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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…
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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…
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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.
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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.
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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…
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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.
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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…
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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.
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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-…
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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…
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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…
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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…