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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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 …
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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