-
psnet.ahrq.gov/node/40331/psn-pdf
July 31, 2012 - a previous report, this publication explains how four organizations have sustained patient safety
improvements
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psnet.ahrq.gov/node/39994/psn-pdf
November 10, 2010 - building-safer-systems-through-critical-occurrence-reviews-nine-years-learning
This article describes how a children's hospital used root cause analysis to drive improvements
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psnet.ahrq.gov/node/35688/psn-pdf
June 28, 2010 - practical-tool-learn-defects-patient-care
The authors describe a tool for investigating incidents and making necessary safety improvements
-
psnet.ahrq.gov/node/41122/psn-pdf
February 08, 2012 - summarizes a report on airway management safety in the United Kingdom and suggests
tactics to generate improvements
-
psnet.ahrq.gov/node/41914/psn-pdf
January 18, 2013 - simulation training appears to improve trainees' knowledge and
attitudes toward patient safety, but these improvements
-
psnet.ahrq.gov/node/37247/psn-pdf
December 15, 2011 - decision support system, discuss the barriers they
encountered, and highlight the safety performance improvements
-
psnet.ahrq.gov/node/42394/psn-pdf
July 10, 2013 - takes place in the actual clinical
environment—can be used to detect latent safety hazards and drive improvements
-
psnet.ahrq.gov/node/42874/psn-pdf
January 29, 2014 - of advancing patient safety and highlights the value of
interdisciplinary collaboration to achieve improvements
-
psnet.ahrq.gov/node/35923/psn-pdf
July 26, 2010 - improving-hospital-systems-care-women-major-obstetric-hemorrhage
In response to two deaths from obstetric hemorrhage, a hospital implemented patient safety improvements
-
psnet.ahrq.gov/node/37024/psn-pdf
January 02, 2017 - The authors describe the implementation of a nonpunitive reporting system at their hospital and the
improvements
-
psnet.ahrq.gov/node/44532/psn-pdf
December 21, 2018 - discusses weaknesses in health care incident reporting systems that limit their ability to
contribute to improvements
-
psnet.ahrq.gov/node/43718/psn-pdf
December 03, 2014 - revealed an overall interest in patient safety and teamwork, but also identified
numerous areas for improvements
-
psnet.ahrq.gov/node/41728/psn-pdf
January 18, 2013 - This study found that implementation of standardized guidelines for patient signout led to limited
improvements
-
psnet.ahrq.gov/node/41931/psn-pdf
December 19, 2012 - procedures, this magazine article
details the lessons learned to help health care leaders implement improvements
-
psnet.ahrq.gov/node/46003/psn-pdf
May 10, 2017 - monitoring program that allows
organizations to identify areas of weakness and track the impact of improvements
-
psnet.ahrq.gov/node/36388/psn-pdf
June 12, 2013 - describes types of errors that occur in intravenous (IV) medication therapy and advocates for
system improvements
-
psnet.ahrq.gov/node/34699/psn-pdf
January 04, 2017 - indirect, and long-term costs and advocate for
focusing on the long-term benefits of patient safety improvements
-
psnet.ahrq.gov/node/33900/psn-pdf
December 06, 2011 - for Healthcare Research
and Quality and other health care entities to build support for research and improvements
-
psnet.ahrq.gov/node/39609/psn-pdf
June 27, 2010 - safety in the intensive care unit, including
adverse drug event surveillance systems and human factors improvements
-
psnet.ahrq.gov/node/34623/psn-pdf
January 28, 2015 - australian-commission-safety-and-quality-health-care
Established in January 2006, the Commission leads and coordinates improvements