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psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safetyJuly 15, 2015 - Commentary Classic Improving diagnosis in health care—the next imperative for patient safety. Citation Text: Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42247/psn-pdfJune 12, 2013 - A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. June 12, 2013 Khoo AL, Teng M, Lim BP, et al. A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. Jt Comm J Qual Patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43797/psn-pdfJanuary 07, 2015 - Building a community engagement approach for patient safety improvement. January 7, 2015 Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044. https://psnet.ahrq.gov/issue/building-community-engagement-appro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38831/psn-pdfAugust 05, 2009 - Rural hospital information technology implementation for safety and quality improvement: lessons learned. August 5, 2009 Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform Nurs. 2009;27(4):206-14. doi:10.1097… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50673/psn-pdfNovember 20, 2019 - The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. November 20, 2019 Hall AJ, Toner NS, Bhatt PM. The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. Br J Neurosurg. 2019;33(5):495-499. doi:10.1080/02688697.20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41635/psn-pdfJanuary 18, 2013 - Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. January 18, 2013 Nwulu U, Nirantharakumar K, Odesanya R, et al. Improvement in the detection of adverse drug events by the use of electronic health and prescription reco… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60630/psn-pdfJune 24, 2020 - Education is “predictably disappointing” and should never be relied upon alone to improve safety. June 24, 2020 ISMP Medication Safety Alert! Acute care edition. June 4, 2020;25(11):1-4. https://psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone- improve-safety Interven… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43605/psn-pdfOctober 15, 2014 - Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA. October 15, 2014 Herzer KR, Niessen L, Constenla DO, et al. Cost-effectiveness of a quality improvement programme to reduce central line-associated bloodstream infectio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35417/psn-pdfFebruary 15, 2010 - Errors in laboratory medicine: practical lessons to improve patient safety. February 15, 2010 Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab Med. 2005;129(10):1252-1261. https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46786/psn-pdfMay 30, 2018 - Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. May 30, 2018 Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals acros… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44676/psn-pdfJanuary 22, 2016 - Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. January 22, 2016 Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nurs. 2016;25(1-2):278-81. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47697/psn-pdfApril 03, 2019 - Engineering a foundation for partnership to improve medication safety during care transitions. April 3, 2019 Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. doi:10.1177/2516043518821497. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39860/psn-pdfSeptember 01, 2017 - Interventions to improve hand hygiene compliance in patient care. September 1, 2017 Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4. https://psnet.ahrq.gov/issue/interventions-i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41741/psn-pdfOctober 10, 2012 - Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety. October 10, 2012 Oakbrook Terrace, IL: Joint Commission. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety The Joint Commission's annual report summarizes hospital … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42052/psn-pdfDecember 21, 2014 - Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma. December 21, 2014 Haut ER, Lau BD, Kraenzlin FS, et al. Improved prophylaxis and decreased rates of preventable harm with the u… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50893/psn-pdfFebruary 12, 2020 - The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). February 12, 2020 Presley CA, Wooldridge KT, Byerly SH, et al. The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). Am J Health Syst Pharm. 2020;77(2):128-137. doi:10.1093/ajhp/zxz… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45522/psn-pdfJanuary 01, 2020 - Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? November 9, 2016 Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the World Health Organization Safe Sur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867757/psn-pdfMarch 12, 2025 - Improving medication-related safety for residents in nursing homes: a qualitative study. March 12, 2025 Shieu B, Lee Y-W, Epps F, et al. Improving medication-related safety for residents in nursing homes: a qualitative study. J Gerontol Nurs. 2025;51(3):38-43. doi:10.3928/00989134-20250102-03. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46324/psn-pdfAugust 09, 2017 - IHI Framework for Improving Joy in Work. August 9, 2017 Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867527/psn-pdfJanuary 15, 2025 - Interventions to improve timely cancer diagnosis: an integrative review. January 15, 2025 Graber ML, Winters BD, Matin R, et al. Interventions to improve timely cancer diagnosis: an integrative review. Diagnosis (Berl). 2024;Epub Oct 18. doi:10.1515/dx-2024-0113. https://psnet.ahrq.gov/issue/interventions-improve-…
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