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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39179/psn-pdf
    December 16, 2009 - Improving operating room safety. December 16, 2009 Hurlbert SN, Garrett J. Improving operating room safety. Patient Saf Surg. 2009;3(1):25. doi:10.1186/1754- 9493-3-25. https://psnet.ahrq.gov/issue/improving-operating-room-safety A training program focused on preoperative briefings resulted in an improvement in op…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33590/psn-pdf
    September 15, 2024 - Leadership Role in Improving Safety September 15, 2024 Leadership Role in Improving Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/leadership-role-improving-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and p…
  3. psnet.ahrq.gov/issue/enhancing-surgical-team-communication-sops-and-teamstepps-action
    August 01, 2012 - Meeting/Conference Proceedings Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. Citation Text: Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. Agency for Healthcare Research and Quality. July 25, 2024. Copy Citation Save …
  4. psnet.ahrq.gov/issue/overview-progress-patient-safety
    September 28, 2010 - Review Overview of progress on patient safety. Citation Text: Pronovost P, Holzmueller CG, Ennen CS, et al. Overview of progress in patient safety. Am J Obstet Gynecol. 2011;204(1):5-10. doi:10.1016/j.ajog.2010.11.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  5. psnet.ahrq.gov/issue/improving-medication-safety-high-risk-medicare-beneficiaries-toolkit
    October 23, 2019 - Government Resource Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Citation Text: Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agen…
  6. psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use-research-r18
    December 20, 2023 - Government Resource Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Citation Text: Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Rockville, MD: Agency for Healthcare Research and Quality. PA-14-002. Copy Citation…
  7. psnet.ahrq.gov/issue/viewing-health-care-delivery-science-challenges-benefits-and-policy-implications
    May 24, 2012 - Commentary Viewing health care delivery as science: challenges, benefits, and policy implications. Citation Text: Pronovost P, Goeschel CA. Viewing health care delivery as science: challenges, benefits, and policy implications. Health Serv Res. 2010;45(5 Pt 2):1508-22. doi:10.1111/j.1…
  8. psnet.ahrq.gov/issue/health-care-governance-quality-and-safety-new-agenda
    August 09, 2023 - Review Health care governance for quality and safety: the new agenda. Citation Text: Clough J, Nash DB. Health care governance for quality and safety: the new agenda. Am J Med Qual. 2007;22(3):203-13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40257/psn-pdf
    March 02, 2011 - Interventions to improve teamwork and communications among healthcare staff. March 2, 2011 McCulloch P, Rathbone J, Catchpole K. Interventions to improve teamwork and communications among healthcare staff. Br J Surg. 2011;98(4):469-79. doi:10.1002/bjs.7434. https://psnet.ahrq.gov/issue/interventions-improve-teamwo…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38479/psn-pdf
    March 11, 2009 - Assessing the effectiveness of quality improvement strategies in Europe: the MARQuIS project. March 11, 2009 Qual Saf Health Care. 2009;18(suppl 1):i1-i80. https://psnet.ahrq.gov/issue/assessing-effectiveness-quality-improvement-strategies-europe-marquis- project Articles in this supplement highlight findings fro…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37205/psn-pdf
    December 14, 2007 - Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study. December 14, 2007 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse- communication This art…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34926/psn-pdf
    February 03, 2010 - Strategies to improve the patient safety outcome indicator: preventing or reducing falls. February 3, 2010 Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home Healthc Nurse. 2005;23(1):29-36. https://psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42528/psn-pdf
    August 21, 2013 - Organising a manuscript reporting quality improvement or patient safety research. August 21, 2013 Holzmueller CG, Pronovost P. Organising a manuscript reporting quality improvement or patient safety research. BMJ Qual Saf. 2013;22(9):777-85. doi:10.1136/bmjqs-2012-001603. https://psnet.ahrq.gov/issue/organising-ma…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37786/psn-pdf
    March 23, 2011 - A theoretical framework and competency-based approach to improving handoffs. March 23, 2011 Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.018952. https://psnet.ahrq.gov/issue/theoret…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36939/psn-pdf
    September 09, 2011 - Internal reporting system to improve a pharmacy's medication distribution process. September 9, 2011 Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. https://psnet.ahrq.gov/issue/internal…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42332/psn-pdf
    June 12, 2013 - Quality improvement through implementation of discharge order reconciliation. June 12, 2013 Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050. https://psnet.ahrq.gov/issue/quality-impr…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35761/psn-pdf
    February 15, 2017 - SBAR: a shared mental model for improving communication between clinicians. February 15, 2017 Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75. https://psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35352/psn-pdf
    July 20, 2009 - Database construction for improving patient safety by examining pathology errors.   July 20, 2009 Grzybicki DM, Turcsany B, Becich MJ, et al. Database Construction for Improving Patient Safety by Examining Pathology Errors. Am J Clin Pathol. 2008;124(4). doi:10.1309/xn25jg7k0jfjb10c. https://psnet.ahrq.gov/issue/d…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41912/psn-pdf
    December 12, 2012 - Speaking up and sharing information improves trainee neonatal resuscitations. December 12, 2012 Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f. https://psnet.ahrq.gov/issue/speaking-an…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37599/psn-pdf
    January 01, 2009 - Improving process while changing practice: FMEA and medication administration. March 12, 2008 Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2). doi:10.1097/01.numa.0000310533.54708.38. https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and…

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