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psnet.ahrq.gov/node/837036/psn-pdf
May 04, 2022 - Engaging patients in the use of real-time electronic
clinical data to improve the safety and reliability of their
own care.
May 4, 2022
Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to
improve the safety and reliability of their own care. J Patient Saf. …
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psnet.ahrq.gov/node/46065/psn-pdf
January 01, 2021 - Measurement as a performance driver: the case for a
national measurement system to improve patient safety.
April 26, 2017
Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National
Measurement System to Improve Patient Safety. J Patient Saf. 2021;17(3):e128-e134.
doi:10.10…
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psnet.ahrq.gov/node/46446/psn-pdf
September 27, 2017 - Journey toward high reliability: a comprehensive safety
program to improve quality of care and safety culture in a
large, multisite radiation oncology department.
September 27, 2017
Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program
to Improve Quality of Care and …
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psnet.ahrq.gov/node/845304/psn-pdf
March 01, 2023 - For children admitted to hospital, what interventions
improve medication safety on ward rounds?
March 1, 2023
King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication
safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588.
doi:10.1136/archdis…
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psnet.ahrq.gov/node/867140/psn-pdf
November 13, 2024 - CMQCC obstetric sepsis toolkit update: a patient-
centered approach to quality improvement.
November 13, 2024
Main EK, Nath R, Bauer ME. CMQCC obstetric sepsis toolkit update: a patient-centered approach to
quality improvement. Semin Perinatol. 2024:151976. doi:10.1016/j.semperi.2024.151976.
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psnet.ahrq.gov/node/862154/psn-pdf
June 18, 2020 - Listening to women: recommendations from women of
color to improve experiences in pregnancy and birth care.
June 18, 2020
Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color
to improve experiences in pregnancy and birth care. J Midwifery Womens Health. 2020;65(4):466-4…
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psnet.ahrq.gov/node/46312/psn-pdf
August 15, 2018 - Improving adherence to long-term opioid therapy
guidelines to reduce opioid misuse in primary care: a
cluster-randomized trial.
August 15, 2018
Liebschutz JM, Xuan Z, Shanahan CW, et al. Improving Adherence to Long-term Opioid Therapy
Guidelines to Reduce Opioid Misuse in Primary Care. JAMA Intern Med. 2017;177(9)…
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psnet.ahrq.gov/node/46017/psn-pdf
July 11, 2017 - Challenging hierarchy in healthcare teams--ways to
flatten gradients to improve teamwork and patient care.
July 11, 2017
Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten
gradients to improve teamwork and patient care. Br J Oral Maxillofac Surg. 2017;55(5):449-453.
do…
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psnet.ahrq.gov/node/46744/psn-pdf
January 17, 2018 - Efficacy of educational video game versus traditional
educational apps at improving physician decision making
in trauma triage: randomized controlled trial.
January 17, 2018
Mohan D, Farris C, Fischhoff B, et al. Efficacy of educational video game versus traditional educational
apps at improving physician decision…
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psnet.ahrq.gov/node/72475/psn-pdf
November 18, 2020 - Omissions of care in nursing homes: a uniform definition
for research and quality improvement.
November 18, 2020
Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for
research and quality improvement. J Am Med Dir Assoc. 2020;21(11):1587-1591.e2.
doi:10.1016/j.jamda…
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psnet.ahrq.gov/node/854388/psn-pdf
October 11, 2023 - Improving care safety by characterizing task interruptions
during interactions between healthcare professionals: an
observational study.
October 11, 2023
Teigné D, Cazet L, Birgand G, et al. Improving care safety by characterizing task interruptions during
interactions between healthcare professionals: an observat…
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psnet.ahrq.gov/node/45876/psn-pdf
January 01, 2021 - Making residents part of the safety culture: improving
error reporting and reducing harms.
February 15, 2017
Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error
Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378.
doi:10.1097/PTS.0000000000000344.
https://…
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psnet.ahrq.gov/node/47896/psn-pdf
July 10, 2019 - Engaging patients and informal caregivers to improve
safety and facilitate person- and family-centered care
during transitions from hospital to home: a qualitative
descriptive study.
July 10, 2019
Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety and facilitate
person- and family…
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psnet.ahrq.gov/node/73187/psn-pdf
April 28, 2021 - Improving handoff by deliberate cognitive processing:
results from a randomized controlled experimental study.
April 28, 2021
van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results
from a randomized controlled experimental study. Jt Comm J Qual Patient Saf. 2020;47(4…
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psnet.ahrq.gov/node/836822/psn-pdf
March 30, 2022 - Leveraging a safety event management system to
improve organizational learning and safety culture.
March 30, 2022
Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve
organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021-
006…
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psnet.ahrq.gov/node/47993/psn-pdf
May 15, 2019 - Using near-miss events to improve MRI safety in a large
academic centre.
May 15, 2019
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic
centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
https://psnet.ahrq.gov/issue/using-near-miss-events-imp…
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psnet.ahrq.gov/node/44205/psn-pdf
June 21, 2015 - Teamwork, communication and safety climate: a
systematic review of interventions to improve surgical
culture.
June 21, 2015
Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic
review of interventions to improve surgical culture. BMJ Qual Saf. 2015;24(7):458-67. doi:10.11…
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psnet.ahrq.gov/node/47654/psn-pdf
February 27, 2019 - The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient
safety initiatives.
February 27, 2019
Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient safety initiatives. A…
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psnet.ahrq.gov/node/840149/psn-pdf
November 16, 2022 - Developing strategic recommendations for implementing
smart pumps in advanced healthcare systems to improve
intravenous medication safety.
November 16, 2022
Sutherland A, Jones MD, Howlett M, et al. Developing strategic recommendations for implementing smart
pumps in advanced healthcare systems to improve intraven…
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psnet.ahrq.gov/node/837632/psn-pdf
July 06, 2022 - Serious experience events: applying patient safety
concepts to improve patient experience.
July 6, 2022
Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety
concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026.
doi:10.1177/23743735221102670.
…