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psnet.ahrq.gov/node/40749/psn-pdf
September 07, 2011 - Improving the usability of intravenous medication labels
to support safe medication delivery.
September 7, 2011
Bauer DT, Guerlain S. Improving the usability of intravenous medication labels to support safe medication
delivery. International journal of industrial ergonomics. 2011;41(4):394-399.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/35861/psn-pdf
March 28, 2011 - How can the principles of complexity science be applied
to improve the coordination of care for complex pediatric
patients?
March 28, 2011
Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to
improve the coordination of care for complex pediatric patients? Qual Saf H…
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psnet.ahrq.gov/node/41036/psn-pdf
January 04, 2012 - Practically speaking: rethinking hand hygiene
improvement programs in health care settings.
January 4, 2012
Son C, Chuck T, Childers T, et al. Practically speaking: Rethinking hand hygiene improvement programs in
health care settings. Am J Infect Control. 2011;39(9). doi:10.1016/j.ajic.2010.12.008.
https://psnet.a…
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psnet.ahrq.gov/node/40058/psn-pdf
January 22, 2017 - Infection preventionist checklist to improve culture and
reduce central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Cosgrove SE, et al. Infection preventionist checklist to improve culture and
reduce central line-associated bloodstream infections. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/node/41153/psn-pdf
January 01, 2013 - Quality improvement for patient safety: project-level
versus program-level learning.
December 12, 2012
Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-
level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013e318245019f.
https://psnet.ahrq…
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psnet.ahrq.gov/node/42750/psn-pdf
November 20, 2013 - Serious hazards of transfusion (SHOT) haemovigilance
and progress is improving transfusion safety.
November 20, 2013
Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is
improving transfusion safety. Br J Haematol. 2013;163(3):303-14. doi:10.1111/bjh.12547.
https://psnet.…
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psnet.ahrq.gov/node/40503/psn-pdf
June 08, 2011 - The science of safety improvement: learning while doing.
June 8, 2011
Clancy CM, Berwick DM. The science of safety improvement: learning while doing. Ann Intern Med.
2011;154(10):699-701. doi:10.7326/0003-4819-154-10-201105170-00013.
https://psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
Acco…
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psnet.ahrq.gov/node/36087/psn-pdf
September 28, 2010 - Improving patient safety in hospitals: contributions of
high-reliability theory and normal accident theory.
September 28, 2010
Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and
normal accident theory. Health Serv Res. 2006;41(4 Pt 2):1654-76.
https://psnet.ah…
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psnet.ahrq.gov/node/40440/psn-pdf
July 02, 2014 - Residents' reflections on quality improvement: temporal
stability and associations with preventability of adverse
patient events.
July 2, 2014
Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability
and associations with preventability of adverse patient events. Ac…
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psnet.ahrq.gov/node/40248/psn-pdf
June 20, 2011 - Achieving quality improvement in the nursing home:
influence of nursing leadership on communication and
teamwork.
June 20, 2011
Vogelsmeier A, Scott-Cawiezell J. Achieving quality improvement in the nursing home: influence of nursing
leadership on communication and teamwork. J Nurs Care Qual. 2011;26(3):236-42.
d…
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psnet.ahrq.gov/node/41183/psn-pdf
February 29, 2012 - Increasing the use of 'smart' pump drug libraries by
nurses: a continuous quality improvement project.
February 29, 2012
Harding AD. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement
project. Am J Nurs. 2012;112(1):26-37. doi:10.1097/01.NAJ.0000410360.20567.55.
https://p…
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psnet.ahrq.gov/node/866641/psn-pdf
September 04, 2024 - Quality and patient safety improvement is never finished.
September 4, 2024
Kachalia A, Vanhaecht K. Quality and patient safety improvement is never finished. NEJM Catalyst.
2024;5(9). doi:10.1056/cat.24.0316.
https://psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
Safety and quality imp…
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psnet.ahrq.gov/node/35760/psn-pdf
July 19, 2010 - Achieving rapid door-to-balloon times: how top hospitals
improve complex clinical systems.
July 19, 2010
Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times: how top hospitals improve
complex clinical systems. Circulation. 2006;113(8):1079-85.
https://psnet.ahrq.gov/issue/achieving-rapid…
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psnet.ahrq.gov/node/40242/psn-pdf
February 23, 2011 - An anesthesiology department leads culture change at a
hospital system level to improve quality and patient
safety.
February 23, 2011
Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a
hospital system level to improve quality and patient safety. Anesthesiol Clin. 201…
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digital.ahrq.gov/principal-investigator/coleman-robert
January 01, 2023 - Coleman, Robert
Improving Care in a Rural Region with Consolidated Imaging - Final Report
Citation
Coleman R. Improving Care in a Rural Region with Consolidated Imaging - Final Report. (Prepared by Maine Medical Center under Grant No. UC1 HS015328). Rockville, MD: Agency for…
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digital.ahrq.gov/organization/delta-health-alliance-inc
January 01, 2023 - Delta Health Alliance, Inc.
The Bettering Lives Utilizing Electronic Systems (BLUES) Project: Improving Diabetes Outcomes in Mississippi with Health Information Technology - 2011
Principal Investigator
Matthews, Karen
Project Name
The Bettering Lives Utilizing El…
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psnet.ahrq.gov/node/50729/psn-pdf
December 11, 2019 - Improving Diagnostic Quality & Safety/Reducing
Diagnostic Error: Measurement Considerations.
December 11, 2019
Washington DC; National Quality Forum: October 28, 2019.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-
considerations
Efforts to track, understand…
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psnet.ahrq.gov/node/42562/psn-pdf
June 09, 2015 - Sustaining quality improvement and patient safety
training in graduate medical education: lessons from
social theory.
June 9, 2015
Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in
graduate medical education: lessons from social theory. Acad Med. 2013;88(8):1149-5…
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psnet.ahrq.gov/node/42089/psn-pdf
March 06, 2013 - Organizational culture: an important context for
addressing and improving hospital to community patient
discharge.
March 6, 2013
Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for
addressing and improving hospital to community patient discharge. Med Care. 2013;51(…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/CDI-slides.pptx
November 01, 2019 - PowerPoint Presentation
Best Practices in the Diagnosis and Treatment of Clostridioides difficile Infections
Acute Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Clostridioides difficile
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
…