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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34978/psn-pdf
    June 30, 2011 - Personal digital assistant-based drug information sources: potential to improve medication safety. June 30, 2011 Galt K, Rule AM, Houghton B, et al. Personal digital assistant-based drug information sources: potential to improve medication safety. J Med Libr Assoc. 2005;93(2):229-36. https://psnet.ahrq.gov/issue/p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45018/psn-pdf
    November 18, 2016 - Identifying risk in the use of tumor markers to improve patient safety. November 18, 2016 Moreno-Campoy EE, De la Torre FJM-, Martos-Crespo F, et al. Identifying risk in the use of tumor markers to improve patient safety. Clin Chem Lab Med. 2016;54(12):1947-1953. doi:10.1515/cclm-2015-0760. https://psnet.ahrq.gov/…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837154/psn-pdf
    May 18, 2022 - Survey shows room for improvement with three new best practices for hospitals. May 18, 2022 ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.  https://psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals Practice changes take time to be fully incorporate…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44443/psn-pdf
    September 09, 2015 - Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness. September 9, 2015 Karasin B, Maund C. Using Multidisciplinary Rounds to Improve Patient Safety Through Venous Thromboembolism Prevention Awareness. Jt Comm J Qual Patient Saf. 2015;41(9):428-431. https://p…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41087/psn-pdf
    November 26, 2014 - Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. November 26, 2014 Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2012;27(3):287-91. doi:10.1007/s…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39834/psn-pdf
    July 02, 2014 - Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. July 2, 2014 Young JQ, Niehaus B, Lieu SC, et al. Improving resident education and patient safety: a method to balance initial caseloads at academic year-end transfer. Acad Med. 2010;85(9):1418-24.…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41207/psn-pdf
    September 27, 2016 - Improving patient safety and optimizing nursing teamwork using crew resource management techniques. September 27, 2016 West P, Sculli GL, Fore AM, et al. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. J Nurs Adm. 2012;42(1):15-20. doi:10.1097/NNA.0b013e31823c17c7…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44994/psn-pdf
    October 11, 2017 - Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. October 11, 2017 Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335. doi:10.1177/1062860616638413. ht…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60731/psn-pdf
    July 29, 2020 - Patient feedback for safety improvement in primary care: results from a feasibility study. July 29, 2020 Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen-2020-037887. https://psnet.ahrq.g…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37794/psn-pdf
    February 15, 2011 - Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system. February 15, 2011 Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving Safety Culture in a Pediatric Hospital System. J Patient Saf. 2009;4(2). doi:…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72697/psn-pdf
    February 03, 2021 - Culture of safety: impact on improvement in infection prevention process and outcomes. February 3, 2021 Braun B, Chitavi SO, Suzuki H, et al. Culture of Safety: Impact on Improvement in Infection Prevention Process and Outcomes. Curr Infect Dis Rep. 2020;22(12):34. doi:10.1007/s11908-020-00741-y. https://psnet.ahr…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44065/psn-pdf
    July 16, 2015 - Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. July 16, 2015 Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0193945915577430. https://psnet.ahrq…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44386/psn-pdf
    August 12, 2015 - Using simulation to improve systems. August 12, 2015 Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885- 92. doi:10.1016/j.suc.2015.04.007. https://psnet.ahrq.gov/issue/using-simulation-improve-systems Safety approaches from aviation that can be applied to health c…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44255/psn-pdf
    November 09, 2015 - Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification. November 9, 2015 Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification. Dermatol Surg. 2015;41(4):499-504. doi:10.1097/DSS.00…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33748/psn-pdf
    April 01, 2013 - Sleep on average improved by only 6%.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866216/psn-pdf
    July 10, 2024 - Health Plan Patient Safety Initiatives July 10, 2024 Helwig A, Sousane Z, Mossburg S. Health Plan Patient Safety Initiatives. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives When we think of improving patient safety, we often think of strategies that can be implemen…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45681/psn-pdf
    January 25, 2017 - Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review. January 25, 2017 Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related to Central Catheters: A Systema…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43773/psn-pdf
    May 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. May 1, 2015 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74230/psn-pdf
    January 12, 2022 - Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. January 12, 2022 Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors to improve patient safety when…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40852/psn-pdf
    January 19, 2012 - Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. January 19, 2012 Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. BMJ Qual Saf. 2012;21(2):13…

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