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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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.…
  4. Psn-Pdf (pdf file)

    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 …
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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/…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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. …
  20. Psn-Pdf (pdf file)

    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. …

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