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psnet.ahrq.gov/node/43243/psn-pdf
June 11, 2014 - Improved incident reporting following the implementation
of a standardized emergency department peer review
process.
June 11, 2014
Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized
emergency department peer review process. Int J Qual Health Care. 2014;26(3):278-86.
d…
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psnet.ahrq.gov/node/37577/psn-pdf
July 12, 2016 - Optimizing Graduate Medical Trainee (Resident) Hours
and Work Schedules to Improve Patient Safety.
July 12, 2016
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident)
Hours and Work Schedules to Improve Patient Safety. 2009. Washington DC; Institute of Medicine: ISBN:
9781…
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psnet.ahrq.gov/node/42082/psn-pdf
January 24, 2019 - Strategies to improve patient safety: the evidence base
matures.
January 24, 2019
Wachter RM, Pronovost P, Shekelle PG. Strategies to Improve Patient Safety: The Evidence Base
Matures. Ann Intern Med. 2013;158(5_Part_1):350. doi:10.7326/0003-4819-158-5-201303050-00010.
https://psnet.ahrq.gov/issue/strategies-impro…
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psnet.ahrq.gov/node/38640/psn-pdf
January 18, 2012 - Nurses' responses to medication errors: suggestions for
the development of organizational strategies to improve
reporting.
January 18, 2012
Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of
organizational strategies to improve reporting. J Nurs Care Qual. 2009;24(4):…
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psnet.ahrq.gov/node/36664/psn-pdf
May 27, 2011 - A prospective hazard and improvement analytic approach
to predicting the effectiveness of medication error
interventions.
May 27, 2011
Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to
predicting the effectiveness of medication error interventions. Saf Sci. 2006;45(4).…
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psnet.ahrq.gov/node/42415/psn-pdf
July 24, 2013 - Strategies for improving communication in the
emergency department: mediums and messages in a
noisy environment.
July 24, 2013
Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency
department: mediums and messages in a noisy environment. Jt Comm J Qual Patient Saf. 2013;39(6)…
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psnet.ahrq.gov/node/41849/psn-pdf
December 05, 2012 - Improving care transitions: current practice and future
opportunities for pharmacists.
December 5, 2012
Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future
opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi:10.1002/phar.1215.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/41771/psn-pdf
March 20, 2018 - Improving Patient Safety Systems for Patients With
Limited English Proficiency: A Guide For Hospitals.
March 20, 2018
Rockville, MD: Agency for Healthcare Research and Quality; September 2012. AHRQ Publication No. 12-
0041.
https://psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-prof…
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psnet.ahrq.gov/node/35234/psn-pdf
December 11, 2008 - Using OrgAhead, a computational modeling program, to
improve patient care unit safety and quality outcomes.
December 11, 2008
Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve
patient care unit safety and quality outcomes. Int J Med Inform. 2005;74(7-8):605-13.
http…
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psnet.ahrq.gov/node/39861/psn-pdf
September 22, 2010 - A network collaboration implementing technology to
improve medication dispensing and administration in
critical access hospitals.
September 22, 2010
Wakefield DS, Ward MM, Loes JL, et al. A network collaboration implementing technology to improve
medication dispensing and administration in critical access hospital…
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psnet.ahrq.gov/node/41905/psn-pdf
December 05, 2012 - Introduction of checklists at daily progress notes
improves patient care among the gynecological oncology
service.
December 5, 2012
Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves
patient care among the gynecological oncology service. J Patient Saf. 2012;8(4):1…
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psnet.ahrq.gov/node/38459/psn-pdf
October 03, 2012 - Identifying opportunities for quality improvement in
surgical site infection prevention.
October 3, 2012
Gagliardi AR, Eskicioglu C, McKenzie M, et al. Identifying opportunities for quality improvement in surgical
site infection prevention. Am J Infect Control. 2009;37(5):398-402. doi:10.1016/j.ajic.2008.10.027.
h…
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psnet.ahrq.gov/node/46158/psn-pdf
October 31, 2017 - Improving care teams' functioning: recommendations
from team science.
October 31, 2017
Fiscella K, Mauksch L, Bodenheimer T, et al. Improving Care Teams' Functioning: Recommendations from
Team Science. Jt Comm J Qual Patient Saf. 2017;43(7):361-368. doi:10.1016/j.jcjq.2017.03.009.
https://psnet.ahrq.gov/issue/impr…
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psnet.ahrq.gov/node/45285/psn-pdf
September 14, 2016 - Improving pathologists' communication skills.
September 14, 2016
Dintzis SM. Improving Pathologists' Communication Skills. AMA J Ethics. 2016;18(8):802-8.
doi:10.1001/journalofethics.2016.18.8.medu1-1608.
https://psnet.ahrq.gov/issue/improving-pathologists-communication-skills
Despite increasing recognition that e…
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psnet.ahrq.gov/node/35158/psn-pdf
January 02, 2017 - Using simulation-based training to improve patient safety:
what does it take?
January 2, 2017
Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it
take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71.
https://psnet.ahrq.gov/issue/using-simulation-based-training-…
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psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance
January 23, 2019 - Toolkit
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance.
Citation Text:
Optimizing a Business Case for Safe Health Care: An Integrated Approach to Safety and Finance. Institute for Healthcare Improvement, National Patient Safety Foundation. C…
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psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-foundations-lucian-leape
November 23, 2016 - Book/Report
Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute.
Citation Text:
Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute. Boston, MA: National …
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psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
January 01, 2019 - Toolkit
Diagnostic Safety Toolkit.
Citation Text:
Diagnostic Safety Toolkit.
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psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligence-opportunities-and-challenges-care-delivery
January 08, 2020 - Book/Report
Patient Safety and Artificial Intelligence: Opportunities and Challenges for Care Delivery.
Citation Text:
Patient Safety and Artificial Intelligence: Opportunities and Challenges for Care Delivery. Lucian Leape Institute. Boston: Institute for Healthcare Improvement; 20…
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psnet.ahrq.gov/issue/stay-connected-faqs-about-small-bore-connectors-and-tubing-misconnections
March 12, 2016 - Book/Report
Stay Connected: FAQs about Small-Bore Connectors and Tubing Misconnections.
Citation Text:
Stay Connected: FAQs about Small-Bore Connectors and Tubing Misconnections. Arlington, VA: Association for the Advancement of Medical Instrumentation; October 2013.
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