communication. August 3, 2011 Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. doi:10.1136/bmjqs.2010.045781. https:…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41048/psn-pdf
    November 04, 2012 - An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. November 4, 2012 Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. J Nurs Care Qual. 2012;27(2):154-60. doi:10.1097/N…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42553/psn-pdf
    January 07, 2014 - Learning in action: developing safety improvement capabilities through action learning. January 7, 2014 Christiansen A, Prescott T, Ball J. Learning in action: developing safety improvement capabilities through action learning. Nurse Educ Today. 2014;34(2):243-7. doi:10.1016/j.nedt.2013.07.008. https://psnet.ahrq.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45478/psn-pdf
    October 26, 2016 - Core principles of quality improvement and patient safety. October 26, 2016 Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417. https://psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety This review discusses key patient safet…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36049/psn-pdf
    January 02, 2017 - Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. January 2, 2017 Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Interview by Steven Berman. Jt Comm J Qual Patient Saf. 2006;32(7):400-6, 357. ht…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42224/psn-pdf
    April 24, 2013 - Top 10 ways to improve patient safety now. April 24, 2013 O'Reilly KB. https://psnet.ahrq.gov/issue/top-10-ways-improve-patient-safety-now This news article highlights patient safety improvement strategies covered in the AHRQ Making Health Care Safer II report. https://psnet.ahrq.gov/issue/top-10-ways-improve-pat…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38395/psn-pdf
    January 02, 2017 - Reducing medication errors and improving systems reliability using an electronic medication reconciliation system. January 2, 2017 Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic Medication Reconciliation System. The Joint Commission Journal on Quality and Patient…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43494/psn-pdf
    November 17, 2014 - Read-back improves information transfer in simulated clinical crises. November 17, 2014 Boyd M, Cumin D, Lombard B, et al. Read-back improves information transfer in simulated clinical crises. BMJ Qual Saf. 2014;23(12):989-93. doi:10.1136/bmjqs-2014-003096. https://psnet.ahrq.gov/issue/read-back-improves-informati…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38316/psn-pdf
    March 04, 2009 - Practising open disclosure: clinical incident communication and systems improvement. March 4, 2009 Iedema R, Jorm C, Wakefield J, et al. Practising Open Disclosure: clinical incident communication and systems improvement. Sociol Health Illn. 2009;31(2):262-77. doi:10.1111/j.1467-9566.2008.01131.x. https://psnet.ah…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41641/psn-pdf
    August 29, 2012 - Patient safety and quality improvement: an overview of QI. August 29, 2012 Schriefer J, Leonard M. Patient safety and quality improvement: an overview of QI. Pediatr Rev. 2012;33(8):353-9; quiz 359-60. doi:10.1542/pir.33-8-353. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-overview-qi This c…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39863/psn-pdf
    January 04, 2011 - Improving the quality of drug error reporting. January 4, 2011 Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract. 2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x. https://psnet.ahrq.gov/issue/improving-quality-drug-error-reporting This analysis of voluntarily…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40374/psn-pdf
    April 13, 2011 - Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. April 13, 2011 Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern Med. 2011;171(6):487-8. doi:10.1001/arc…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36050/psn-pdf
    January 02, 2017 - Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. January 2, 2017 Just S, Schepers G, Piotrowski MM, et al. Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. Jt Comm J Qual Patient Saf. 2006;32(7):366-72. https://psnet.ahrq.gov/issu…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35989/psn-pdf
    September 17, 2010 - Using preprinted medication order forms to improve the safety of investigational drug use. September 17, 2010 Tamer H, Shehab N. Using preprinted medication order forms to improve the safety of investigational drug use. Am J Health Syst Pharm. 2006;63(11):1022, 1025-1026, 1028. https://psnet.ahrq.gov/issue/using-p…
  19. psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
    June 30, 2021 - EMERGING INNOVATIONS Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children Citation Text: Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children Evans S, Green A, Roberson A, et al. …
  20. psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
    July 19, 2019 - Review Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. Citation Text: Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…

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