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psnet.ahrq.gov/node/50902/psn-pdf
February 12, 2020 - Improving care by using patient feedback.
February 12, 2020
National Institute for Health Research. Southampton, UK: NIHR Dissemination Centre; December 2019.
https://psnet.ahrq.gov/issue/improving-care-using-patient-feedback
Patient feedback is a problematic source of patient safety improvement information. This r…
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psnet.ahrq.gov/node/40039/psn-pdf
December 01, 2010 - How to use an article about quality improvement.
December 1, 2010
Fan E, Laupacis A, Pronovost P, et al. How to use an article about quality improvement. JAMA.
2010;304(20):2279-87. doi:10.1001/jama.2010.1692.
https://psnet.ahrq.gov/issue/how-use-article-about-quality-improvement
Part of the Users' Guides to the M…
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psnet.ahrq.gov/node/60222/psn-pdf
April 15, 2020 - Interventions to improve team effectiveness within health
care: a systematic review of the past decade.
April 15, 2020
Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness
within health care: a systematic review of the past decade. Hum Resourc Health. 2020;18(1).
doi:10.…
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psnet.ahrq.gov/node/45671/psn-pdf
November 23, 2016 - America's Hospitals: Improving Quality and Safety—The
Joint Commission's Annual Report 2016.
November 23, 2016
Oakbrook Terrace, IL: The Joint Commission; November 2016.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2016
This Joint Commission annual …
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psnet.ahrq.gov/node/47666/psn-pdf
January 01, 2020 - A partially structured postoperative handoff protocol
improves communication in 2 mixed surgical intensive
care units: findings from the Handoffs and Transitions in
Critical Care (HATRICC) prospective cohort study.
February 6, 2019
Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partially Structured Postoperative Ha…
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psnet.ahrq.gov/node/45524/psn-pdf
January 03, 2017 - Using human factors design principles and industrial
engineering methods to improve accuracy and speed of
drug selection with medication trays.
January 3, 2017
Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial
Engineering Methods to Improve Accuracy and Speed of Drug Sel…
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psnet.ahrq.gov/node/836925/psn-pdf
April 13, 2022 - Strength of improvement recommendations from
injurious fall investigations: a retrospective multi-incident
analysis.
April 13, 2022
Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall
investigations: a retrospective multi-incident analysis. J Patient Saf. 2022;18(3):e61…
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psnet.ahrq.gov/node/60059/psn-pdf
August 12, 2020 - Survey shows room for improvement with two new ISMP
Targeted Medication Safety Best Practices.
August 12, 2020
ISMP Medication Safety Alert! Acute care edition. July 30, 2020;25(15).
https://psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-
best-practices
This article rep…
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psnet.ahrq.gov/node/36834/psn-pdf
August 26, 2011 - Healthcare climate: a framework for measuring and
improving patient safety.
August 26, 2011
Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving
patient safety. Crit Care Med. 2007;35(5):1312-7.
https://psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-i…
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psnet.ahrq.gov/node/44844/psn-pdf
March 02, 2016 - From To Err Is Human to Improving Diagnosis in Health
Care: the risk management perspective.
March 2, 2016
Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk
management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1002/jhrm.21205.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/867134/psn-pdf
November 13, 2024 - Improving adverse drug event reporting by healthcare
professionals.
November 13, 2024
Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare
professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594.
doi:10.1002/14651858.cd012594.pub2.
https://psnet.ahrq.gov/issue/im…
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psnet.ahrq.gov/node/46980/psn-pdf
June 19, 2018 - Can first-year medical students acquire quality
improvement knowledge prior to substantial clinical
exposure? A mixed-methods evaluation of a pre-clerkship
curriculum that uses education as the context for
learning.
June 19, 2018
Brown A, Nidumolu A, Stanhope A, et al. Can first-year medical students acquire qual…
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psnet.ahrq.gov/node/859343/psn-pdf
December 20, 2023 - Reducing retained foreign objects in the operating room:
a quality improvement initiative.
December 20, 2023
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a
quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847.
https…
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psnet.ahrq.gov/node/44334/psn-pdf
November 20, 2015 - Improvement in detection of wrong-patient errors when
radiologists include patient photographs in their
interpretation of portable chest radiographs.
November 20, 2015
Tridandapani S, Olsen K, Bhatti P. Improvement in Detection of Wrong-Patient Errors When Radiologists
Include Patient Photographs in Their Interpre…
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psnet.ahrq.gov/node/47249/psn-pdf
July 25, 2018 - Survey results: smart pump data analytics pump metrics
that should be monitored to improve safety.
July 25, 2018
ISMP Medication Safety Alert! Acute care edition. July 12, 2018;23:1-4.
https://psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-
improve-safety
Smart pump…
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psnet.ahrq.gov/node/848813/psn-pdf
May 10, 2023 - Blood and blood products transfusion errors: what can
we do to improve patient safety.
May 10, 2023
Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient
safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326.
https://psnet.ahrq.gov/issue/blood-and-blood-p…
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psnet.ahrq.gov/node/46653/psn-pdf
July 02, 2019 - Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis.
July 2, 2019
Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):841-847.
doi:10.1093/jamia/ocy026.
h…
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psnet.ahrq.gov/node/45384/psn-pdf
November 18, 2016 - Inter-professional clinical handover in post-anaesthetic
care units: tools to improve quality and safety.
November 18, 2016
Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units:
tools to improve quality and safety. Int J Qual Health Care. 2016;28(5):573-579.
htt…
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psnet.ahrq.gov/node/45692/psn-pdf
January 01, 2020 - A patient reported approach to identify medical errors and
improve patient safety in the emergency department.
November 23, 2016
Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and
Improve Patient Safety in the Emergency Department. J Patient Saf. 2020;16(3):211-215.
…
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psnet.ahrq.gov/node/837508/psn-pdf
June 22, 2022 - Creating a learning health system for improving
diagnostic safety: pragmatic insights from US health care
organizations.
June 22, 2022
Giardina TD, Shahid U, Mushtaq U, et al. Creating a learning health system for improving diagnostic safety:
pragmatic insights from US health care organizations. J Gen Intern Med. …