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psnet.ahrq.gov/node/42224/psn-pdf
April 24, 2013 - Top 10 ways to improve patient safety now.
April 24, 2013
O'Reilly KB.
https://psnet.ahrq.gov/issue/top-10-ways-improve-patient-safety-now
This news article highlights patient safety improvement strategies covered in the AHRQ Making Health
Care Safer II report.
https://psnet.ahrq.gov/issue/top-10-ways-improve-pat…
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psnet.ahrq.gov/node/41048/psn-pdf
November 04, 2012 - An educational intervention to increase "speaking-up"
behaviors in nurses and improve patient safety.
November 4, 2012
Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up"
behaviors in nurses and improve patient safety. J Nurs Care Qual. 2012;27(2):154-60.
doi:10.1097/N…
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psnet.ahrq.gov/node/38137/psn-pdf
October 15, 2008 - Ethical and legal issues in the use of health information
technology to improve patient safety.
October 15, 2008
Berner ES. Ethical and legal issues in the use of health information technology to improve patient safety.
HEC Forum. 2008;20(3):243-58. doi:10.1007/s10730-008-9074-5.
https://psnet.ahrq.gov/issue/ethic…
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psnet.ahrq.gov/node/41613/psn-pdf
August 22, 2012 - Standardized postoperative handover process improves
outcomes in the intensive care unit: a model for
operational sustainability and improved team
performance.
August 22, 2012
Bhakta RT, Stockwell DC. Transitions of care in the pediatric cardiac intensive care unit*. Crit Care Med.
2012;40(7). doi:10.1097/ccm.0b0…
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psnet.ahrq.gov/node/36049/psn-pdf
January 02, 2017 - Improving health care quality and safety for people with
disabilities: an interview with Lisa Iezzoni.
January 2, 2017
Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa
Iezzoni. Interview by Steven Berman. Jt Comm J Qual Patient Saf. 2006;32(7):400-6, 357.
ht…
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psnet.ahrq.gov/node/36072/psn-pdf
July 05, 2006 - VA Health Care: Steps Taken to Improve Practitioner
Screening, but Facility Compliance with Screening
Requirements is Poor.
July 5, 2006
Washington DC; Government Accountability Office; May 2006. Report no GAO-06-544.
https://psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-c…
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psnet.ahrq.gov/node/43494/psn-pdf
November 17, 2014 - Read-back improves information transfer in simulated
clinical crises.
November 17, 2014
Boyd M, Cumin D, Lombard B, et al. Read-back improves information transfer in simulated clinical crises.
BMJ Qual Saf. 2014;23(12):989-93. doi:10.1136/bmjqs-2014-003096.
https://psnet.ahrq.gov/issue/read-back-improves-informati…
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psnet.ahrq.gov/node/45478/psn-pdf
October 26, 2016 - Core principles of quality improvement and patient safety.
October 26, 2016
Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev.
2016;37(10):407-417.
https://psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
This review discusses key patient safet…
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psnet.ahrq.gov/node/37434/psn-pdf
January 02, 2008 - Hospital adoption of information technologies and
improved patient safety: a study of 98 hospitals in Florida.
January 2, 2008
Menachemi N; Saunders C; Chukmaitov A; Matthews MC; Brooks RG.
https://psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study-
98-hospitals
Hosp…
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psnet.ahrq.gov/node/38316/psn-pdf
March 04, 2009 - Practising open disclosure: clinical incident
communication and systems improvement.
March 4, 2009
Iedema R, Jorm C, Wakefield J, et al. Practising Open Disclosure: clinical incident communication and
systems improvement. Sociol Health Illn. 2009;31(2):262-77. doi:10.1111/j.1467-9566.2008.01131.x.
https://psnet.ah…
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psnet.ahrq.gov/node/36976/psn-pdf
June 15, 2011 - Evaluation of an intervention aimed at improving
voluntary incident reporting in hospitals.
June 15, 2011
Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident
reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75.
https://psnet.ahrq.gov/issue/evaluation…
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psnet.ahrq.gov/node/42581/psn-pdf
July 12, 2016 - Partnering with Patients to Drive Shared Decisions, Better
Value, and Care Improvement—Workshop Proceedings.
July 12, 2016
Roundtable on Value and Science Driven Healthcare; Institute of Medicine. Washington, DC: National
Academies Press; 2013. ISBN: 9780309288965.
https://psnet.ahrq.gov/issue/partnering-patients-…
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psnet.ahrq.gov/node/35310/psn-pdf
January 02, 2017 - Using the AHRQ Quality Indicators to improve health care
quality.
January 2, 2017
Elixhauser A, Pancholi M, Clancy CM. Using the AHRQ Quality Indicators to Improve Health Care Quality.
Jt Comm J Qual Patient Saf. 2016;31(9):533-538. doi:10.1016/s1553-7250(05)31069-5.
https://psnet.ahrq.gov/issue/using-ahrq-quality…
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psnet.ahrq.gov/node/41499/psn-pdf
December 29, 2014 - Strategies for sustaining a quality improvement
collaborative and its patient safety gains.
December 29, 2014
Parand A, Benn J, Burnett S, et al. Strategies for sustaining a quality improvement collaborative and its
patient safety gains. Int J Qual Health Care. 2012;24(4):380-90. doi:10.1093/intqhc/mzs030.
https:/…
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psnet.ahrq.gov/node/50939/psn-pdf
February 26, 2020 - Homecare safety virtual quality improvement
collaboratives
February 26, 2020
Miller W, Asselbergs M, Bank J, et al. Homecare safety virtual quality improvement collaboratives. Healthc
Q. 2020;22(SP). doi:10.12927/hcq.2020.26042.
https://psnet.ahrq.gov/issue/homecare-safety-virtual-quality-improvement-collaborative…
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psnet.ahrq.gov/node/42304/psn-pdf
November 21, 2016 - Strategies for improving family engagement during
family-centered rounds.
November 21, 2016
Kelly MM, Xie A, Carayon P, et al. Strategies for improving family engagement during family-centered
rounds. J Hosp Med. 2013;8(4):201-7. doi:10.1002/jhm.2022.
https://psnet.ahrq.gov/issue/strategies-improving-family-engage…
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psnet.ahrq.gov/node/36557/psn-pdf
July 14, 2010 - Adoption of technology to improve medication safety:
perspectives of pharmacy directors.
July 14, 2010
Bussard BE, McAlearney AS, Pedersen CA, et al. Adoption of Technology to Improve Medication Safety. J
Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000236914.48955.99.
https://psnet.ahrq.gov/issue/adoption-technolo…
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psnet.ahrq.gov/node/43603/psn-pdf
October 15, 2014 - Coaching to improve the quality of communication during
briefings and debriefings.
October 15, 2014
Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and
debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012.
https://psnet.ahrq.gov/issue/coachi…
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psnet.ahrq.gov/node/39558/psn-pdf
May 26, 2010 - ReCASTing the RCA: an improved model for performing
root cause analyses.
May 26, 2010
Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root
Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533.
https://psnet.ahrq.gov/issue/recasting-…
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psnet.ahrq.gov/node/41484/psn-pdf
September 26, 2012 - An institution-wide handoff task force to standardise and
improve physician handoffs.
September 26, 2012
Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve
physician handoffs. BMJ Qual Saf. 2012;21(10):863-71.
https://psnet.ahrq.gov/issue/institution-wide-ha…