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psnet.ahrq.gov/node/40298/psn-pdf
May 13, 2019 - Improving patient safety in radiation oncology.
May 13, 2019
Hendee WR, Herman MG. Improving patient safety in radiation oncology.
https://psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology
This commentary discusses radiation safety issues and describes recommendations developed at a
conference to re…
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psnet.ahrq.gov/node/37711/psn-pdf
October 29, 2009 - Researching Implementation and Change while Improving
Quality (R18).
October 29, 2009
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/researching-implementation-and-change-while-improving-quality-r18
This Agency for Healthcare Research and Quality (AHRQ) funding opportunity seeks to …
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psnet.ahrq.gov/node/35107/psn-pdf
April 06, 2011 - Fewer but better auditory alarms will improve patient
safety.
April 6, 2011
Edworthy J. Fewer but better auditory alarms will improve patient safety. Qual Saf Health Care.
2005;14(3):212-215. doi:10.1136/qshc.2004.013052.
https://psnet.ahrq.gov/issue/fewer-better-auditory-alarms-will-improve-patient-safety
The au…
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psnet.ahrq.gov/node/38872/psn-pdf
August 19, 2009 - Improving measurement in clinical handover.
August 19, 2009
Jeffcott SA, Evans SM, Cameron PA, et al. Improving measurement in clinical handover. Qual Saf Health
Care. 2009;18(4):272-7. doi:10.1136/qshc.2007.024570.
https://psnet.ahrq.gov/issue/improving-measurement-clinical-handover
This article describes a frame…
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psnet.ahrq.gov/node/40437/psn-pdf
May 18, 2011 - Health Policy Brief: Improving Quality and Safety.
May 18, 2011
Bethesda, MD: Health Affairs. April 15, 2011:1-7.
https://psnet.ahrq.gov/issue/health-policy-brief-improving-quality-and-safety
This publication explores health care quality and identifies the primary challenges affecting US quality and
safety …
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psnet.ahrq.gov/node/36802/psn-pdf
April 11, 2007 - Beth Israel cited for improving obstetrics care.
April 11, 2007
Kowalczyk L.
https://psnet.ahrq.gov/issue/beth-israel-cited-improving-obstetrics-care
This article reports on an award recognizing Beth Israel Deaconess Hospital for its approach to improving
patient safety in response to the death of an infant in 200…
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psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - In Conversation With… Richard Kronick, PhD
February 1, 2014
In Conversation With… Richard Kronick, PhD. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
Editor's note: Dr. Kronick has served as director of the Agency for Healthcare Research and Quality since
August 2013 …
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psnet.ahrq.gov/node/860394/psn-pdf
January 10, 2024 - Respectful Maternity Care: Dissemination and
Implementation of Perinatal Safety Culture to Improve
Equitable Maternal Healthcare Delivery and Outcomes.
January 10, 2024
Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture To Improve
Equitable Maternal Healthcare Delivery and Outc…
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psnet.ahrq.gov/node/44246/psn-pdf
November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to
Prevent Harm.
November 15, 2016
Boston, MA: National Patient Safety Foundation; 2015.
https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
The National Patient Safety Foundation issued these guidelines for improving root cause a…
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psnet.ahrq.gov/node/72799/psn-pdf
March 03, 2021 - Measuring and improving diagnostic safety in primary
care: addressing the “twin” pandemics of diagnostic error
and clinician burnout.
March 3, 2021
Olson APJ, Linzer M, Schiff GD. Measuring and Improving Diagnostic Safety in Primary Care: Addressing
the “Twin” Pandemics of Diagnostic Error and Clinician Burnout. J…
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psnet.ahrq.gov/node/60660/psn-pdf
July 09, 2020 - Pharmacist-led program to improve transitions from acute
care to skilled nursing facility care.
July 9, 2020
Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to
skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12). doi:10.1093/ajhp/zxaa090.
https:/…
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psnet.ahrq.gov/node/848036/psn-pdf
April 26, 2023 - Using a learning system approach to improve safety for
prone-position ventilation patients.
April 26, 2023
Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone-
position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.1097/pts.0000000000001108.
https:/…
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psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - Improving medication safety during hospital-based
transitions of care.
April 25, 2016
Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care.
Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025.
https://psnet.ahrq.gov/issue/improving-medication-safety-…
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psnet.ahrq.gov/node/839319/psn-pdf
November 02, 2022 - Improving safety in the operating room: medication icon
labels increase visibility and discrimination.
November 2, 2022
Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels
increase visibility and discrimination. Appl Ergon. 2022;104:103831. doi:10.1016/j.apergo.2022…
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psnet.ahrq.gov/node/73666/psn-pdf
September 01, 2021 - Implementation of participatory organizational change in
long term care to improve safety.
September 1, 2021
Van Eerd D, D'Elia T, Ferron EM, et al. Implementation of participatory organizational change in long term
care to improve safety. J Safety Res. 2021;78:9-18. doi:10.1016/j.jsr.2021.05.002.
https://psnet.ah…
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psnet.ahrq.gov/node/47440/psn-pdf
April 07, 2019 - Improving inpatient mental health medication safety
through the process of obtaining HIMSS Stage 7: a case
report.
April 7, 2019
Sulkers H, Tajirian T, Paterson J, et al. JAMIA Open. 2019;2:35–39.
https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-
obtaining-himss-sta…
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psnet.ahrq.gov/node/39462/psn-pdf
April 21, 2010 - Comparing safety climate in naval aviation and hospitals:
implications for improving patient safety.
April 21, 2010
Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications
for improving patient safety. Health Care Manag Rev. 2010;35(2):134-146.
doi:10.1097/HMR.0b0…
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psnet.ahrq.gov/node/46506/psn-pdf
October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About
Proactive Analysis for Improving Surgical Care Safety.
October 11, 2017
Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-
surgical-car…
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psnet.ahrq.gov/node/35404/psn-pdf
March 11, 2011 - Improving patient safety by identifying side effects from
introducing bar coding in medication administration.
March 11, 2011
Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar
coding in medication administration. J Am Med Inform Assoc. 2002;9(5):540-53.
htt…
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psnet.ahrq.gov/node/73171/psn-pdf
April 21, 2021 - Patient safety and quality improvement adaptation during
the COVID-19 pandemic.
April 21, 2021
Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the
COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448.50484.a8.
https://psnet.ahrq.gov/issu…