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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46544/psn-pdf
    September 12, 2018 - Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review. September 12, 2018 Whitehead NS, Williams L, Meleth S, et al. Interventions to Improve Follow-Up of Laboratory Test Results Pending at Discharge: A Systematic Review. J Hosp Med. 2018. doi:10.12788/jhm.2944. ht…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50834/psn-pdf
    January 29, 2020 - Medication reconciliation improvement utilizing process redesign and clinical decision support. January 29, 2020 Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. 2020;46(1):27-36. doi:10.1016/j.…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43137/psn-pdf
    May 28, 2015 - Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. May 28, 2015 Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Am J Med Qual. 2015;30(3):232-47. doi:10.1177/1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45859/psn-pdf
    August 03, 2017 - Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. August 3, 2017 Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Education. Orthopedics. 2017;40(4):e628-e635…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72775/psn-pdf
    February 24, 2021 - Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non- randomized controlled study. February 24, 2021 Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriateness in nursing homes via s…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73082/psn-pdf
    March 31, 2021 - The potential of artificial intelligence to improve patient safety: a scoping review. March 31, 2021 Bates DW, Levine DM, Syrowatka A, et al. The potential of artificial intelligence to improve patient safety: a scoping review. NPJ Digit Med. 2021;4(1):54. doi:10.1038/s41746-021-00423-6. https://psnet.ahrq.gov/iss…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60225/psn-pdf
    April 15, 2020 - Beyond 'find and fix': improving quality and safety through resilient healthcare systems. April 15, 2020 Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10.1093/intqhc/mzaa007. https://psn…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47405/psn-pdf
    January 27, 2019 - Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. January 27, 2019 Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatie…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848043/psn-pdf
    April 26, 2023 - Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. April 26, 2023 Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open Med. 2023;11:205031212311642. doi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61100/psn-pdf
    November 04, 2020 - Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. November 4, 2020 Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (2003). 2020;60(5):e76-e80. doi:10.10…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44292/psn-pdf
    September 01, 2016 - Recommendations to improve the usability of drug–drug interaction clinical decision support alerts. September 1, 2016 Payne TH, Hines LE, Chan RC, et al. Recommendations to improve the usability of drug-drug interaction clinical decision support alerts. J Am Med Inform Assoc. 2015;22(6):1243-50. doi:10.1093/jamia/o…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43631/psn-pdf
    December 19, 2014 - An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. December 19, 2014 McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. J Ped…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43982/psn-pdf
    April 01, 2015 - Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. April 1, 2015 Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BMJ Qual Saf. 2015;24(4):250-254. doi:10.1…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47298/psn-pdf
    September 24, 2018 - Physician engagement in malpractice risk reduction: a UPHS case study. September 24, 2018 Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.009. https://psnet.ahrq.gov/issue/…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44973/psn-pdf
    April 06, 2016 - Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers. April 6, 2016 Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential Position Papers. Jt Comm J Qual Patient Saf. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73565/psn-pdf
    August 04, 2021 - Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. August 4, 2021 Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. Pediatr Qual Saf. 2021;6(4):e43…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46485/psn-pdf
    October 18, 2017 - Medical team training improves team performance: AOA critical issues. October 18, 2017 Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290. https://psnet.ahrq.gov/issue/medical-team-t…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50706/psn-pdf
    December 04, 2019 - Improving end-of-rotation transitions of care among ICU patients December 4, 2019 Denson JL, Knoeckel J, Kjerengtroen S, et al. Improving end-of-rotation transitions of care among ICU patients. BMJ Qual Saf. 2019;29(3):250-259. doi:10.1136/bmjqs-2019-009867. https://psnet.ahrq.gov/issue/improving-end-rotation-tran…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47783/psn-pdf
    April 10, 2019 - An IDEA: safety training to improve critical thinking by individuals and teams. April 10, 2019 Browne AM, Deutsch ES, Corwin K, et al. An IDEA: Safety Training to Improve Critical Thinking by Individuals and Teams. Am J Med Qual. 2019;34(6):569-576. doi:10.1177/1062860618820687. https://psnet.ahrq.gov/issue/idea-s…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73505/psn-pdf
    July 21, 2021 - Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility. July 21, 2021 Baughman AW, Triantafylidis LK, O'Neil N, et al. Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing facility. Jt Comm J Qual Patient Sa…

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