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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843088/psn-pdfJanuary 25, 2023 - The value of learning from near misses to improve patient safety: a scoping review. January 25, 2023 Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078. https://psnet.ahrq.gov/issue/v… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74236/psn-pdfJanuary 12, 2022 - Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. January 12, 2022 Lo L, Rotteau L, Shojania KG. Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. BMJ Open. 2021;1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47013/psn-pdfApril 07, 2019 - An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. April 7, 2019 Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co- prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38332/psn-pdfJanuary 14, 2009 - Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. January 14, 2009 Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health Care. 2008;17(6):454-8. doi:10.11… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44952/psn-pdfMarch 02, 2016 - Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality conferences. March 2, 2016 Destino LA, Kahana M, Patel SJ. Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality Conferences. Jt Comm J Qual Patient Saf. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47099/psn-pdfMay 16, 2018 - Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. May 16, 2018 Washington, DC: United States Government Accountability Office; April 2018. Publication GAO-18-378. https://psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39088/psn-pdfSeptember 01, 2015 - Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. September 1, 2015 Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43516/psn-pdfJune 15, 2017 - Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. June 15, 2017 Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through the Emergency Department. J Patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43468/psn-pdfDecember 10, 2014 - Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? December 10, 2014 Simons P, Houben R, Benders J, et al. Does compliance to patient safety tasks improve and sustain when radiotherapy treatment processes are standardized? Eur J Oncol Nurs. 2014;18(5… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43182/psn-pdfMay 14, 2014 - Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? May 14, 2014 Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? Curr Opin Anaesthesiol. 2014;27(3):323-9… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852464/psn-pdfAugust 16, 2023 - Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care. August 16, 2023 Rockville, MD: Agency for Research and Quality; July 27, 2023. Notice Number NOT-HS-23-018. https://psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announceme… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44941/psn-pdfOctober 05, 2016 - An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. October 5, 2016 Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information Management System improves pre-anaesthe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836827/psn-pdfMarch 30, 2022 - Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review. March 30, 2022 McCleskey SG, Shek L, Grein J, et al. Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44060/psn-pdfNovember 16, 2015 - Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. November 16, 2015 Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44. doi:10.1136/bmjqs-2014-003795… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44156/psn-pdfNovember 10, 2015 - Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. November 10, 2015 Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J Commun Healthc. 2015;8(1):76-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41423/psn-pdfJanuary 03, 2017 - Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors. January 3, 2017 Nair BG, Peterson GN, Newman S-F, et al. Improving documentation of a beta-blocker quality measure through an anesthesia information man… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44335/psn-pdfJuly 16, 2015 - Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare. July 16, 2015 Van Spall H, Kassam A, Tollefson TT. Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare. Curr Opin … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60985/psn-pdfOctober 07, 2020 - Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. October 7, 2020 Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Jt Comm J Qual Patient Saf. 2020;46(12):715-714. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45131/psn-pdfJuly 20, 2016 - Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. July 20, 2016 Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational interventions designed to improve medication administr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48062/psn-pdfAugust 07, 2019 - Ten ways to improve medication safety in community pharmacies. August 7, 2019 Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003). 2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018. https://psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies Med…
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