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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…
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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…
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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…
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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://…
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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…
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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…
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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/…
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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.…
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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…
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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)
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Annual Summaries
Publications
…
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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)…
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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…
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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…
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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…
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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…
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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…
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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…
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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 …
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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.
…
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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…