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psnet.ahrq.gov/node/42626/psn-pdf
October 02, 2013 - Improving patient safety in the ICU by prospective
identification of missing safety barriers using the Bow-Tie
prospective risk analysis model.
October 2, 2013
Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective
Identification of Missing Safety Barriers Using t…
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psnet.ahrq.gov/node/45783/psn-pdf
March 25, 2017 - Year-end resident clinic handoffs: narrative review and
recommendations for improvement.
March 25, 2017
Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and
Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79.
doi:10.1016/j.jcjq.2016.11.006.
…
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psnet.ahrq.gov/node/44316/psn-pdf
March 20, 2017 - Improving Patient Safety: The Intersection of Safety
Culture, Clinician and Staff Support, and Patient Safety
Organizations.
March 20, 2017
Miller RG, Scott SD, Hirschinger LE. Jefferson City, MO: Center for Patient Safety; September 2015.
https://psnet.ahrq.gov/issue/improving-patient-safety-intersection-safety-c…
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psnet.ahrq.gov/node/45917/psn-pdf
March 29, 2017 - Improving our understanding of multi-tasking in
healthcare: drawing together the cognitive psychology
and healthcare literature.
March 29, 2017
Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare:
Drawing together the cognitive psychology and healthcare literature. Ap…
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psnet.ahrq.gov/node/45743/psn-pdf
June 21, 2017 - Strategies for improving the value of the radiology report:
a retrospective analysis of errors in formally over-read
studies.
June 21, 2017
Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis
of errors in formally over-read studies. J Am Coll Radiol. 2017;1…
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psnet.ahrq.gov/node/47793/psn-pdf
June 12, 2019 - Can mindfulness in health care professionals improve
patient care? An integrative review and proposed model.
June 12, 2019
Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An
integrative review and proposed model. Transl Behav Med. 2019;9(2):187-201. doi:10.1093/t…
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psnet.ahrq.gov/node/50748/psn-pdf
December 18, 2019 - Systematic review of interventions to improve safety and
quality of anticoagulant prescribing for therapeutic
indications for hospital inpatients
December 18, 2019
Frazer A, Rowland J, Mudge A, et al. Eur J Clin Pharmacol. 2019;75(12):1645-1657.
https://psnet.ahrq.gov/issue/systematic-review-interventions-imp…
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psnet.ahrq.gov/node/48126/psn-pdf
August 14, 2019 - Designing and pilot testing of a leadership intervention to
improve quality and safety in nursing homes and home
care (the SAFE-LEAD intervention).
August 14, 2019
Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to
improve quality and safety in nursing homes and hom…
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psnet.ahrq.gov/node/47398/psn-pdf
December 22, 2018 - Simulation-based clinical rehearsals as a method for
improving patient safety.
December 22, 2018
Arnold J, Cashin M, Olutoye OO. Simulation-Based Clinical Rehearsals as a Method for Improving Patient
Safety. JAMA Surg. 2018;153(12):1143-1144. doi:10.1001/jamasurg.2018.3526.
https://psnet.ahrq.gov/issue/simulation-…
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psnet.ahrq.gov/node/44293/psn-pdf
July 08, 2015 - How can we improve the recognition, reporting and
resolution of medical device-related incidents in
hospitals? A qualitative study of physicians and
registered nurses.
July 8, 2015
Polisena J, Gagliardi AR, Clifford T. How can we improve the recognition, reporting and resolution of
medical device-related incident…
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psnet.ahrq.gov/node/73659/psn-pdf
September 01, 2021 - Using a patient safety/quality improvement model to
assess telehealth for psychiatry and behavioral health
services among special populations during COVID-19 and
beyond.
September 1, 2021
Li L, Childs AW. J Psychiatr Pract. 2021;27(4):245-253.
https://psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-m…
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psnet.ahrq.gov/node/36652/psn-pdf
February 14, 2007 - Smart pumps: advanced capabilities and continuous
quality improvement.
February 14, 2007
Vanderveen T.
https://psnet.ahrq.gov/issue/smart-pumps-advanced-capabilities-and-continuous-quality-improvement
The author discusses high-risk intravenous infusions, smart pump technologies that support safe delivery
of medic…
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - But if there is a decrease in pain, there is a potential for improved ambulation and faster recovery … there is still a need for more peer-reviewed prospective evidence linking AI radiology products to improved
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psnet.ahrq.gov/node/34047/psn-pdf
February 18, 2011 - Improving safety with information technology.
February 18, 2011
Bates DW, Gawande AA. Improving safety with information technology. N Engl J Med. 2003;348(25):2526-
34.
https://psnet.ahrq.gov/issue/improving-safety-information-technology
The authors provide a broad overview of the goals, approaches, and limitation…
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psnet.ahrq.gov/node/37627/psn-pdf
March 19, 2008 - Patient Safety in Obstetrics and Gynecology: Improving
Outcomes, Reducing Risks.
March 19, 2008
Gluck PA, ed. Obstet Gynecol Clin. 2008;35(1):1-168.
https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology-improving-outcomes-reducing-risks
This special issue comprehensively addresses the topics of med…
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psnet.ahrq.gov/node/38407/psn-pdf
February 11, 2009 - The science and economics of improving clinical
communication.
February 11, 2009
O'Byrne WT, Weavind L, Selby J. The science and economics of improving clinical communication.
Anesthesiol Clin. 2008;26(4):729-44, vii. doi:10.1016/j.anclin.2008.07.010.
https://psnet.ahrq.gov/issue/science-and-economics-improving-cl…
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psnet.ahrq.gov/node/39630/psn-pdf
June 23, 2010 - Using Workforce Practices to Drive Quality Improvement:
A Guide for Hospitals.
June 23, 2010
McHugh M, Garman A, McAlearney A, Song P, Harrison M. Chicago, IL: Health Research & Educational
Trust; June 2010.
https://psnet.ahrq.gov/issue/using-workforce-practices-drive-quality-improvement-guide-hospitals
This publ…
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psnet.ahrq.gov/node/37916/psn-pdf
May 11, 2014 - Improving heparin safety: a multidisciplinary invited
conference.
May 11, 2014
Peterson C, Ham CW, Vanderveen T. Improving Heparin Safety: A Multidisciplinary Invited Conference.
doi:10.1310/hpj4306-491.
https://psnet.ahrq.gov/issue/improving-heparin-safety-multidisciplinary-invited-conference
This article summar…
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psnet.ahrq.gov/node/42167/psn-pdf
April 03, 2013 - Engaging Patients in Improving Ambulatory Care.
April 3, 2013
Aligning Forces for Quality. Princeton, NJ: Robert Wood Johnson Foundation; 2013.
https://psnet.ahrq.gov/issue/engaging-patients-improving-ambulatory-care
This compendium includes strategies and tools to engage patients in health care improvement that ha…
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psnet.ahrq.gov/node/39557/psn-pdf
May 26, 2010 - "Managing up" can improve teamwork in the OR.
May 26, 2010
Smith SL. "Managing up" can improve teamwork in the OR. AORN J. 2010;91(5):576-82.
doi:10.1016/j.aorn.2009.08.014.
https://psnet.ahrq.gov/issue/managing-can-improve-teamwork-or
This commentary explains that all members of a perioperative unit are responsib…