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psnet.ahrq.gov/node/47993/psn-pdf
May 15, 2019 - Using near-miss events to improve MRI safety in a large
academic centre.
May 15, 2019
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic
centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
https://psnet.ahrq.gov/issue/using-near-miss-events-imp…
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psnet.ahrq.gov/node/46980/psn-pdf
June 19, 2018 - Can first-year medical students acquire quality
improvement knowledge prior to substantial clinical
exposure? A mixed-methods evaluation of a pre-clerkship
curriculum that uses education as the context for
learning.
June 19, 2018
Brown A, Nidumolu A, Stanhope A, et al. Can first-year medical students acquire qual…
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psnet.ahrq.gov/node/836925/psn-pdf
April 13, 2022 - Strength of improvement recommendations from
injurious fall investigations: a retrospective multi-incident
analysis.
April 13, 2022
Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall
investigations: a retrospective multi-incident analysis. J Patient Saf. 2022;18(3):e61…
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psnet.ahrq.gov/node/866202/psn-pdf
July 24, 2024 - Medication Without Harm - How Digital Healthcare Tools
Can Support Providers and Improve Patient Safety.
June 26, 2024
Agency for Healthcare Research and Quality. July 24, 2024.
https://psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-
and-improve
Medication errors a…
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psnet.ahrq.gov/node/845304/psn-pdf
March 01, 2023 - For children admitted to hospital, what interventions
improve medication safety on ward rounds?
March 1, 2023
King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication
safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588.
doi:10.1136/archdis…
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psnet.ahrq.gov/node/866818/psn-pdf
September 25, 2024 - Academic half day improves resident perception of
education without compromising patient safety.
September 25, 2024
Spence MC, Sugarman A, Uong A, et al. Academic half day improves resident perception of education
without compromising patient safety. Acad Pediatr. 2024;24(6):1010-1016. doi:10.1016/j.acap.2024.02.00…
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psnet.ahrq.gov/node/46585/psn-pdf
April 29, 2018 - Improving patient safety and efficiency of medication
reconciliation through the development and adoption of a
computer-assisted tool with automated electronic
integration of population-based community drug data: the
RightRx project.
April 29, 2018
Tamblyn R, Winslade N, Lee TC, et al. Improving patient safety an…
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psnet.ahrq.gov/node/853242/psn-pdf
September 06, 2023 - Protocolization of analgesia and sedation through smart
technology in intensive care: improving patient safety.
September 6, 2023
Ojeda IM, Sánchez-Cuervo M, Candela-Toha Á, et al. Protocolization of Analgesia and Sedation Through
Smart Technology in Intensive Care: Improving Patient Safety. Crit Care Nurs. 2023;43…
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psnet.ahrq.gov/node/46446/psn-pdf
September 27, 2017 - Journey toward high reliability: a comprehensive safety
program to improve quality of care and safety culture in a
large, multisite radiation oncology department.
September 27, 2017
Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program
to Improve Quality of Care and …
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psnet.ahrq.gov/node/865930/psn-pdf
May 22, 2024 - Operational failures in general practice: a consensus-
building study on the priorities for improvement.
May 22, 2024
Sinnott C, Alboksmaty A, Moxey JM, et al. Operational failures in general practice: a consensus-building
study on the priorities for improvement. Br J Gen Pract. 2024;74(742):e339-e346.
doi:10.3399…
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psnet.ahrq.gov/node/44334/psn-pdf
November 20, 2015 - Improvement in detection of wrong-patient errors when
radiologists include patient photographs in their
interpretation of portable chest radiographs.
November 20, 2015
Tridandapani S, Olsen K, Bhatti P. Improvement in Detection of Wrong-Patient Errors When Radiologists
Include Patient Photographs in Their Interpre…
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psnet.ahrq.gov/node/46065/psn-pdf
January 01, 2021 - Measurement as a performance driver: the case for a
national measurement system to improve patient safety.
April 26, 2017
Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National
Measurement System to Improve Patient Safety. J Patient Saf. 2021;17(3):e128-e134.
doi:10.10…
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psnet.ahrq.gov/node/859343/psn-pdf
December 20, 2023 - Reducing retained foreign objects in the operating room:
a quality improvement initiative.
December 20, 2023
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a
quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847.
https…
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psnet.ahrq.gov/node/860722/psn-pdf
January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest
- Are they useful for improvements?
January 17, 2024
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements?
Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
https://psnet.ahrq.gov/issue/ten-y…
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psnet.ahrq.gov/node/45072/psn-pdf
May 04, 2016 - Interventions to improve safe sleep among hospitalized
infants at eight children's hospitals.
May 4, 2016
Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, et al. Interventions to Improve Safe Sleep Among
Hospitalized Infants at Eight Children's Hospitals. Hosp Pediatr. 2016;6(2):88-94. doi:10.1542/hpeds.2015-
0121.
…
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psnet.ahrq.gov/node/47249/psn-pdf
July 25, 2018 - Survey results: smart pump data analytics pump metrics
that should be monitored to improve safety.
July 25, 2018
ISMP Medication Safety Alert! Acute care edition. July 12, 2018;23:1-4.
https://psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-
improve-safety
Smart pump…
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psnet.ahrq.gov/node/35497/psn-pdf
June 30, 2011 - Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process.
June 30, 2011
Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16.
https://psnet.ahr…
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psnet.ahrq.gov/node/867134/psn-pdf
November 13, 2024 - Improving adverse drug event reporting by healthcare
professionals.
November 13, 2024
Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare
professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594.
doi:10.1002/14651858.cd012594.pub2.
https://psnet.ahrq.gov/issue/im…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-lessons-intro.pdf
January 28, 2021 - Lessons From Healthcare Organizations on Improving Patient Experience webcast - Intro
Lessons From Healthcare Organizations
on Improving Patient Experience
A Webcast Presented by the AHRQ CAHPS User Network
January 28, 2021
2:00 – 3:00 pm ET
Our Focus Today
• Overview of AHRQ’s CAHPS program
• Foundational ele…
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psnet.ahrq.gov/node/837036/psn-pdf
May 04, 2022 - Engaging patients in the use of real-time electronic
clinical data to improve the safety and reliability of their
own care.
May 4, 2022
Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to
improve the safety and reliability of their own care. J Patient Saf. …