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psnet.ahrq.gov/node/44413/psn-pdf
October 07, 2015 - Improving transitions of care for patients on warfarin: the
Safe Transitions Anticoagulation Report.
October 7, 2015
Dunn AS, Shetreat-Klein A, Berman J, et al. Improving transitions of care for patients on warfarin: The safe
transitions anticoagulation report. J Hosp Med. 2015;10(9):615-8. doi:10.1002/jhm.2393.
h…
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psnet.ahrq.gov/node/39875/psn-pdf
January 22, 2017 - Mobile in situ obstetric emergency simulation and
teamwork training to improve maternal–fetal safety in
hospitals.
January 22, 2017
Guise J-M, Lowe NK, Deering S, et al. Mobile in situ obstetric emergency simulation and teamwork training
to improve maternal-fetal safety in hospitals. Jt Comm J Qual Patient Saf. 20…
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psnet.ahrq.gov/node/37671/psn-pdf
July 25, 2008 - Improving transfusion safety: implementation of a
comprehensive computerized bar code-based tracking
system for detecting and preventing errors.
July 25, 2008
Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a
comprehensive computerized bar code-based tracking system for de…
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psnet.ahrq.gov/node/41424/psn-pdf
June 27, 2012 - Practice-based learning and improvement: a two-year
experience with the reporting of morbidity and mortality
cases by general surgery residents.
June 27, 2012
Falcone JL, Lee KKW, Billiar TR, et al. Practice-based learning and improvement: a two-year experience
with the reporting of morbidity and mortality cases b…
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psnet.ahrq.gov/node/42101/psn-pdf
April 03, 2013 - Applying Lean methods to improve quality and safety in
surgical sterile instrument processing.
April 3, 2013
Blackmore C, Bishop R, Luker S, et al. Applying lean methods to improve quality and safety in surgical
sterile instrument processing. Jt Comm J Qual Patient Saf. 2013;39(3):99-105.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/41188/psn-pdf
March 07, 2012 - Quality improvement and patient care checklists in
intrahospital transfers involving pediatric surgery
patients.
March 7, 2012
Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital
transfers involving pediatric surgery patients. J Pediatr Surg. 2012;47(1):112-8.
…
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psnet.ahrq.gov/node/47146/psn-pdf
June 27, 2018 - Provider perspectives on partnering with parents of
hospitalized children to improve safety.
June 27, 2018
Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of
Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. doi:10.1542/hpeds.2017-0159.
https…
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psnet.ahrq.gov/node/42556/psn-pdf
August 28, 2013 - Findings and Lessons From the Improving Quality
Through Clinician Use of Health IT Grant Initiative.
August 28, 2013
Rockville, MD: Agency for Healthcare Research and Quality. May 2013. AHRQ Publication No 13-0042-EF.
https://psnet.ahrq.gov/issue/findings-and-lessons-improving-quality-through-clinician-use-health-i…
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psnet.ahrq.gov/node/47324/psn-pdf
November 07, 2018 - Engaging patients to improve quality of care: a
systematic review.
November 7, 2018
Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review.
Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z.
https://psnet.ahrq.gov/issue/engaging-patients-improve-quality-ca…
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psnet.ahrq.gov/node/862151/psn-pdf
February 07, 2024 - Taking up the challenge to improve name and role
recognition in the operating room.
February 7, 2024
Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the
operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.0000000000001177.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/46208/psn-pdf
July 12, 2017 - Improving patient safety by practicing in a just culture.
July 12, 2017
Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68.
doi:10.1016/j.aorn.2017.05.005.
https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
The importance of just culture is widel…
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psnet.ahrq.gov/node/866358/psn-pdf
July 24, 2024 - To improve health care, focus on fixing systems — not
people.
July 24, 2024
Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people.
Harvard Business Review. July 12, 2024;
https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
While a focus on the…
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psnet.ahrq.gov/node/839824/psn-pdf
November 09, 2022 - Improving diagnostic decision support through deliberate
reflection: a proposal.
November 9, 2022
Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal.
Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062.
https://psnet.ahrq.gov/issue/improving-diagnostic-de…
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psnet.ahrq.gov/node/35809/psn-pdf
February 25, 2015 - Stories from the sharp end: case studies in safety
improvement.
February 25, 2015
McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200
https://psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement
This study shares the efforts of six different health care organizations in implementing intervent…
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psnet.ahrq.gov/node/38736/psn-pdf
June 24, 2009 - Improving patient safety by understanding past
experiences in day surgery and PACU.
June 24, 2009
Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J
Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001.
https://psnet.ahrq.gov/issue/improving-patien…
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psnet.ahrq.gov/node/47462/psn-pdf
October 31, 2018 - Emergency department checklist: an innovation to
improve safety in emergency care.
October 31, 2018
Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in
emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-000325.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/38737/psn-pdf
July 13, 2009 - Reengineering hospital discharge: a protocol to improve
patient safety, reduce costs, and boost patient
satisfaction.
July 13, 2009
Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and
boost patient satisfaction. Am J Med Qual. 2009;24(4):344-6. doi:10.1177/106286060…
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psnet.ahrq.gov/node/47018/psn-pdf
June 13, 2018 - Opportunities to improve informed consent with AHRQ
training modules.
June 13, 2018
Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training
Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010.
https://psnet.ahrq.gov/issue/opportuniti…
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psnet.ahrq.gov/node/37262/psn-pdf
December 19, 2011 - Academic detailing to improve laboratory testing among
outpatient medication users.
December 19, 2011
Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient
medication users. Med Care. 2007;45(10):966-72.
https://psnet.ahrq.gov/issue/academic-detailing-improve-laborat…
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psnet.ahrq.gov/node/36106/psn-pdf
May 27, 2011 - Evidence-based red cell transfusion in the critically ill:
quality improvement using computerized physician order
entry.
May 27, 2011
Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality
improvement using computerized physician order entry. Crit Care Med. 2006;34(7…