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psnet.ahrq.gov/node/865487/psn-pdf
April 03, 2024 - Evaluation of the design and structure of electronic
medication labels to improve patient health knowledge
and safety: a systematic review.
April 3, 2024
Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels
to improve patient health knowledge and safety: a sy…
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psnet.ahrq.gov/node/47902/psn-pdf
April 24, 2019 - Recommendations from a national panel on quality
improvement in obstetrics.
April 24, 2019
Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality
Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.02.011.
https://psnet.ahrq.gov/issue/r…
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psnet.ahrq.gov/node/44117/psn-pdf
December 04, 2016 - The TRANSFORM patient safety project: a microsystem
approach to improving outcomes on inpatient units.
December 4, 2016
Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem
approach to improving outcomes on inpatient units. J Gen Intern Med. 2015;30(4):425-33.
doi:10.1007…
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psnet.ahrq.gov/node/849121/psn-pdf
May 17, 2023 - Thematic reviews of patient safety incidents as a tool for
systems thinking: a quality improvement report.
May 17, 2023
Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality
improvement report. BMJ Open Qual. 2023;12(2):e002020. doi:10.1136/bmjoq-2022-002020.
https://psne…
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psnet.ahrq.gov/node/44350/psn-pdf
July 29, 2015 - Reporting and using near-miss events to improve patient
safety in diverse primary care practices: a collaborative
approach to learning from our mistakes.
July 29, 2015
Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in
Diverse Primary Care Practices: A Collaborat…
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psnet.ahrq.gov/node/47223/psn-pdf
August 14, 2018 - Six Building Blocks: A Team-Based Approach to
Improving Opioid Management in Primary Care.
August 14, 2018
MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute,
University of Washington.
https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
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psnet.ahrq.gov/node/47368/psn-pdf
September 12, 2018 - Using co-design to develop a collective leadership
intervention for healthcare teams to improve safety
culture.
September 12, 2018
Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for
Healthcare Teams to Improve Safety Culture. Int J Environ Res Public Health. 20…
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psnet.ahrq.gov/node/851458/psn-pdf
July 19, 2023 - Improving handoffs in the perioperative environment: a
conceptual framework of key theories, system factors,
methods, and core interventions to ensure success.
July 19, 2023
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a
conceptual framework of key theories, syste…
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psnet.ahrq.gov/node/844555/psn-pdf
February 15, 2023 - AHRQ-Funded Patient Safety Project Highlights:
Improving Healthcare Safety by Engaging Patients and
Families.
February 15, 2023
Rockville, MD: Agency for Healthcare Research and Quality; January 2023. AHRQ Pub. No.22(23)-0065-1.
https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-h…
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psnet.ahrq.gov/node/836710/psn-pdf
March 09, 2022 - Implementation of an antibiotic stewardship program in
long-term care facilities across the US.
March 9, 2022
doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181.
https://psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-
across-us
Overuse of antibiotics has been co…
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psnet.ahrq.gov/node/865815/psn-pdf
May 08, 2024 - Frontline providers' and patients' perspectives on
improving diagnostic safety in the emergency
department: a qualitative study.
May 8, 2024
Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving
diagnostic safety in the emergency department: a qualitative study. Jt Com…
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psnet.ahrq.gov/node/865342/psn-pdf
March 27, 2024 - Development and evaluation of I-PASS-to-PICU: a
standard electronic template to improve referral
communication for inter-facility transfers to the pediatric
intensive care unit.
March 27, 2024
Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU: a standard
electronic template …
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psnet.ahrq.gov/node/841787/psn-pdf
December 21, 2022 - Electronic prescribing systems in hospitals to improve
medication safety: a multi-methods research programme.
December 21, 2022
Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication
safety: a multimethods research programme. Programme Grants Appl Res. 2022;10(7):1-…
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psnet.ahrq.gov/node/867141/psn-pdf
November 13, 2024 - WHO research agenda on the role of the institutional
safety climate for hand hygiene improvement: a Delphi
consensus-building study.
November 13, 2024
Tartari E, Storr J, Bellare N, et al. WHO research agenda on the role of the institutional safety climate for
hand hygiene improvement: a Delphi consensus-building …
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psnet.ahrq.gov/node/60324/psn-pdf
May 13, 2020 - A systematic review of factors that enable psychological
safety in healthcare teams.
May 13, 2020
O’Donovan R, McAuliffe E. A systematic review of factors that enable psychological safety in healthcare
teams. Int J Qual Health Care. 2020;32(4):240-250. doi:10.1093/intqhc/mzaa025.
https://psnet.ahrq.gov/issue/syste…
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psnet.ahrq.gov/node/47706/psn-pdf
June 14, 2019 - Pharmaceutical interventions to improve safety of
chemotherapy-treated cancer patients: a cross-sectional
study.
June 14, 2019
Daupin J, Perrin G, Lhermitte-Pastor C, et al. Pharmaceutical interventions to improve safety of
chemotherapy-treated cancer patients: A cross-sectional study. J Oncol Pract. 2019;25(5):11…
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psnet.ahrq.gov/node/39046/psn-pdf
October 28, 2009 - Medication reconciliation in ambulatory care: attempts at
improvement.
October 28, 2009
Nassaralla CL, Naessens JM, Hunt VL, et al. Medication reconciliation in ambulatory care: attempts at
improvement. Qual Saf Health Care. 2009;18(5):402-7. doi:10.1136/qshc.2007.024513.
https://psnet.ahrq.gov/issue/medication-re…
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psnet.ahrq.gov/node/865930/psn-pdf
May 22, 2024 - Operational failures in general practice: a consensus-
building study on the priorities for improvement.
May 22, 2024
Sinnott C, Alboksmaty A, Moxey JM, et al. Operational failures in general practice: a consensus-building
study on the priorities for improvement. Br J Gen Pract. 2024;74(742):e339-e346.
doi:10.3399…
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psnet.ahrq.gov/node/46585/psn-pdf
April 29, 2018 - Improving patient safety and efficiency of medication
reconciliation through the development and adoption of a
computer-assisted tool with automated electronic
integration of population-based community drug data: the
RightRx project.
April 29, 2018
Tamblyn R, Winslade N, Lee TC, et al. Improving patient safety an…
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psnet.ahrq.gov/node/866202/psn-pdf
July 24, 2024 - Medication Without Harm - How Digital Healthcare Tools
Can Support Providers and Improve Patient Safety.
June 26, 2024
Agency for Healthcare Research and Quality. July 24, 2024.
https://psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-
and-improve
Medication errors a…