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psnet.ahrq.gov/issue/patients-right-safety-improving-quality-care-through-litigation-against-hospitals
February 17, 2011 - Commentary
The patient's right to safety—improving the quality of care through litigation against hospitals.
Citation Text:
Annas GJ. The patient's right to safety--improving the quality of care through litigation against hospitals. N Engl J Med. 2006;354(19):2063-2066.
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psnet.ahrq.gov/issue/peer-feedback-learning-and-improvement-answering-call-institute-medicine-report-diagnostic
March 20, 2024 - Commentary
Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error.
Citation Text:
Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report o…
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psnet.ahrq.gov/issue/inappropriate-medication-use-elderly-results-quality-improvement-project-99-primary-care
January 18, 2013 - Study
Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices.
Citation Text:
Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary ca…
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care
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May 26, 2021
Innovation
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psnet.ahrq.gov/node/854391/psn-pdf
October 11, 2023 - Patient Engagement for Patient Safety: The Why, What,
and How of Patient Engagement for Improving Patient
Safety.
October 11, 2023
Kendir C, Fujisawa R, Brito Fernandes O, et al. Paris, France: OECD Publishing; 2023. OECD Health
Working Papers, No. 159.
https://psnet.ahrq.gov/issue/patient-engagement-patient-safe…
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psnet.ahrq.gov/node/40672/psn-pdf
September 03, 2011 - Didactic and simulation nontechnical skills team training
to improve perinatal patient outcomes in a community
hospital.
September 3, 2011
Riley W, Davis SE, Miller KK, et al. Didactic and simulation nontechnical skills team training to improve
perinatal patient outcomes in a community hospital. Jt Comm J Qual Pat…
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psnet.ahrq.gov/node/60988/psn-pdf
October 07, 2020 - Team-based approach to improving medication
reconciliation rates in family medicine residency clinics.
October 7, 2020
Harper PG, Schafer KM, Van Riper K, et al. Team-based approach to improving medication reconciliation
rates in family medicine residency clinics. J Am Pharm Assoc (2003). 2021;61(1):e46-e52.
doi:1…
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psnet.ahrq.gov/node/39237/psn-pdf
April 14, 2011 - Improving follow-up of abnormal cancer screens using
electronic health records: trust but verify test result
communication.
April 14, 2011
Singh H, Wilson L, Petersen L, et al. Improving follow-up of abnormal cancer screens using electronic
health records: trust but verify test result communication. BMC Med Inform…
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psnet.ahrq.gov/node/72499/psn-pdf
November 25, 2020 - Transformational improvement in quality care and health
systems: the next decade.
November 25, 2020
Braithwaite J, Vincent CA, Garcia-Elorrio E, et al. Transformational improvement in quality care and health
systems: the next decade. BMC Med. 2020;18(1):340. doi:10.1186/s12916-020-01739-y.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/837075/psn-pdf
May 11, 2022 - Lessons Learned from the COVID-19 Pandemic to
Improve Diagnosis. Proceedings of a Workshop–in Brief.
May 11, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2022.
https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedin…
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psnet.ahrq.gov/node/35253/psn-pdf
April 06, 2011 - Real time patient safety audits: improving safety every
day.
April 6, 2011
Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care.
2005;14(4):284-289. doi:10.1136/qshc.2004.012542.
https://psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
This p…
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psnet.ahrq.gov/node/45099/psn-pdf
December 07, 2018 - Improving Patient Safety in Ambulatory Surgery Centers:
A Resource List for Users of the AHRQ Ambulatory
Surgery Center Survey on Patient Safety Culture.
December 7, 2018
Rockville, MD; Agency for Healthcare Quality and Research; March 2016.
https://psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-…
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psnet.ahrq.gov/node/73592/psn-pdf
August 11, 2021 - Using performance improvement to enhance time-out
compliance and prevent wrong-site surgery.
August 11, 2021
Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and
prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/aorn.13413.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/45028/psn-pdf
May 25, 2016 - 'Just culture': improving safety by achieving substantive,
procedural and restorative justice.
May 25, 2016
Dekker SWA, Breakey H. ‘Just culture:’ Improving safety by achieving substantive, procedural and
restorative justice. Saf Sci. 2016;85. doi:10.1016/j.ssci.2016.01.018.
https://psnet.ahrq.gov/issue/just-cultu…
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psnet.ahrq.gov/node/44988/psn-pdf
September 20, 2016 - The promise of big data: improving patient safety and
nursing practice.
September 20, 2016
Linnen D. The promise of big data: Improving patient safety and nursing practice. Nursing (Brux).
2016;46(5):28-34; quiz 34-5. doi:10.1097/01.NURSE.0000482256.71143.09.
https://psnet.ahrq.gov/issue/promise-big-data-improving…
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psnet.ahrq.gov/node/60265/psn-pdf
January 01, 2019 - Quality Improvement and Patient Safety Competencies
Across the Learning Continuum.
January 1, 2019
AAMC New and Emerging Areas in Medicine Series. Washington, DC: Association of American Medical
Colleges; 2019. ISBN: 9781577541882.
https://psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-competencies-ac…
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psnet.ahrq.gov/node/43045/psn-pdf
August 02, 2015 - A multistep approach to improving biopsy site
identification in dermatology: physician, staff, and patient
roles based on a Delphi consensus.
August 2, 2015
Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in
dermatology: physician, staff, and patient roles based on a…
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psnet.ahrq.gov/node/38680/psn-pdf
August 18, 2010 - Improving safety in the operating room: a systematic
literature review of retained surgical sponges.
August 18, 2010
Wan W, Le T, Riskin L, et al. Improving safety in the operating room: a systematic literature review of
retained surgical sponges. Curr Opin Anaesthesiol. 2009;22(2):207-14.
doi:10.1097/ACO.0b013e32…
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psnet.ahrq.gov/node/47129/psn-pdf
September 05, 2018 - Impact of medication reconciliation for improving
transitions of care.
September 5, 2018
Redmond P, Grimes TC, McDonnell R, et al. Impact of medication reconciliation for improving transitions of
care. Cochrane Database Syst Rev. 2018;8(8):CD010791. doi:10.1002/14651858.CD010791.pub2.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/37215/psn-pdf
September 25, 2008 - Improving sleep hygiene of medical interns: can the
sleep, alertness, and fatigue education in residency
program help?
September 25, 2008
Arora V, Georgitis E, Woodruff JN, et al. Improving sleep hygiene of medical interns: can the sleep,
alertness, and fatigue education in residency program help? Arch Intern Med.…