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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42221/psn-pdf
    April 24, 2013 - Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. April 24, 2013 Ravitz AD, Sapirstein A, Pham JC, et al. Johns Hopkins APL Tech Dig. 2013;31:354-365. https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improvin…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866567/psn-pdf
    August 21, 2024 - A daily dose of communication to improve quality and safety outcomes. August 21, 2024 Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318. https://psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40062/psn-pdf
    July 24, 2011 - Improving medication safety in primary care using electronic health records. July 24, 2011 Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J Patient Saf. 2010;6(4):238-43. https://psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-heal…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47899/psn-pdf
    April 24, 2019 - What words convey: the potential for patient narratives to inform quality improvement. April 24, 2019 Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.12374. https://psnet.ahrq.gov/iss…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46321/psn-pdf
    August 27, 2017 - Using simulation to improve systems-based practices. August 27, 2017 Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006. https://psnet.ahrq.gov/issue/using-simulation-improve-systems-base…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41976/psn-pdf
    March 11, 2013 - Moving beyond readmission penalties: creating an ideal process to improve transitional care. March 11, 2013 Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal process to improve transitional care. J Hosp Med. 2013;8(2):102-9. doi:10.1002/jhm.1990. https://psnet.ahr…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45526/psn-pdf
    January 01, 2019 - Improving incident reporting among physician trainees. September 28, 2016 Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39993/psn-pdf
    July 03, 2014 - The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. July 3, 2014 Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and patient safety efforts in infection prev…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41112/psn-pdf
    February 01, 2012 - Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long- term care. February 1, 2012 MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care. J Safety Res. 2011;42(6):…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47513/psn-pdf
    October 24, 2021 - Measurement and Monitoring of Safety Framework October 24, 2021 Healthcare Excellence Canada. https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-canada-cpsi-safety-improvement-project Collaboratives are a recognized strategy to support large-scale improvement. This program works to apply a framework fo…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50919/psn-pdf
    October 03, 2013 - SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients. October 3, 2013 Holden RJ, Carayon P, Gurses AP, et al. SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients. Ergonomics. 2013;56(11):1669-…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43335/psn-pdf
    July 09, 2014 - Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. July 9, 2014 Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.0000000000000266. https://psnet.ahrq.gov/is…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39169/psn-pdf
    December 09, 2009 - Exploring the concept of medication discrepancy within the context of patient safety to improve population health. December 9, 2009 Murphy CR, Corbett CL, Setter SM, et al. Exploring the concept of medication discrepancy within the context of patient safety to improve population health. ANS Adv Nurs Sci. 2009;32(4)…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45724/psn-pdf
    July 21, 2017 - Remembering to learn: the overlooked role of remembrance in safety improvement. July 21, 2017 Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547. https://psnet.ahrq.gov/issue/remembering-learn-overlooked-role-rem…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41069/psn-pdf
    February 21, 2012 - Using the opportunity estimator tool to improve engagement in a quality and safety intervention. February 21, 2012 Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention. Jt Comm J Qual Patient Saf. 2012;38(1):41-47, 1. https://p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43018/psn-pdf
    March 19, 2014 - Improved obstetric safety through programmatic collaboration. March 19, 2014 Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131. https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50781/psn-pdf
    January 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38351/psn-pdf
    January 21, 2009 - Improving patient understanding of prescription drug label instructions. January 21, 2009 Davis TC, Federman AD, Bass PF, et al. Improving patient understanding of prescription drug label instructions. J Gen Intern Med. 2009;24(1):57-62. doi:10.1007/s11606-008-0833-4. https://psnet.ahrq.gov/issue/improving-patient…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41453/psn-pdf
    November 26, 2014 - Judging whether a patient is actually improving: more pitfalls from the science of human perception. November 26, 2014 Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9. doi:10.1007/s11606-012-2097-2.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38746/psn-pdf
    July 01, 2009 - Systematically improving physician assignment during in- hospital transitions of care by enhancing a preexisting hospital electronic health record. July 1, 2009 Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in- hospital transitions of care by enhancing a preexist…

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