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psnet.ahrq.gov/node/43631/psn-pdf
December 19, 2014 - An internal quality improvement collaborative
significantly reduces hospital-wide medication error
related adverse drug events.
December 19, 2014
McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces
hospital-wide medication error related adverse drug events. J Ped…
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psnet.ahrq.gov/node/47298/psn-pdf
September 24, 2018 - Physician engagement in malpractice risk reduction: a
UPHS case study.
September 24, 2018
Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS
Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.009.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/46858/psn-pdf
May 11, 2019 - Evidence review conducted for the Agency for Healthcare
Research and Quality Safety Program for Improving
Surgical Care and Recovery: focus on anesthesiology for
colorectal surgery.
May 11, 2019
Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Healthcare Research
and Quality Safety …
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psnet.ahrq.gov/node/60225/psn-pdf
April 15, 2020 - Beyond 'find and fix': improving quality and safety
through resilient healthcare systems.
April 15, 2020
Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient
healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10.1093/intqhc/mzaa007.
https://psn…
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psnet.ahrq.gov/node/45480/psn-pdf
November 16, 2016 - Improving patient safety reporting with the common
formats: common data representation for Patient Safety
Organizations.
November 16, 2016
Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats:
Common data representation for Patient Safety Organizations. J Biomed Info…
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psnet.ahrq.gov/node/47783/psn-pdf
April 10, 2019 - An IDEA: safety training to improve critical thinking by
individuals and teams.
April 10, 2019
Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by
Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/1062860618820687.
https://psnet.ahrq.gov/issue/idea-s…
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psnet.ahrq.gov/node/45859/psn-pdf
August 03, 2017 - Root cause analysis and actions for the prevention of
medical errors: quality improvement and resident
education.
August 3, 2017
Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical
Errors: Quality Improvement and Resident Education. Orthopedics. 2017;40(4):e628-e635…
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psnet.ahrq.gov/node/45239/psn-pdf
August 24, 2016 - Using simulation to improve first-year pharmacy students'
ability to identify medication errors involving the top 100
prescription medications.
August 24, 2016
Atayee RS, Awdishu L, Namba J. Using Simulation to Improve First-Year Pharmacy Students' Ability to
Identify Medication Errors Involving the Top 100 Prescr…
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psnet.ahrq.gov/node/44861/psn-pdf
February 17, 2016 - Voluntary medical incident reporting tool to improve
physician reporting of medical errors in an emergency
department.
February 17, 2016
Okafor NG, Doshi PB, Miller SK, et al. Voluntary medical incident reporting tool to improve physician
reporting of medical errors in an emergency department. West J Emerg Med. 20…
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psnet.ahrq.gov/node/848043/psn-pdf
April 26, 2023 - Tools for establishing a sustainable safety culture within
maternity services: a retrospective case study.
April 26, 2023
Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within
maternity services: a retrospective case study. SAGE Open Med. 2023;11:205031212311642.
doi…
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psnet.ahrq.gov/node/73505/psn-pdf
July 21, 2021 - Improving medication reconciliation with comprehensive
evaluation at a Veterans Affairs skilled-nursing facility.
July 21, 2021
Baughman AW, Triantafylidis LK, O'Neil N, et al. Improving medication reconciliation with comprehensive
evaluation at a Veterans Affairs skilled-nursing facility. Jt Comm J Qual Patient Sa…
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psnet.ahrq.gov/node/43982/psn-pdf
April 01, 2015 - Human factors and ergonomics and quality improvement
science: integrating approaches for safety in healthcare.
April 1, 2015
Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science:
integrating approaches for safety in healthcare. BMJ Qual Saf. 2015;24(4):250-254. doi:10.1…
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psnet.ahrq.gov/node/46544/psn-pdf
September 12, 2018 - Interventions to improve follow-up of laboratory test
results pending at discharge: a systematic review.
September 12, 2018
Whitehead NS, Williams L, Meleth S, et al. Interventions to Improve Follow-Up of Laboratory Test Results
Pending at Discharge: A Systematic Review. J Hosp Med. 2018. doi:10.12788/jhm.2944.
ht…
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psnet.ahrq.gov/node/50834/psn-pdf
January 29, 2020 - Medication reconciliation improvement utilizing process
redesign and clinical decision support.
January 29, 2020
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process
Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. 2020;46(1):27-36.
doi:10.1016/j.…
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psnet.ahrq.gov/node/43137/psn-pdf
May 28, 2015 - Weaving quality improvement and patient safety skills
into all levels of medical training: an annotated
bibliography.
May 28, 2015
Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical
training: an annotated bibliography. Am J Med Qual. 2015;30(3):232-47. doi:10.1177/1…
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psnet.ahrq.gov/node/35487/psn-pdf
September 12, 2016 - Safety improvements urged for MRI facilities.
September 12, 2016
Mitka M. Safety improvements urged for MRI facilities. JAMA. 2005;294(17):2145-8.
https://psnet.ahrq.gov/issue/safety-improvements-urged-mri-facilities
This news story from JAMA summarizes a teleconference on magnetic resonance imaging safety
and sha…
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - Now, we have improved the specificity of triggers by almost an order of magnitude using this experience
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digital.ahrq.gov/ahrq-funded-projects/development-targeted-patient-portal-intervention-improve-depression-treatment
January 01, 2023 - Development of a Targeted Patient Portal Intervention to Improve Depression Treatment Adherence, Satisfaction, and Outcomes
Project Final Report ( PDF , 504.58 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible …
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digital.ahrq.gov/ahrq-funded-projects/improving-medication-management-practices-and-care-transitions-through
January 01, 2023 - Improving Medication Management Practices and Care Transitions through Technology
Project Final Report ( PDF , 294.76 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily …
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digital.ahrq.gov/ahrq-funded-projects/trial-aggregate-data-extraction-maintenance-certification-and-raising-quality
January 01, 2023 - Trial of Aggregate Data Extraction for Maintenance of Certification and Raising Quality
Project Final Report ( PDF , 412.97 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necess…