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psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome-indicator-preventing-or-reducing-falls
March 24, 2021 - Commentary
Strategies to improve the patient safety outcome indicator: preventing or reducing falls.
Citation Text:
Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home Healthc Nurse. 2005;23(1):29-36.
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psnet.ahrq.gov/node/38122/psn-pdf
September 05, 2009 - Implementation of a preoperative briefing protocol
improves accuracy of teamwork assessment in the
operating room.
September 5, 2009
Paige JT, Aaron DL, Yang T, et al. Implementation of a preoperative briefing protocol improves accuracy of
teamwork assessment in the operating room. Am Surg. 2008;74(9):817-823.
ht…
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psnet.ahrq.gov/node/42328/psn-pdf
June 28, 2013 - Handoff checklists improve the reliability of patient
handoffs in the operating room and postanesthesia care
unit.
June 28, 2013
Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and
postanesthesia care unit. Paediatr Anaesth. 2013;23(7):647-54. doi:10.1111/pa…
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psnet.ahrq.gov/node/41683/psn-pdf
September 19, 2012 - Techniques to improve patient safety in hospitals: what
nurse administrators need to know.
September 19, 2012
Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J
Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5.
https://psnet.ahrq.gov/issue/technique…
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psnet.ahrq.gov/node/47354/psn-pdf
November 21, 2018 - Improving Diagnosis in Medicine Change Package.
November 21, 2018
Chicago, IL: Health Research & Educational Trust; 2018.
https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
Proactive identification of conditions that degrade the diagnostic process can drive improvement. This
toolkit provides …
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psnet.ahrq.gov/node/40677/psn-pdf
August 10, 2011 - Board quality scorecards: measuring improvement.
August 10, 2011
Goeschel CA, Berenholtz SM, Culbertson R, et al. Board quality scorecards: measuring improvement. Am
J Med Qual. 2011;26(4):254-60. doi:10.1177/1062860610389324.
https://psnet.ahrq.gov/issue/board-quality-scorecards-measuring-improvement
Hospital boa…
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psnet.ahrq.gov/node/36863/psn-pdf
August 29, 2011 - Embedding quality improvement and patient safety at
Liverpool Women's NHS Foundation Trust.
August 29, 2011
Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation
Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607.
https://psnet.ahrq.gov/issue/embedding-qual…
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psnet.ahrq.gov/node/36924/psn-pdf
April 21, 2011 - A cluster randomized clinical trial to improve prescribing
patterns in ambulatory pediatrics.
April 21, 2011
Davis RL, Wright J, Chalmers F, et al. A cluster randomized clinical trial to improve prescribing patterns in
ambulatory pediatrics. PLoS Clin Trials. 2007;2(5):e25.
https://psnet.ahrq.gov/issue/cluster-ran…
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psnet.ahrq.gov/node/38529/psn-pdf
April 01, 2009 - Standardized admission order set improves perceived
quality of pediatric inpatient care.
April 1, 2009
Bekmezian A, Chung PJ, Yazdani S. Standardized admission order set improves perceived quality of
pediatric inpatient care. J Hosp Med. 2009;4(2):90-6. doi:10.1002/jhm.403.
https://psnet.ahrq.gov/issue/standardize…
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psnet.ahrq.gov/node/40741/psn-pdf
August 31, 2011 - Rethinking peer review: what aviation can teach radiology
about performance improvement.
August 31, 2011
Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance
improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222.
https://psnet.ahrq.gov/issue/rethinking-…
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psnet.ahrq.gov/node/41200/psn-pdf
January 03, 2017 - Implementing a perioperative handoff tool to improve
postprocedural patient transfers.
January 3, 2017
Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve
postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42.
https://psnet.ahrq.gov/issue/implement…
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psnet.ahrq.gov/node/37233/psn-pdf
December 15, 2011 - Nurses improve medication safety with medication allergy
and adverse drug reports.
December 15, 2011
Valente S, Murray L, Fisher D. Nurses improve medication safety with medication allergy and adverse drug
reports. J Nurs Care Qual. 2007;22(4):322-7.
https://psnet.ahrq.gov/issue/nurses-improve-medication-safety-me…
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psnet.ahrq.gov/node/36613/psn-pdf
January 14, 2011 - Patient safety rounds: description of an inexpensive but
important strategy to improve the safety culture.
January 14, 2011
Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to
improve the safety culture. Am J Med Qual. 2007;22(1):26-33.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/839832/psn-pdf
November 09, 2022 - Diagnostic Safety Centers of Excellence.
November 9, 2022
Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
https://psnet.ahrq.gov/issue/diagnostic-safety-centers-excellence
Diagnostic improvement engages a variety of activities to achieve excellence. This announcement
highlights ten organiz…
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psnet.ahrq.gov/node/37071/psn-pdf
September 30, 2011 - Improving patient safety in radiotherapy by learning from
near misses, incidents and errors.
September 30, 2011
Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br
J Radiol. 2007;80(953):297-301.
https://psnet.ahrq.gov/issue/improving-patient-safety-radiother…
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psnet.ahrq.gov/node/34136/psn-pdf
January 29, 2018 - Institute for Healthcare Improvement.
January 29, 2018
53 State Street, 19th Floor, Boston, MA 02109. 617-301-4800, info@ihi.org.
https://psnet.ahrq.gov/issue/institute-healthcare-improvement
The Institute for Healthcare Improvement (IHI) is a not-for-profit organization promoting health improvement
by advancing t…
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psnet.ahrq.gov/node/36754/psn-pdf
August 09, 2011 - Improving patient safety and communication through care
rounds in a pediatric oncology outpatient clinic.
August 9, 2011
Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric
oncology outpatient clinic. J Nurs Care Qual. 2007;22(2):159-63.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/40824/psn-pdf
October 05, 2011 - Quality improvement project to reduce perioperative
opioid oversedation events in a paediatric hospital.
October 5, 2011
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid
oversedation events in a paediatric hospital. BMJ Qual Saf. 2011;20(10):895-902.
doi:10.1136/bmj…
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psnet.ahrq.gov/node/41346/psn-pdf
May 02, 2012 - Team mental models and their potential to improve
teamwork and safety: a review and implications for future
research in healthcare.
May 2, 2012
Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A
review and implications for future research in healthcare. Safety Sci. 201…
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psnet.ahrq.gov/node/837981/psn-pdf
August 31, 2022 - Improving medication reconciliation in hospitals.
August 31, 2022
Schnipper JL. Ann Intern Med. 2022;175(8):ho2-ho3.
https://psnet.ahrq.gov/issue/improving-medication-reconciliation-hospitals
Medication reconciliation is a primary method for improving the safety of medication administration in acute
care. Thi…