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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41503/psn-pdf
    January 18, 2013 - Medication safety in primary care practice: results from a PPRNet quality improvement intervention. January 18, 2013 Wessell AM, Ornstein SM, Jenkins RG, et al. Medication Safety in Primary Care Practice: results from a PPRNet quality improvement intervention. Am J Med Qual. 2013;28(1):16-24. doi:10.1177/106286061…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39439/psn-pdf
    May 10, 2010 - Improving insulin distribution and administration safety using Lean Six Sigma methodologies. May 10, 2010 Yamamoto J, Abraham D, Malatestinic B. Improving Insulin Distribution and Administration Safety Using Lean Six Sigma Methodologies. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-212. https://psnet.ahrq.gov/issue…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42057/psn-pdf
    February 20, 2013 - Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. February 20, 2013 Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for acc…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39886/psn-pdf
    April 17, 2013 - Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. April 17, 2013 Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10.1097/MLR.0b013e3181eb31bd. https://…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42207/psn-pdf
    April 24, 2013 - Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes. April 24, 2013 Teigland CL, Blasiak RC, Wilson LA, et al. Patient safety and quality improvement education: a cross- sectional study of medical students' preferences and attitudes. BMC Med Educ…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45998/psn-pdf
    April 19, 2017 - Learning and mindfulness: improving perioperative patient safety. April 19, 2017 Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J. 2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006. https://psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patie…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40955/psn-pdf
    March 08, 2017 - Kaiser Permanente's performance improvement system, part 4: creating a learning organization. March 8, 2017 Schilling L, Dearing JW, Staley P, et al. Kaiser Permanente's performance improvement system, Part 4: Creating a learning organization. Jt Comm J Qual Patient Saf. 2011;37(12):532-43. https://psnet.ahrq.gov/…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43286/psn-pdf
    June 25, 2014 - Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. June 25, 2014 Turner S, Higginson J, Oborne A, et al. Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions. Soc Sci Med. 2014;113:169-76. doi:10.1016/j.socscimed.2014.05.…
  9. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/recruitment-packet-va.pdf
    October 01, 2015 - Heart of Virginia Healthcare Heart of Virginia Healthcare Restoring the joy in primary care. I :7 • Heart of Virginia Healthcare is one of seven cooperatives in the country funded by the Agency for Healthcare Research and Quality’s EvidenceNow initiative. Of…
  10. digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-american
    January 01, 2023 - Using Innovative Communication Technology to Improve the Health of Young African American Women Project Final Report ( PDF , 359.77 KB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications …
  11. digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-training.pdf
    June 16, 2021 - Fall and Fall-related Injury Quality Improvement Clinical Decision Support Tool Fall and Fall-related Injury Quality Improvement Clinical Decision Support Tool Overview: This offering provides Information to support nurse leaders to access and utilize the Quality Improvement Decision Support Tool (QI-CDS)…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866432/psn-pdf
    August 07, 2024 - Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hospital initiative: a cost-effectiveness analysis. August 7, 2024 Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters through a statewide collaborative hosp…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39691/psn-pdf
    January 22, 2014 - Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. January 22, 2014 Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Chest. 2010;138(1):171-8. doi:10…
  14. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology1.html
    April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction Previous Page Next Page Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction Perspectives on Diagnostic Improvement Definitions of Diagnosis Type…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842416/psn-pdf
    January 11, 2023 - A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. January 11, 2023 Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43707/psn-pdf
    November 26, 2014 - America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. November 26, 2014 Oakbrook Terrace, IL: The Joint Commission; November 2014. https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual- report-2014 This Joint Commission annual…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36163/psn-pdf
    September 29, 2010 - Improving the bar-coded medication administration system at the Department of Veterans Affairs. September 29, 2010 Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):1442-7. https://psnet.ahrq.gov/iss…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837193/psn-pdf
    May 25, 2022 - Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. May 25, 2022 Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866554/psn-pdf
    August 21, 2024 - Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. August 21, 2024 Marsteller JA, Rosen MA, Wyskiel R, et al. Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. Jt Comm J Qual Patient Saf. 2024;50(10):737-744. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866584/psn-pdf
    August 28, 2024 - Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis. August 28, 2024 Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving medication safety behaviours throu…