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psnet.ahrq.gov/node/47099/psn-pdf
May 16, 2018 - Defense Health Agency Should Improve Tracking of
Serious Adverse Medical Events and Monitoring of
Required Follow-up.
May 16, 2018
Washington, DC: United States Government Accountability Office; April 2018. Publication GAO-18-378.
https://psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-a…
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psnet.ahrq.gov/node/60938/psn-pdf
January 23, 2020 - A model for improving health care quality for transgender
and gender nonconforming patients.
January 23, 2020
Ding JM, Ehrenfeld JM, Edmiston EK, et al. A model for improving health care quality for transgender and
gender nonconforming patients. Jt Comm J Qual Patient Saf. 2020;46(1):37-43.
doi:10.1016/j.jcjq.2019…
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psnet.ahrq.gov/node/43065/psn-pdf
April 09, 2014 - Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of
health care.
April 9, 2014
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of health care. A…
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psnet.ahrq.gov/node/60985/psn-pdf
October 07, 2020 - Rapid-cycle improvement during the COVID-19 pandemic:
using safety reports to inform incident command.
October 7, 2020
Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety
reports to inform incident command. Jt Comm J Qual Patient Saf. 2020;46(12):715-714.
doi:10.1…
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psnet.ahrq.gov/node/43175/psn-pdf
December 12, 2014 - Interventions to improve safe and effective medicines use
by consumers: an overview of systematic reviews.
December 12, 2014
Ryan R, Santesso N, Lowe D, et al. Interventions to improve safe and effective medicines use by
consumers: an overview of systematic reviews. Cochrane Database Syst Rev. 2014;(4):CD007768.
d…
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psnet.ahrq.gov/node/852464/psn-pdf
August 16, 2023 - Notice of Intent to Publish Funding Opportunity
Announcements to Understand and Improve Diagnostic
Safety in Ambulatory Care.
August 16, 2023
Rockville, MD: Agency for Research and Quality; July 27, 2023. Notice Number NOT-HS-23-018.
https://psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announceme…
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psnet.ahrq.gov/node/836775/psn-pdf
March 23, 2022 - Embracing multiple aims in healthcare improvement and
innovation.
March 23, 2022
Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation.
Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006.
https://psnet.ahrq.gov/issue/embracing-multiple-aims-healthc…
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psnet.ahrq.gov/node/44335/psn-pdf
July 16, 2015 - Near-misses are an opportunity to improve patient safety:
adapting strategies of high reliability organizations to
healthcare.
July 16, 2015
Van Spall H, Kassam A, Tollefson TT. Near-misses are an opportunity to improve patient safety: adapting
strategies of high reliability organizations to healthcare. Curr Opin …
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psnet.ahrq.gov/node/35365/psn-pdf
February 17, 2011 - Accidental deaths, saved lives, and improved quality.
February 17, 2011
Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New
England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157.
https://psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-qua…
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psnet.ahrq.gov/node/73878/psn-pdf
September 29, 2021 - Interventions to improve communication at hospital
discharge and rates of readmission: a systematic review
and meta-analysis.
September 29, 2021
Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and
rates of readmission. JAMA Netw Open. 2021;4(8):e2119346. doi:10.100…
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psnet.ahrq.gov/node/43468/psn-pdf
December 10, 2014 - Does compliance to patient safety tasks improve and
sustain when radiotherapy treatment processes are
standardized?
December 10, 2014
Simons P, Houben R, Benders J, et al. Does compliance to patient safety tasks improve and sustain when
radiotherapy treatment processes are standardized? Eur J Oncol Nurs. 2014;18(5…
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psnet.ahrq.gov/node/46599/psn-pdf
August 20, 2018 - Effect of standardized handoff curriculum on improved
clinician preparedness in the intensive care unit: a
stepped-wedge cluster randomized clinical trial.
August 20, 2018
Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curriculum on Improved Clinician
Preparedness in the Intensive Care Un…
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psnet.ahrq.gov/node/39970/psn-pdf
January 22, 2017 - Hospital board checklist to improve culture and reduce
central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Pronovost P. Hospital Board Checklist to improve culture and reduce
central line-associated bloodstream infections. Jt Comm J Qual Patient Saf. 2010;36(11):525-8.
htt…
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psnet.ahrq.gov/node/44925/psn-pdf
July 27, 2018 - Improving safety for hospitalized patients: much progress
but many challenges remain.
July 27, 2018
Kronick R, Arnold S, Brady J. Improving Safety for Hospitalized Patients: Much Progress but Many
Challenges Remain. JAMA. 2016;316(5):489-90. doi:10.1001/jama.2016.7887.
https://psnet.ahrq.gov/issue/improving-safety…
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psnet.ahrq.gov/node/45641/psn-pdf
October 11, 2017 - Improving health care quality and patient safety through
peer-to-peer assessment: demonstration project in two
academic medical centers.
October 11, 2017
Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-
Peer Assessment: Demonstration Project in Two Academic Med…
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psnet.ahrq.gov/node/39641/psn-pdf
September 20, 2011 - Adherence to Surgical Care Improvement Project
measures and the association with postoperative
infections.
September 20, 2011
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures
and the association with postoperative infections. JAMA. 2010;303(24):2479-85.
doi:10.1…
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psnet.ahrq.gov/node/47736/psn-pdf
February 27, 2019 - Using a potentially aggressive/violent patient huddle to
improve health care safety.
February 27, 2019
Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve
Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.1016/j.jcjq.2018.08.011.
https://ps…
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psnet.ahrq.gov/node/47392/psn-pdf
January 23, 2019 - Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results
of the MARQUIS study.
January 23, 2019
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results o…
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psnet.ahrq.gov/node/847717/psn-pdf
April 19, 2023 - Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19
pandemic: a "zero harm" approach.
April 19, 2023
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19 pan…
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psnet.ahrq.gov/node/41031/psn-pdf
February 10, 2012 - Is patient safety improving? National trends in patient
safety indicators: 1998–2007.
February 10, 2012
Downey JR, Hernandez-Boussard T, Banka G, et al. Is patient safety improving? National trends in patient
safety indicators: 1998-2007. Health Serv Res. 2012;47(1 Pt 2):414-30. doi:10.1111/j.1475-
6773.2011.01361…