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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839330/psn-pdf
    November 02, 2022 - Diagnosis: Reducing Errors and Improving Quality. November 2, 2022 Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine, 21e. New York, NY: McGraw Hill; 2022 https://psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality The task of performing a …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38885/psn-pdf
    August 19, 2009 - Patient safety: Part II. Opportunities for improvement in patient safety. August 19, 2009 Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.jaad.2009.04.055. https://psnet.ahrq.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38824/psn-pdf
    March 04, 2011 - Evaluation of a physician informatics tool to improve patient handoffs. March 4, 2011 Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892. https://psnet.ahrq.gov/issue/evaluation-phys…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38361/psn-pdf
    January 31, 2011 - IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. January 31, 2011 Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940. https://psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38507/psn-pdf
    February 10, 2015 - From tasks to processes: the case for changing health information technology to improve health care. February 10, 2015 Walker JM, Carayon P. From tasks to processes: the case for changing health information technology to improve health care. Health Aff (Millwood). 2009;28(2):467-477. doi:10.1377/hlthaff.28.2.467. …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38592/psn-pdf
    April 29, 2009 - The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. April 29, 2009 Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Qual Saf Health Care. 2009;18(2):137-40. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40943/psn-pdf
    September 26, 2012 - Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. September 26, 2012 Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):855-62. https://psnet.ahrq.gov/is…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36811/psn-pdf
    August 26, 2011 - Expanded surgical time out: a key to real-time data collection and quality improvement. August 26, 2011 Altpeter T, Luckhardt K, Lewis JN, et al. Expanded surgical time out: a key to real-time data collection and quality improvement. J Am Coll Surg. 2007;204(4):527-32. https://psnet.ahrq.gov/issue/expanded-surgica…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37497/psn-pdf
    February 15, 2011 - Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. February 15, 2011 Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-6. doi:10.1001/archinternmed.2007…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36331/psn-pdf
    October 26, 2010 - Using system analysis to build a safety culture: improving the reliability of epidural analgesia. October 26, 2010 Garnerin P, Huchet-Belouard A, Diby M, et al. Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Acta Anaesthesiol Scand. 2006;50(9):1114-9. https://psne…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38913/psn-pdf
    May 24, 2015 - Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. May 24, 2015 Cambridge, MA: New England Healthcare Institute; August 12, 2009. https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication- adherence-chro…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44016/psn-pdf
    November 21, 2016 - Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors. November 21, 2016 Chicago, IL: Health Research & Educational Trust; 2015. https://psnet.ahrq.gov/issue/partnering-improve-quality-and-safety-framework-working-patient-and-family- advisors Patient and family advisor…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36785/psn-pdf
    March 04, 2011 - Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. March 4, 2011 Karliner LS, Jacobs EA, Chen AH, et al. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37594/psn-pdf
    September 24, 2010 - Improving sepsis care through systems change: the impact of a medical emergency team. September 24, 2010 Sarani B, Brenner SR, Gabel B, et al. Improving sepsis care through systems change: the impact of a medical emergency team. Jt Comm J Qual Patient Saf. 2008;34(3):179-182, 125. https://psnet.ahrq.gov/issue/impr…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35391/psn-pdf
    April 06, 2011 - Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior.   April 6, 2011 Coyle YM, Mercer SQ, Murphy-Cullen CL, et al. Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior. Qual Saf Health Care. 2…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40377/psn-pdf
    April 20, 2011 - Lessons learned: use of event reporting by nurses to improve patient safety and quality. April 20, 2011 Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010.12.005. https://psnet.ahrq.gov/iss…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35913/psn-pdf
    February 16, 2011 - Improving oversight of the graduate medical education enterprise: one institution's strategies and tools. February 16, 2011 Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise: One Institution???s Strategies and Tools. Academic Medicine. 2006;81(5). doi:10.1097/01.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43621/psn-pdf
    October 22, 2014 - Multidisciplinary in-hospital teams improve patient outcomes: a review. October 22, 2014 Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612. https://psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46305/psn-pdf
    September 27, 2017 - Using simulation to improve systems. September 27, 2017 Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am. 2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011. https://psnet.ahrq.gov/issue/using-simulation-improve-systems-0 Simulations in health care can help uncover technical …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40747/psn-pdf
    September 07, 2011 - Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. September 7, 2011 Neale G, Hogan H, Sevdalis N. Misdiagnosis: analysis based on case record review with proposals aimed to improve diagnostic processes. Clin Med (Lond). 2011;11(4):317-321. https://psnet.ahrq.g…

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