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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36106/psn-pdf
    May 27, 2011 - Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. May 27, 2011 Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. Crit Care Med. 2006;34(7…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45545/psn-pdf
    October 05, 2016 - How to Improve Electronic Health Record Usability and Patient Safety. October 5, 2016 Philadelphia, PA: Pew Charitable Trusts; September 6, 2016. https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety The usability of electronic health record (EHR) systems can affect clinici…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34570/psn-pdf
    March 07, 2005 - Measuring the Success of the Regional Medication Safety Program for Hospitals. March 7, 2005 Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005. https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals The Regional Medication Safety Prog…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42380/psn-pdf
    December 29, 2014 - Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. December 29, 2014 Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47018/psn-pdf
    June 13, 2018 - Opportunities to improve informed consent with AHRQ training modules. June 13, 2018 Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010. https://psnet.ahrq.gov/issue/opportuniti…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47288/psn-pdf
    December 21, 2018 - Reframing and addressing horizontal violence as a workplace quality improvement concern. December 21, 2018 Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273. https://psnet.ahrq.gov/issue/reframing-and…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34586/psn-pdf
    July 21, 2009 - Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. July 21, 2009 Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qual Patient Saf. 2004;30(10):534-542. http…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42635/psn-pdf
    December 06, 2013 - Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. December 6, 2013 Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to transform the surgeons of tomorrow. Surgeon. 2013;11(6):338-43. doi:10.1016/j.surge.20…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43994/psn-pdf
    August 02, 2015 - Using simulation to improve patient safety: dawn of a new era. August 2, 2015 Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817. https://psnet.ahrq.gov/issue/using-simulation-improve-patient-safety-daw…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40443/psn-pdf
    November 02, 2011 - In-home medication reviews: a novel approach to improving patient care through coordination of care. November 2, 2011 Willis JS, Hoy RH, Jenkins WD. In-home medication reviews: a novel approach to improving patient care through coordination of care. J Community Health. 2011;36(6):1027-31. doi:10.1007/s10900-011-940…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47146/psn-pdf
    June 27, 2018 - Provider perspectives on partnering with parents of hospitalized children to improve safety. June 27, 2018 Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. doi:10.1542/hpeds.2017-0159. https…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42556/psn-pdf
    August 28, 2013 - Findings and Lessons From the Improving Quality Through Clinician Use of Health IT Grant Initiative. August 28, 2013 Rockville, MD: Agency for Healthcare Research and Quality. May 2013. AHRQ Publication No 13-0042-EF. https://psnet.ahrq.gov/issue/findings-and-lessons-improving-quality-through-clinician-use-health-i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47324/psn-pdf
    November 07, 2018 - Engaging patients to improve quality of care: a systematic review. November 7, 2018 Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review. Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z. https://psnet.ahrq.gov/issue/engaging-patients-improve-quality-ca…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43515/psn-pdf
    July 03, 2016 - Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. July 3, 2016 Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical educ…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862151/psn-pdf
    February 07, 2024 - Taking up the challenge to improve name and role recognition in the operating room. February 7, 2024 Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.0000000000001177. https://psnet.ahrq.gov/issue…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46208/psn-pdf
    July 12, 2017 - Improving patient safety by practicing in a just culture. July 12, 2017 Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005. https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture The importance of just culture is widel…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866358/psn-pdf
    July 24, 2024 - To improve health care, focus on fixing systems — not people. July 24, 2024 Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people. Harvard Business Review. July 12, 2024; https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people While a focus on the…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839824/psn-pdf
    November 09, 2022 - Improving diagnostic decision support through deliberate reflection: a proposal. November 9, 2022 Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal. Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062. https://psnet.ahrq.gov/issue/improving-diagnostic-de…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35809/psn-pdf
    February 25, 2015 - Stories from the sharp end: case studies in safety improvement. February 25, 2015 McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200 https://psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement This study shares the efforts of six different health care organizations in implementing intervent…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38736/psn-pdf
    June 24, 2009 - Improving patient safety by understanding past experiences in day surgery and PACU. June 24, 2009 Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. https://psnet.ahrq.gov/issue/improving-patien…

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