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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39782/psn-pdf
    August 25, 2010 - Developing a common language for evaluation questions in quality and safety improvement. August 25, 2010 Lambert MF; Shearer H. https://psnet.ahrq.gov/issue/developing-common-language-evaluation-questions-quality-and-safety- improvement This commentary discusses several frameworks for evaluating patient safety an…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41089/psn-pdf
    January 25, 2012 - Improving patient safety: lessons from rock climbing. January 25, 2012 Robertson N. Improving patient safety: lessons from rock climbing. Clin Teach. 2012;9(1):41-4. doi:10.1111/j.1743-498X.2011.00485.x. https://psnet.ahrq.gov/issue/improving-patient-safety-lessons-rock-climbing This commentary proposes that apply…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41477/psn-pdf
    June 27, 2012 - Surgical safety checklists: do they improve outcomes? June 27, 2012 Walker IA, Reshamwalla S, Wilson IH. Surgical safety checklists: do they improve outcomes? Br J Anaesth. 2012;109(1):47-54. doi:10.1093/bja/aes175. https://psnet.ahrq.gov/issue/surgical-safety-checklists-do-they-improve-outcomes This review discus…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35956/psn-pdf
    August 02, 2010 - Patient Guide: 10 Ways to Improve Communication with Your Doctor. August 2, 2010 Patient Guide: 10 Ways to Improve Communication With Your Doctor. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000199856.82316.50. https://psnet.ahrq.gov/issue/patient-guide-10-ways-improve-communication-your-doctor This article lis…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42187/psn-pdf
    April 10, 2013 - Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011. April 10, 2013 Hall M, McCue MJ. New York, NY: The Commonwealth Fund; March 22, 2013. https://psnet.ahrq.gov/issue/insurers-medical-loss-ratios-and-quality-improvement-spending-2011 This report found that insurance companies spend on average $…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39147/psn-pdf
    January 13, 2010 - Following the patient journey to improve medicines management and reduce errors. January 13, 2010 Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing times. 2009;105(46):12-5. https://psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-red…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35100/psn-pdf
    November 04, 2015 - Patient Safety Improvement Corps: An AHRQ/VA partnership. November 4, 2015 AHRQ; Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/patient-safety-improvement-corps-ahrqva-partnership The Agency for Healthcare Research and Quality announces the 2007–2008 Patient Safety Improvement Corps (PSI…
  8. psnet.ahrq.gov/issue/experiences-lean-six-sigma-improvement-strategy-reduce-parenteral-medication-administration
    October 13, 2021 - Commentary Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. Citation Text: van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce pa…
  9. psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
    June 29, 2009 - Commentary Using incident reporting to improve patient safety: a conceptual model. Citation Text: Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states
    March 03, 2011 - Study National pediatric anesthesia safety quality improvement program in the United States. Citation Text: Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.000…
  11. psnet.ahrq.gov/issue/preventable-harm-index-effective-motivator-facilitate-drive-zero
    January 15, 2014 - Commentary The Preventable Harm Index: an effective motivator to facilitate the drive to zero. Citation Text: Brilli RJ, McClead RE, Davis T, et al. The Preventable Harm Index: an effective motivator to facilitate the drive to zero. J Pediatr. 2010;157(4):681-3. doi:10.1016/j.jpeds.201…
  12. psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated
    August 25, 2010 - Commentary Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. Citation Text: Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…
  13. psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders
    September 05, 2018 - Commentary Latent risk assessment tool for health care leaders. Citation Text: Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316. Copy Citation Format: DOI Google S…
  14. psnet.ahrq.gov/issue/armstrong-institute-academic-institute-patient-safety-and-quality-improvement-research
    September 27, 2017 - Commentary The Armstrong Institute: an academic institute for patient safety and quality improvement, research, training, and practice. Citation Text: Pronovost P, Holzmueller CG, Molello NE, et al. The Armstrong Institute: An Academic Institute for Patient Safety and Quality Improvement…
  15. psnet.ahrq.gov/issue/ten-strategies-improve-management-abnormal-test-result-alerts-electronic-health-record
    April 14, 2011 - Commentary Ten strategies to improve management of abnormal test result alerts in the electronic health record. Citation Text: Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the electronic health record. J Patient Saf. 2010;6(2)…
  16. psnet.ahrq.gov/issue/state-science-and-future-directions-improve-diagnostic-safety-older-adults
    January 22, 2025 - Book/Report State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. Citation Text: Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research a…
  17. psnet.ahrq.gov/issue/improving-safety-culture-adult-medical-units-through-multidisciplinary-teamwork-and
    February 18, 2011 - Study Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. Citation Text: Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and c…
  18. psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
    June 03, 2010 - Commentary Classic The tension between needing to improve care and knowing how to do it. Citation Text: Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. Copy Citation…
  19. psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process
    May 15, 2019 - Commentary A quality improvement approach to standardization and sustainability of the hand-off process. Citation Text: Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:1…
  20. psnet.ahrq.gov/issue/patient-safety-culture-transformation-childrens-hospital-interprofessional-approach
    January 16, 2010 - Study Patient safety culture transformation in a children's hospital: an interprofessional approach. Citation Text: Nagelkerk J, Peterson T, Pawl BL, et al. Patient safety culture transformation in a children's hospital: an interprofessional approach. J Interprof Care. 2014;28(4):358-64.…

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