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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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 …
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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 …
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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 …
  9. Psn-Pdf (pdf file)

    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-…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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-…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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