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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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-…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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:/…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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-…
  20. Psn-Pdf (pdf file)

    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…

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