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psnet.ahrq.gov/node/41929/psn-pdf
January 09, 2013 - Quality improvement: Universal Protocol use in office-
based gastrointestinal procedure units.
January 9, 2013
Hardee LK. Quality improvement: universal protocol use in office-based gastrointestinal procedure units.
Gastroenterol Nurs. 2012;35(6):380-2. doi:10.1097/SGA.0b013e3182747956.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/40821/psn-pdf
October 31, 2011 - Educational interventions to improve handover in health
care: a systematic review.
October 31, 2011
Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review.
Med Educ. 2011;45(11):1081-9. doi:10.1111/j.1365-2923.2011.04049.x.
https://psnet.ahrq.gov/issue/educational-in…
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psnet.ahrq.gov/node/36176/psn-pdf
May 30, 2008 - Quality improvement in healthcare in New Zealand. Part 2:
are our patients safe--and what are we doing about it?
May 30, 2008
Merry A, Seddon M, Quality EPI and. Quality improvement in healthcare in New Zealand. Part 2: are our
patients safe--and what are we doing about it? N Z Med J. 2006;119(1238):U2086.
https:/…
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psnet.ahrq.gov/node/837692/psn-pdf
July 20, 2022 - Assessment of changes in visits and antibiotic
prescribing during the Agency for Healthcare Research
and Quality Safety Program for Improving Antibiotic Use
and the COVID-19 Pandemic.
July 20, 2022
Keller SC, Caballero TM, Tamma PD, et al. Assessment of changes in visits and antibiotic prescribing
during the Agen…
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psnet.ahrq.gov/node/72719/psn-pdf
February 10, 2021 - The Diagnostic Error Index: a quality improvement
initiative to identify and measure diagnostic errors.
February 10, 2021
Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to
identify and measure diagnostic errors. J Pediatr. 2021;232:257-263. doi:10.1016/j.jpeds.20…
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psnet.ahrq.gov/node/865922/psn-pdf
May 22, 2024 - Pharmacy-driven performance improvement initiative to
increase compliance with intravenous smart pump drug
error reduction systems at a large urban academic
medical center.
May 22, 2024
Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to increase
compliance with intraveno…
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psnet.ahrq.gov/node/43258/psn-pdf
May 01, 2015 - Interventions employed to improve intrahospital
handover: a systematic review.
May 1, 2015
Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a
systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309.
https://psnet.ahrq.gov/issue/interventions-…
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psnet.ahrq.gov/node/37260/psn-pdf
January 02, 2017 - A visual medication schedule to improve anticoagulation
control: a randomized, controlled trial.
January 2, 2017
Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a
randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;33(10):625-35.
https://psnet.ahr…
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psnet.ahrq.gov/node/840484/psn-pdf
November 30, 2022 - Interdisciplinary collaboration across secondary and
primary care to improve medication safety in the elderly
(The IMMENSE study) - a randomized controlled trial.
November 30, 2022
Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and
primary care to improve medication …
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psnet.ahrq.gov/node/46450/psn-pdf
August 20, 2018 - Improving Diagnostic Quality and Safety Final Report.
August 20, 2018
Washington, DC: National Quality Forum. September 19, 2017.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
Although diagnostic error is a well-recognized source of preventable patient harm, measuring and
mitiga…
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psnet.ahrq.gov/node/41942/psn-pdf
July 24, 2017 - Improving situation awareness to reduce unrecognized
clinical deterioration and serious safety events.
July 24, 2017
Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical
deterioration and serious safety events. Pediatrics. 2013;131(1):e298-308. doi:10.1542/peds.2012-…
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psnet.ahrq.gov/node/35853/psn-pdf
May 20, 2015 - What practices will most improve safety? Evidence-based
medicine meets patient safety.
May 20, 2015
Leape L, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine
meets patient safety. JAMA. 2002;288(4):501-7.
https://psnet.ahrq.gov/issue/what-practices-will-most-improve-safety-evi…
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psnet.ahrq.gov/node/44951/psn-pdf
March 02, 2016 - Using the Targeted Solutions Tool® to improve
emergency department handoffs in a community hospital.
March 2, 2016
Benjamin MF, Hargrave S, Nether K. Using the Targeted Solutions Tool® to Improve Emergency
Department Handoffs in a Community Hospital. Jt Comm J Qual Patient Saf. 2016;42(3):107-118.
https://psnet.ah…
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psnet.ahrq.gov/node/43965/psn-pdf
July 16, 2015 - Decision making in trauma settings: simulation to
improve diagnostic skills.
July 16, 2015
Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve
diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073.
https://psnet.ahrq.gov/issue/decision…
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psnet.ahrq.gov/node/867013/psn-pdf
October 23, 2024 - Reducing automated dispensing cabinet overrides in the
peri-anesthesia care unit: a quality improvement project.
October 23, 2024
Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-
anesthesia care unit: a quality improvement project. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-use-and-future
October 27, 2021 - Review
Emerging Classic
The application of system dynamics modelling to system safety improvement: present use and future potential.
Citation Text:
The application of system dynamics modelling to system safety improvement: present use and future potential. Ibrah…
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psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-examining-impact-artificial
July 22, 2024 - Grant Announcement
Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18).
Citation Text:
Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Rockville, MD: Agency for Research and Quality; July 15, 2024. PA-24-261.
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…
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psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results
March 10, 2011 - Commentary
Eight recommendations for policies for communicating abnormal test results.
Citation Text:
Singh H, Vij MS. Eight recommendations for policies for communicating abnormal test results. Jt Comm J Qual Patient Saf. 2010;36(5):226-232.
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Format:
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psnet.ahrq.gov/issue/resident-led-institutional-patient-safety-and-quality-improvement-process
November 16, 2022 - Study
A resident-led institutional patient safety and quality improvement process.
Citation Text:
Stueven J, Sklar DP, Kaloostian P, et al. A resident-led institutional patient safety and quality improvement process. Am J Med Qual. 2012;27(5):369-76. doi:10.1177/1062860611429387.
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psnet.ahrq.gov/issue/what-if-transforming-diagnostic-research-leveraging-diagnostic-process-map-engage-patients
October 27, 2021 - Book/Report
What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors.
Citation Text:
Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage …