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psnet.ahrq.gov/node/47322/psn-pdf
September 12, 2018 - Crossing the Global Quality Chasm: Improving Health
Care Worldwide.
September 12, 2018
Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,
Engineering, and Medicine. Washington DC: National Academies Press; August 2018. ISBN:
9780309483087.
https://psnet.ahrq.gov/issue/cros…
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psnet.ahrq.gov/node/44687/psn-pdf
June 21, 2016 - Free From Harm: Accelerating Patient Safety
Improvement Fifteen Years After To Err Is Human.
June 21, 2016
Boston, MA: National Patient Safety Foundation; 2015.
https://psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-
human
This report provides an objective assessmen…
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psnet.ahrq.gov/node/854820/psn-pdf
October 25, 2023 - A multi-method exploratory evaluation of a service
designed to improve medication safety for patients with
monitored dosage systems following hospital discharge.
October 25, 2023
Alqenae FA, Steinke DT, Belither H, et al. A multi-method exploratory evaluation of a service designed to
improve medication safety for …
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psnet.ahrq.gov/node/74257/psn-pdf
January 19, 2022 - Early prescribing outcomes after exporting the EQUIPPED
medication safety improvement programme.
January 19, 2022
Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED
medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001369. doi:10.1136/bmjoq-
2021-00…
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psnet.ahrq.gov/node/46783/psn-pdf
January 24, 2018 - America's Hospitals: Improving Quality and Safety: The
Joint Commission's Annual Report 2017.
January 24, 2018
Oakbrook Terrace; IL: Joint Commission; 2017.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2017
The Joint Commission annual report provide…
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psnet.ahrq.gov/node/50855/psn-pdf
January 29, 2020 - Is one-pen, one-patient achievable in the hospital? A
quality improvement project to reduce risks of inadvertent
insulin pen sharing at a large academic medical center.
January 29, 2020
Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality
Improvement Project to Reduce Risks …
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psnet.ahrq.gov/node/40231/psn-pdf
February 23, 2011 - Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase.
February 23, 2011
Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase. BMJ. 2011;342:d199. doi:10.1136/bmj.d199…
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psnet.ahrq.gov/node/37534/psn-pdf
February 13, 2008 - Measurable outcomes of quality improvement in the
trauma intensive care unit: the impact of a daily quality
rounding checklist.
February 13, 2008
DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive
care unit: the impact of a daily quality rounding checklist. J …
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psnet.ahrq.gov/node/44626/psn-pdf
November 04, 2015 - "SWARMing" to improve patient care: a novel approach to
root cause analysis.
November 4, 2015
Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause
Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501.
https://psnet.ahrq.gov/issue/swarming-improve-patient-care-…
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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care
setting.
January 2, 2017
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/42399/psn-pdf
December 29, 2014 - Information technology interventions to improve
medication safety in primary care: a systematic review.
December 29, 2014
Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in
primary care: a systematic review. Int J Qual Health Care. 2013;25(5):590-8. doi:10.1093/intq…
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psnet.ahrq.gov/node/38175/psn-pdf
April 11, 2011 - An intervention to decrease narcotic-related adverse drug
events in children's hospitals.
April 11, 2011
Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug
events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1542/peds.2008-1011.
https://psnet.a…
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psnet.ahrq.gov/node/844040/psn-pdf
February 08, 2023 - A customized triggers program: a children's hospital's
experience in improving trigger usability.
February 8, 2023
Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's
experience in improving trigger usability. Pediatrics. 2023;151(2):e2022056452. doi:10.1542/peds.2022-…
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psnet.ahrq.gov/node/41158/psn-pdf
February 22, 2012 - Strategies for improving patient safety: linking task type
to error type.
February 22, 2012
Mattox EA. Strategies for improving patient safety: linking task type to error type. Crit Care Nurse.
2012;32(1):52-78. doi:10.4037/ccn2012303.
https://psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-t…
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psnet.ahrq.gov/node/38965/psn-pdf
August 15, 2016 - Simulation as a tool to improve the safety of pre-hospital
anaesthesia—a pilot study.
August 15, 2016
Batchelder AJ, Steel A, Mackenzie R, et al. Simulation as a tool to improve the safety of pre-hospital
anaesthesia--a pilot study. Anaesthesia. 2009;64(9):978-83. doi:10.1111/j.1365-2044.2009.05990.x.
https://psne…
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psnet.ahrq.gov/node/41309/psn-pdf
April 18, 2012 - A multifaceted program for improving quality of care in
intensive care units: IATROREF study.
April 18, 2012
Garrouste-Orgeas M, Soufir L, Tabah A, et al. A multifaceted program for improving quality of care in
intensive care units: IATROREF study. Crit Care Med. 2012;40(2):468-76.
doi:10.1097/CCM.0b013e318232d94d…
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psnet.ahrq.gov/node/36810/psn-pdf
November 19, 2014 - A Systems Approach to Quality Improvement in Long-
Term Care: Safe Medication Practices Workbook.
November 19, 2014
Massachusetts Coalition for the Prevention of Medical Errors, MassPRO, Massachusetts Extended Care
Foundation. Boston, MA: Commonwealth of Massachusetts; 2008.
https://psnet.ahrq.gov/issue/systems-ap…
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psnet.ahrq.gov/node/35625/psn-pdf
June 22, 2010 - Improving the safety of medication administration using
an interactive CD-ROM program.
June 22, 2010
Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using
an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-64.
https://psnet.ahrq.gov/issue/improving…
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psnet.ahrq.gov/node/36623/psn-pdf
April 24, 2015 - Public Meeting on Improving Patient Safety by Enhancing
the Container Labeling for Parenteral Infusion Drug
Products.
April 24, 2015
Fed Reg. Nov. 28, 2006;71:68819.
https://psnet.ahrq.gov/issue/public-meeting-improving-patient-safety-enhancing-container-labeling-
parenteral-infusion-drug
The US Food and Drug Ad…
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psnet.ahrq.gov/node/42826/psn-pdf
December 18, 2013 - Improvement of medication event interventions through
use of an electronic database.
December 18, 2013
Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an
electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajhp130021.
https://psnet.ahrq.gov…