-
psnet.ahrq.gov/node/45119/psn-pdf
November 18, 2016 - Encouraging employees to speak up to prevent
infections: opportunities to leverage quality improvement
and care management processes.
November 18, 2016
Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to
leverage quality improvement and care management processes. Am …
-
psnet.ahrq.gov/node/50893/psn-pdf
February 12, 2020 - The Rural VA Multi-Center Medication Reconciliation
Quality Improvement Study (R-VA-MARQUIS).
February 12, 2020
Presley CA, Wooldridge KT, Byerly SH, et al. The Rural VA Multi-Center Medication Reconciliation Quality
Improvement Study (R-VA-MARQUIS). Am J Health Syst Pharm. 2020;77(2):128-137.
doi:10.1093/ajhp/zxz…
-
psnet.ahrq.gov/node/46786/psn-pdf
May 30, 2018 - Improving patient safety for older people in acute
admissions: implementation of the Frailsafe checklist in
12 hospitals across the UK.
May 30, 2018
Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions:
implementation of the Frailsafe checklist in 12 hospitals acros…
-
psnet.ahrq.gov/node/43797/psn-pdf
January 07, 2015 - Building a community engagement approach for patient
safety improvement.
January 7, 2015
Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety
improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044.
https://psnet.ahrq.gov/issue/building-community-engagement-appro…
-
psnet.ahrq.gov/node/38831/psn-pdf
August 05, 2009 - Rural hospital information technology implementation for
safety and quality improvement: lessons learned.
August 5, 2009
Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and
quality improvement: lessons learned. Comput Inform Nurs. 2009;27(4):206-14.
doi:10.1097…
-
psnet.ahrq.gov/node/44234/psn-pdf
September 09, 2015 - Improving the reliability of verbal communication between
primary care physicians and pediatric hospitalists at
hospital discharge.
September 9, 2015
Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between
primary care physicians and pediatric hospitalists at hospital d…
-
psnet.ahrq.gov/node/44763/psn-pdf
November 18, 2016 - A 'paperless' wall-mounted surgical safety checklist with
migrated leadership can improve compliance and team
engagement.
November 18, 2016
Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated
leadership can improve compliance and team engagement. BMJ Qual Saf. 2…
-
psnet.ahrq.gov/node/39256/psn-pdf
November 14, 2011 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2009.
November 14, 2011
Oakbrook Terrace, IL: The Joint Commission; January 2010.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2009
America's hospitals continu…
-
psnet.ahrq.gov/node/42247/psn-pdf
June 12, 2013 - A multicenter, multidisciplinary, high-alert medication
collaborative to improve patient safety: the Singapore
experience.
June 12, 2013
Khoo AL, Teng M, Lim BP, et al. A multicenter, multidisciplinary, high-alert medication collaborative to
improve patient safety: the Singapore experience. Jt Comm J Qual Patient …
-
psnet.ahrq.gov/node/60630/psn-pdf
June 24, 2020 - Education is “predictably disappointing” and should
never be relied upon alone to improve safety.
June 24, 2020
ISMP Medication Safety Alert! Acute care edition. June 4, 2020;25(11):1-4.
https://psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-
improve-safety
Interven…
-
psnet.ahrq.gov/node/39460/psn-pdf
March 23, 2011 - Applying root cause analysis to improve patient safety:
decreasing falls in postpartum women.
March 23, 2011
Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in
postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.1136/qshc.2008.028787.
https://psnet.a…
-
psnet.ahrq.gov/node/47697/psn-pdf
April 03, 2019 - Engineering a foundation for partnership to improve
medication safety during care transitions.
April 3, 2019
Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety
during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. doi:10.1177/2516043518821497.
https://p…
-
psnet.ahrq.gov/node/47171/psn-pdf
June 27, 2018 - The safety stand-down: a technique for improving and
sustaining hand hygiene compliance among health care
personnel.
June 27, 2018
Cunningham D, Brilli RJ, McClead RE, et al. The Safety Stand-down: A Technique for Improving and
Sustaining Hand Hygiene Compliance Among Health Care Personnel. J Patient Saf. 2018;14(…
-
psnet.ahrq.gov/issue/armstrong-institute-academic-institute-patient-safety-and-quality-improvement-research
September 27, 2017 - Commentary
The Armstrong Institute: an academic institute for patient safety and quality improvement, research, training, and practice.
Citation Text:
Pronovost P, Holzmueller CG, Molello NE, et al. The Armstrong Institute: An Academic Institute for Patient Safety and Quality Improvement…
-
psnet.ahrq.gov/issue/checking-all-boxes-checklist-when-and-how-use-checklists-effectively
June 29, 2022 - Commentary
Checking all the boxes: a checklist for when and how to use checklists effectively.
Citation Text:
Alfred M, Barg-Walkow LH, Keebler JR, et al. Checking all the boxes: a checklist for when and how to use checklists effectively. BMJ Qual Saf. 2024;33(10):673-681. doi:10.1136/bm…
-
digital.ahrq.gov/population/public-health-worker
January 01, 2023 - Public Health Worker
Advancing Population and Public Health Reporting and Outcomes with Vaccination Data Exchange (APPROVE) – Final Report
Citation
Rajamani S. Advancing Population and Public Health Reporting and Outcomes with Vaccination Data Exchange (APPROVE) – Final Report…
-
psnet.ahrq.gov/issue/health-system-resilience-accreditation-high-quality-care-and-continuous-quality-improvement
November 25, 2020 - Commentary
Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there?
Citation Text:
Nicklin W, Greenfield D. Health system resilience, accreditation, high-quality care, and continuous quality improveme…
-
psnet.ahrq.gov/issue/ten-strategies-improve-management-abnormal-test-result-alerts-electronic-health-record
April 14, 2011 - Commentary
Ten strategies to improve management of abnormal test result alerts in the electronic health record.
Citation Text:
Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the electronic health record. J Patient Saf. 2010;6(2)…
-
psnet.ahrq.gov/issue/learning-collaboratives-insights-and-new-taxonomy-ahrqs-two-decades-experience
April 27, 2019 - Commentary
Emerging Classic
Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience.
Citation Text:
Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience…
-
psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated
August 25, 2010 - Commentary
Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…