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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45476/psn-pdf
    September 21, 2016 - Use of a surgical safety checklist to improve team communication. September 21, 2016 Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019. https://psnet.ahrq.gov/issue/use-surgical-safety-checklist-i…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38129/psn-pdf
    January 02, 2017 - The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care. January 2, 2017 Schwartz JM, Nelson KL, Saliski M, et al. The daily goals communication sheet: a simple and novel tool for improved communication and care. Jt Comm J Qual Patient Saf. 2008;34(10):608-13, 561. https://…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39085/psn-pdf
    November 11, 2009 - Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. November 11, 2009 Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. J Clin Ethics. 2009;20(3):220-6. https://psnet.ah…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72688/psn-pdf
    October 06, 2022 - Request for proposals for clinical quality measures to improve diagnosis. October 6, 2022 Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.  https://psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis A lack of consensus on measures for the effectiveness and ac…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43965/psn-pdf
    July 16, 2015 - Decision making in trauma settings: simulation to improve diagnostic skills. July 16, 2015 Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073. https://psnet.ahrq.gov/issue/decision…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40925/psn-pdf
    December 07, 2011 - Improving the discharge process by embedding a discharge facilitator in a resident team. December 7, 2011 Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924. https://psnet.ahrq.gov/issue/imp…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867013/psn-pdf
    October 23, 2024 - Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. October 23, 2024 Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri- anesthesia care unit: a quality improvement project. Jt Comm J Qual Patient Saf. …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41726/psn-pdf
    September 26, 2012 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012. September 26, 2012 Oakbrook Terrace, IL: The Joint Commission; September 2012. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2012 The seventh annual Joint…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837692/psn-pdf
    July 20, 2022 - Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. July 20, 2022 Keller SC, Caballero TM, Tamma PD, et al. Assessment of changes in visits and antibiotic prescribing during the Agen…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37260/psn-pdf
    January 02, 2017 - A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. January 2, 2017 Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;33(10):625-35. https://psnet.ahr…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840484/psn-pdf
    November 30, 2022 - Interdisciplinary collaboration across secondary and primary care to improve medication safety in the elderly (The IMMENSE study) - a randomized controlled trial. November 30, 2022 Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and primary care to improve medication …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46450/psn-pdf
    August 20, 2018 - Improving Diagnostic Quality and Safety Final Report. August 20, 2018 Washington, DC: National Quality Forum. September 19, 2017. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report Although diagnostic error is a well-recognized source of preventable patient harm, measuring and mitiga…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41942/psn-pdf
    July 24, 2017 - Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. July 24, 2017 Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Pediatrics. 2013;131(1):e298-308. doi:10.1542/peds.2012-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35853/psn-pdf
    May 20, 2015 - What practices will most improve safety? Evidence-based medicine meets patient safety. May 20, 2015 Leape L, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA. 2002;288(4):501-7. https://psnet.ahrq.gov/issue/what-practices-will-most-improve-safety-evi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43258/psn-pdf
    May 01, 2015 - Interventions employed to improve intrahospital handover: a systematic review. May 1, 2015 Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309. https://psnet.ahrq.gov/issue/interventions-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44951/psn-pdf
    March 02, 2016 - Using the Targeted Solutions Tool® to improve emergency department handoffs in a community hospital. March 2, 2016 Benjamin MF, Hargrave S, Nether K. Using the Targeted Solutions Tool® to Improve Emergency Department Handoffs in a Community Hospital. Jt Comm J Qual Patient Saf. 2016;42(3):107-118. https://psnet.ah…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865922/psn-pdf
    May 22, 2024 - Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center. May 22, 2024 Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to increase compliance with intraveno…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72719/psn-pdf
    February 10, 2021 - The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. February 10, 2021 Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. J Pediatr. 2021;232:257-263. doi:10.1016/j.jpeds.20…
  19. psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
    April 04, 2011 - Study Classic Explaining Michigan: developing an ex post theory of a quality improvement program. Citation Text: Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):…
  20. psnet.ahrq.gov/issue/harnessing-implementation-science-improve-care-quality-and-patient-safety-systematic-review
    October 20, 2014 - Review Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. Citation Text: Braithwaite J, Marks D, Taylor N. Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted …

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