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psnet.ahrq.gov/node/836864/psn-pdf
April 06, 2022 - Improving the specificity of drug-drug interaction alerts:
can it be done?
April 6, 2022
Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am
J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045.
https://psnet.ahrq.gov/issue/improving-specif…
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psnet.ahrq.gov/node/60192/psn-pdf
April 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic
Health Records.
April 1, 2020
Philadelphia, PA: Pew Charitable Trusts; March 2020.
https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records
Electronic health records both enhance and challenge the safety of care proce…
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psnet.ahrq.gov/node/46414/psn-pdf
January 10, 2018 - Leveraging the electronic health record to improve quality
and safety in rheumatology.
January 10, 2018
Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in
rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4.
https://psnet.ahrq.gov/issue/lev…
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psnet.ahrq.gov/node/46743/psn-pdf
January 17, 2018 - Improving Patient Care Through Safe Health IT.
January 17, 2018
Philadelphia, PA: Pew Charitable Trusts; December 2017.
https://psnet.ahrq.gov/issue/improving-patient-care-through-safe-health-it
The usability of health information technologies (IT) is a key component to their safe effective use. This
report introd…
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psnet.ahrq.gov/node/50672/psn-pdf
January 01, 2020 - Deprescribing as a clinical improvement focus.
November 20, 2019
Dharmarajan TS, Choi H, Hossain N, et al. Deprescribing as a Clinical Improvement Focus. J Am Med Dir
Assoc. 2020;21(3):355-360. doi:10.1016/j.jamda.2019.08.031.
https://psnet.ahrq.gov/issue/deprescribing-clinical-improvement-focus
Polypharmacy is a …
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psnet.ahrq.gov/node/46241/psn-pdf
January 30, 2018 - Interventions to improve oral chemotherapy safety and
quality: a systematic review.
January 30, 2018
Zerillo JA, Goldenberg BA, Kotecha RR, et al. Interventions to Improve Oral Chemotherapy Safety and
Quality. JAMA Oncol. 2017;4(1):105-117. doi:10.1001/jamaoncol.2017.0625.
https://psnet.ahrq.gov/issue/intervention…
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psnet.ahrq.gov/node/42774/psn-pdf
May 28, 2015 - Patient safety in plastic surgery: identifying areas for
quality improvement efforts.
May 28, 2015
Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas
for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602.
doi:10.1097/SAP.0b013e318297791e.
https:…
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psnet.ahrq.gov/node/47132/psn-pdf
June 28, 2018 - National Steering Committee for Patient Safety.
June 28, 2018
Agency for Healthcare Research and Quality and the Institute for Healthcare Improvement.
https://psnet.ahrq.gov/issue/national-steering-committee-patient-safety
Preventable patient harm is a global public health concern. This announcement highlights a ne…
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psnet.ahrq.gov/node/44718/psn-pdf
November 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient
Safety.
November 25, 2015
Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto;
2015.
https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
The 2004 Canadian Adverse Events Study helpe…
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psnet.ahrq.gov/node/50894/psn-pdf
February 12, 2020 - A professional development course improves
unprofessional physician behavior.
February 12, 2020
Swiggart WH, Bills JL, Penberthy JK, et al. A professional development course improves unprofessional
physician behavior. Jt Comm J Qual Patient Saf. 2019;46(2). doi:10.1016/j.jcjq.2019.11.004.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/45466/psn-pdf
September 07, 2016 - Building a highway to quality health care.
September 7, 2016
Watson S, Pronovost P. Building a Highway to Quality Health Care. J Patient Saf. 2016;12(3):165-6.
doi:10.1097/PTS.0000000000000074.
https://psnet.ahrq.gov/issue/building-highway-quality-health-care
Substantial progress has been made in improving health …
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psnet.ahrq.gov/node/838639/psn-pdf
October 19, 2022 - Calibrate Dx: A Resource to Improve Diagnostic
Decisions.
October 19, 2022
Rockville, MD: Agency for Healthcare Research and Quality; October 2022. AHRQ Publication no. 22(23)-
0047-2-EF.
https://psnet.ahrq.gov/issue/calibrate-dx-resource-improve-diagnostic-decisions
Delayed, wrong, and missed diagnoses are commo…
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psnet.ahrq.gov/node/845352/psn-pdf
September 06, 2023 - Understanding and Improving Diagnostic Safety in
Ambulatory Care.
September 6, 2023
Rockville, MD: Agency for Healthcare Quality and Research; August 22, 2023.
https://psnet.ahrq.gov/issue/understanding-and-improving-diagnostic-safety-ambulatory-care
The articulation of diagnostic error in the ambulatory setting i…
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psnet.ahrq.gov/node/44991/psn-pdf
April 20, 2016 - Does an insulin double-checking procedure improve
patient safety?
April 20, 2016
Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J
Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314.
https://psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-…
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psnet.ahrq.gov/node/34748/psn-pdf
March 07, 2005 - Reducing Adverse Drug Events.
March 7, 2005
Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-events
This application-oriented book provides the results of the Institute for Healthcare Improvement (IHI)
Breakthrough S…
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psnet.ahrq.gov/node/73884/psn-pdf
September 29, 2021 - Dual surgeon operating to improve patient safety.
September 29, 2021
Ellis R, Hardie JA, Summerton DJ, et al. Dual surgeon operating to improve patient safety. Surg.
2021;59(7):752-756. doi:10.1016/j.bjoms.2021.02.014.
https://psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety
Many non-urgent, non-…
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psnet.ahrq.gov/node/38055/psn-pdf
January 12, 2009 - Improving patient safety: patient-focused, high-reliability
team training.
January 12, 2009
McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team
training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595.
https://psnet.ahrq.gov/issue/improving-p…
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psnet.ahrq.gov/node/50784/psn-pdf
January 08, 2020 - Improving Quality of Care and Patient Outcomes During
Care Transitions (R01).
January 8, 2020
Rockville, MD: Agency for Healthcare Research and Quality; December 6, 2019. PA-20-068.
https://psnet.ahrq.gov/issue/improving-quality-care-and-patient-outcomes-during-care-transitions-r01
Communication during patient tra…
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psnet.ahrq.gov/issue/application-trigger-tool-near-real-time-inform-quality-improvement-activities-prospective
September 26, 2012 - Study
Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward.
Citation Text:
Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality improvement activities: a p…
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psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
February 10, 2011 - Study
Classic
Incident reporting system does not detect adverse drug events: a problem for quality improvement.
Citation Text:
Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events: a problem for quality improvem…