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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…
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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.…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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/…
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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. …
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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…
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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…
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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…
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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…
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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…