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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/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/36671/psn-pdf
January 18, 2011 - Increasing vigilance on the medical/surgical floor to
improve patient safety.
January 18, 2011
Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J
Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x.
https://psnet.ahrq.gov/issue/increasing-vigilance-m…
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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/50568/psn-pdf
October 23, 2019 - Automation of the I-PASS tool to improve transitions of
care.
October 23, 2019
Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J
Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174.
https://psnet.ahrq.gov/issue/automation-i-pass-tool-improve-trans…
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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/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/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/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/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/node/72616/psn-pdf
December 22, 2020 - Adverse Events in Dentistry
December 22, 2020
Kalenderian E, Walji MF, Fitall E, et al. Adverse Events in Dentistry. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/adverse-events-dentistry
Introduction
Similar to many other healthcare settings, dentistry carries with it inherent patient safety risks. D…
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psnet.ahrq.gov/node/33871/psn-pdf
December 22, 2018 - Maternal Safety
December 22, 2018
Lyndon A. Maternal Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/maternal-safety
Annual Perspective 2018
The Context of Maternal Safety
Childbirth-related maternal health outcomes have been worsening for some time in the United States. After
a dramatic reduc…
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psnet.ahrq.gov/issue/role-hospitalists-patient-safety
July 12, 2006 - Book/Report
The Role of Hospitalists in Patient Safety.
Citation Text:
The Role of Hospitalists in Patient Safety. Scheurer D, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2009. ISBN: 9781599403045.
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psnet.ahrq.gov/issue/2015-rosenthal-symposium-protecting-patients-advances-and-future-directions-patient-safety
January 26, 2022 - Audiovisual Presentation
2015 Rosenthal Symposium: Protecting Patients: Advances and Future Directions in Patient Safety.
Citation Text:
2015 Rosenthal Symposium: Protecting Patients: Advances and Future Directions in Patient Safety. National Academy of Sciences; National Academy of Medi…
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psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023
August 09, 2024 - Legislation/Regulation
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023.
Citation Text:
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023. 118th Cong (2023-2024).
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psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture
July 01, 2017 - Commentary
We need leaders: the 48th Annual Rovenstine Lecture.
Citation Text:
Pronovost P. We need leaders: The 48th Annual Rovenstine Lecture. Anesthesiology. 2010;112(4):779-785. doi:10.1097/ALN.0b013e3181d32047.
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psnet.ahrq.gov/issue/lean-six-sigma-reduces-medication-errors
January 18, 2023 - Commentary
Lean Six Sigma reduces medication errors.
Citation Text:
Lean Six Sigma reduces medication errors. Esimai G. Quality Progress; 2005;38(4):51-57.
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