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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854263/psn-pdf
    November 03, 2023 - Diagnostic Safety and Quality Webinar Series: Overview and Implications for Hospitals. November 3, 2023 Washington DC: The Leapfrog Group; 2023. https://psnet.ahrq.gov/issue/diagnostic-safety-and-quality-webinar-series-overview-and-implications- hospitals Diagnostic errors in hospitals are the focus on continued …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34977/psn-pdf
    April 21, 2010 - Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety. April 21, 2010 Oyen LJ, Nishimura RA, Ou NN, et al. Effectiveness of a computerized system for intravenous heparin administration: using information technology to …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45849/psn-pdf
    February 22, 2017 - Monitoring teamwork: a narrative review. February 22, 2017 Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94. doi:10.1111/anae.13744. https://psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review Anesthesiology was an early adopter of teamwork as a safety improvement st…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46332/psn-pdf
    September 24, 2017 - Sharing the process of diagnostic decision making. September 24, 2017 Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. https://psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making Improving diagnosis has …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838645/psn-pdf
    January 19, 2022 - LeDeR - Learning from Lives and Deaths. January 19, 2022 Norah Frye Centre for Disability Studies; Bristol, England. https://psnet.ahrq.gov/issue/leder-learning-lives-and-deaths People with a Learning Disability and autistic people (LeDeR) is a National Health Service-sponsored initiative that seeks to improve the…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44966/psn-pdf
    March 16, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. March 16, 2016 McNamara P, Shaller D, De La Mare J, Ivers N. Rockville, MD: Agency for Healthcare Research and Quality; March 2016. AHRQ Publication No. 16-0017-EF. https://psnet.ahrq.gov/issue/confidential-physician-feedback-rep…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50716/psn-pdf
    December 04, 2019 - Organisation for Economic Co-operation and Development: Health at a Glance 2019. December 4, 2019 Paris, France: OECD Publishing: 2019. https://psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019 This report documents the overall state of health care, based on an internationa…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43009/psn-pdf
    January 07, 2015 - Improving the Emergency Department Discharge Process. January 7, 2015 Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. 14(15)-0067-EF. https://psnet.ahrq.gov/issue/improving-emergency-department-discharge-process This report a…
  9. psnet.ahrq.gov/issue/coproduced-family-reporting-intervention-improve-safety-surveillance-and-reduce-disparities
    September 06, 2023 - Study A coproduced family reporting intervention to improve safety surveillance and reduce disparities. Citation Text: Khan A, Baird JD, Mauskar S, et al. A coproduced family reporting intervention to improve safety surveillance and reduce disparities. Pediatrics. 2024;154(4):e2023065245…
  10. psnet.ahrq.gov/issue/improving-responses-safety-incidents-we-need-talk-about-justice
    February 02, 2022 - Commentary Improving responses to safety incidents: we need to talk about justice. Citation Text: Cribb A, O'Hara JK, Waring J. Improving responses to safety incidents: we need to talk about justice. BMJ Qual Saf. 2022;31(4):327-330. doi:10.1136/bmjqs-2021-014333. Copy Citation For…
  11. psnet.ahrq.gov/issue/what-words-convey-potential-patient-narratives-inform-quality-improvement
    August 19, 2015 - Study What words convey: the potential for patient narratives to inform quality improvement. Citation Text: Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.…
  12. psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
    November 28, 2012 - Study Blink or think: can further reflection improve initial diagnostic impressions? Citation Text: Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550. Copy…
  13. psnet.ahrq.gov/issue/pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients
    April 24, 2018 - Study Pharmacist medication reviews to improve safety monitoring in primary care patients. Citation Text: Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh…
  14. psnet.ahrq.gov/issue/academic-detailing-improve-laboratory-testing-among-outpatient-medication-users
    September 24, 2010 - Study Academic detailing to improve laboratory testing among outpatient medication users. Citation Text: Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care. 2007;45(10):966-72. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/improving-radiology-report-quality-rapidly-notifying-radiologist-report-errors
    May 29, 2019 - Study Improving radiology report quality by rapidly notifying radiologist of report errors. Citation Text: Minn MJ, Zandieh AR, Filice RW. Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. J Digit Imaging. 2015;28(4):492-8. doi:10.1007/s10278-015-9781-…
  16. psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
    January 23, 2019 - Newspaper/Magazine Article ADC survey shows some improvements, but unnecessary risks still exist. Citation Text: ADC survey shows some improvements, but unnecessary risks still exist. ISMP Medication Safety Alert! Acute care edition. January 17, 2008. Copy Citation Save…
  17. psnet.ahrq.gov/issue/communication-critical-care-environments-mobile-telephones-improve-patient-care
    June 27, 2018 - Study Communication in critical care environments: mobile telephones improve patient care. Citation Text: Soto RG, Chu LF, Goldman JM, et al. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535-41. Copy Citation Format:…
  18. psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement
    September 07, 2022 - Study Improving critical incident reporting in primary care through education and involvement. Citation Text: Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/b…
  19. psnet.ahrq.gov/issue/identification-priorities-improvement-medication-safety-primary-care-prioritize-study
    October 05, 2016 - Study Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. Citation Text: Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. BMC Fam Pract. 20…
  20. psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
    September 23, 2020 - Study "SWARMing" to improve patient care: a novel approach to root cause analysis. Citation Text: 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. Copy Citation Format: …

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