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psnet.ahrq.gov/node/837203/psn-pdf
May 25, 2022 - Engaging with ethnic minority consumers to improve
safety in cancer services: a national stakeholder analysis.
May 25, 2022
Joseph K, Newman B, Manias E, et al. Engaging with ethnic minority consumers to improve safety in
cancer services: a national stakeholder analysis. Patient Educ Couns. 2022;105(8):2778-2784.
…
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psnet.ahrq.gov/node/850917/psn-pdf
June 21, 2023 - Improving safety outcomes through medical error
reduction via virtual reality-based clinical skills training.
June 21, 2023
Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via
virtual reality-based clinical skills training. Safety Sci. 2023;165:106200. doi:10.1016/j.ssci.…
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psnet.ahrq.gov/node/35872/psn-pdf
September 07, 2011 - Improving ambulatory prescribing safety with a handheld
decision support system: a randomized controlled trial.
September 7, 2011
Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision
support system: a randomized controlled trial. J Am Med Inform Assoc. 2006;13(2):17…
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psnet.ahrq.gov/node/856587/psn-pdf
January 01, 2024 - Surgical leadership in a culture of safety: an inter-
professional study of metrics and tools for improving
clinical practice.
November 29, 2023
Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-
professional study of metrics and tools for improving clinical practice…
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psnet.ahrq.gov/node/837761/psn-pdf
August 03, 2022 - The effectiveness of improving healthcare teams' human
factor skills using simulation-based training: a systematic
review.
August 3, 2022
Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’
human factor skills using simulation-based training: a systematic review. Adv …
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psnet.ahrq.gov/node/41725/psn-pdf
January 01, 2013 - Improving patient handovers from hospital to primary
care: a systematic review.
October 3, 2012
Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a
systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-201209180-00006.
https://psnet.ah…
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psnet.ahrq.gov/node/837429/psn-pdf
January 01, 2022 - Improving allergy documentation: a retrospective
electronic health record system-wide patient safety
initiative.
January 1, 2022
Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record
system-wide patient safety initiative. J Patient Saf. 2022;18(1):e108-e114.
d…
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psnet.ahrq.gov/node/43227/psn-pdf
June 04, 2014 - Detecting adverse events in surgery: comparing events
detected by the Veterans Health Administration Surgical
Quality Improvement Program and the Patient Safety
Indicators.
June 4, 2014
Mull HJ, Borzecki A, Loveland S, et al. Detecting adverse events in surgery: comparing events detected by
the Veterans Health Ad…
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psnet.ahrq.gov/node/866900/psn-pdf
October 09, 2024 - Defects in value associated with hospital-acquired
conditions: how improving quality could save U.S.
healthcare $50 billion.
October 9, 2024
Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving
quality could save U.S. healthcare $50 billion. J Patient Saf. 2024;20(7…
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psnet.ahrq.gov/node/853968/psn-pdf
January 01, 2024 - When work harms: how better understanding of avoidable
employee harm can improve employee safety, patient
safety and healthcare quality.
September 27, 2023
Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm
can improve employee safety, patient safety and healthca…
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - Project BOOST Increases Patient Understanding of
Treatment and Follow-up Care
May 26, 2021
https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
Summary
The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge
needs,…
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psnet.ahrq.gov/node/35444/psn-pdf
March 11, 2011 - Improving acceptance of computerized prescribing alerts
in ambulatory care.
March 11, 2011
Shah N, Seger AC, Seger DL, et al. Improving acceptance of computerized prescribing alerts in ambulatory
care. J Am Med Inform Assoc. 2006;13(1):5-11.
https://psnet.ahrq.gov/issue/improving-acceptance-computerized-prescribin…
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psnet.ahrq.gov/node/42712/psn-pdf
October 02, 2017 - Improving patient safety through transparency.
October 2, 2017
Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-9.
doi:10.1056/NEJMp1303960.
https://psnet.ahrq.gov/issue/improving-patient-safety-through-transparency
This commentary describes successful transparency initiat…
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psnet.ahrq.gov/node/40856/psn-pdf
October 19, 2011 - Safer care at home: use of simulation training to improve
standards.
October 19, 2011
Unsworth J, Tuffnell C, Platt A. Safer care at home: use of simulation training to improve standards. Br J
Community Nurs. 2011;16(7):334-9.
https://psnet.ahrq.gov/issue/safer-care-home-use-simulation-training-improve-standards
…
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psnet.ahrq.gov/node/50726/psn-pdf
December 11, 2019 - Toolkit To Improve Antibiotic Use in Acute Care Hospitals
December 11, 2019
Agency for Healthcare Research and Quality. 2019.
https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals
Structured processes are important strategies for embedding safe care practices. This tool kit shares
traini…
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psnet.ahrq.gov/node/37369/psn-pdf
January 22, 2017 - Improving the Health Care Work Environment.
January 22, 2017
Jt Comm J Qual Saf. 2007;33(11 supp):s2-s84.
https://psnet.ahrq.gov/issue/improving-health-care-work-environment
This supplement includes articles regarding several research projects that explore organizational climate,
hospital staffing, and work…
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psnet.ahrq.gov/node/41854/psn-pdf
September 24, 2016 - Reducing interruptions to improve medication safety.
September 24, 2016
Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs
Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e.
https://psnet.ahrq.gov/issue/reducing-interruptions-improve-medication-safety
…
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psnet.ahrq.gov/node/37930/psn-pdf
July 23, 2008 - Measurement for improvement: a survey of current
practice in Australian public hospitals.
July 23, 2008
Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in
Australian public hospitals. Med J Aust. 2008;189(1):35-40.
https://psnet.ahrq.gov/issue/measurement-improvemen…
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psnet.ahrq.gov/node/40087/psn-pdf
December 15, 2010 - Managing patient access and flow in the emergency
department to improve patient safety.
December 15, 2010
PA-PSRS Patient Saf Advis. 2010;7:123-134.
https://psnet.ahrq.gov/issue/managing-patient-access-and-flow-emergency-department-improve-patient-
safety
This report examines how optimizing patient flow fro…
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psnet.ahrq.gov/node/41574/psn-pdf
August 08, 2012 - On-site pharmacists in the ED improve medical errors.
August 8, 2012
Ernst AA, Weiss SJ, Sullivan A, et al. On-site pharmacists in the ED improve medical errors. Am J Emerg
Med. 2012;30(5):717-25. doi:10.1016/j.ajem.2011.05.002.
https://psnet.ahrq.gov/issue/site-pharmacists-ed-improve-medical-errors
The presence o…