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psnet.ahrq.gov/node/45545/psn-pdf
October 05, 2016 - How to Improve Electronic Health Record Usability and
Patient Safety.
October 5, 2016
Philadelphia, PA: Pew Charitable Trusts; September 6, 2016.
https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety
The usability of electronic health record (EHR) systems can affect clinici…
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psnet.ahrq.gov/node/34570/psn-pdf
March 07, 2005 - Measuring the Success of the Regional Medication Safety
Program for Hospitals.
March 7, 2005
Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
The Regional Medication Safety Prog…
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psnet.ahrq.gov/node/42380/psn-pdf
December 29, 2014 - Missed medication doses in hospitalised patients: a
descriptive account of quality improvement measures and
time series analysis.
December 29, 2014
Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive
account of quality improvement measures and time series analysi…
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psnet.ahrq.gov/node/47288/psn-pdf
December 21, 2018 - Reframing and addressing horizontal violence as a
workplace quality improvement concern.
December 21, 2018
Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement
concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273.
https://psnet.ahrq.gov/issue/reframing-and…
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psnet.ahrq.gov/node/34586/psn-pdf
July 21, 2009 - Sentara Norfolk General Hospital: accelerating
improvement by focusing on building a culture of safety.
July 21, 2009
Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by
focusing on building a culture of safety. Jt Comm J Qual Patient Saf. 2004;30(10):534-542.
http…
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psnet.ahrq.gov/node/42635/psn-pdf
December 06, 2013 - Improving disclosure and management of medical
error—an opportunity to transform the surgeons of
tomorrow.
December 6, 2013
Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to
transform the surgeons of tomorrow. Surgeon. 2013;11(6):338-43. doi:10.1016/j.surge.20…
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psnet.ahrq.gov/node/43994/psn-pdf
August 02, 2015 - Using simulation to improve patient safety: dawn of a new
era.
August 2, 2015
Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA
Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817.
https://psnet.ahrq.gov/issue/using-simulation-improve-patient-safety-daw…
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psnet.ahrq.gov/node/40443/psn-pdf
November 02, 2011 - In-home medication reviews: a novel approach to
improving patient care through coordination of care.
November 2, 2011
Willis JS, Hoy RH, Jenkins WD. In-home medication reviews: a novel approach to improving patient care
through coordination of care. J Community Health. 2011;36(6):1027-31. doi:10.1007/s10900-011-940…
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - Naloxone is a great example, where we've seen tremendous improvements across most states.
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psnet.ahrq.gov/node/837154/psn-pdf
May 18, 2022 - Survey shows room for improvement with three new best
practices for hospitals.
May 18, 2022
ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.
https://psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
Practice changes take time to be fully incorporate…
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psnet.ahrq.gov/node/60731/psn-pdf
July 29, 2020 - Patient feedback for safety improvement in primary care:
results from a feasibility study.
July 29, 2020
Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a
feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen-2020-037887.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/72697/psn-pdf
February 03, 2021 - Culture of safety: impact on improvement in infection
prevention process and outcomes.
February 3, 2021
Braun B, Chitavi SO, Suzuki H, et al. Culture of Safety: Impact on Improvement in Infection Prevention
Process and Outcomes. Curr Infect Dis Rep. 2020;22(12):34. doi:10.1007/s11908-020-00741-y.
https://psnet.ahr…
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psnet.ahrq.gov/node/44994/psn-pdf
October 11, 2017 - Diagnostic delays and errors in head and neck cancer
patients: opportunities for improvement.
October 11, 2017
Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer
Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335.
doi:10.1177/1062860616638413.
ht…
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psnet.ahrq.gov/node/44255/psn-pdf
November 09, 2015 - Biopsy site selfies—a quality improvement pilot study to
assist with correct surgical site identification.
November 9, 2015
Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct
surgical site identification. Dermatol Surg. 2015;41(4):499-504. doi:10.1097/DSS.00…
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psnet.ahrq.gov/node/39275/psn-pdf
February 03, 2010 - Medical librarians supporting information systems project
lifecycles toward improved patient safety.
February 3, 2010
Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles
toward improved patient safety. Medical librarians possess expertise to navigate various s…
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psnet.ahrq.gov/node/44386/psn-pdf
August 12, 2015 - Using simulation to improve systems.
August 12, 2015
Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885-
92. doi:10.1016/j.suc.2015.04.007.
https://psnet.ahrq.gov/issue/using-simulation-improve-systems
Safety approaches from aviation that can be applied to health c…
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psnet.ahrq.gov/node/37794/psn-pdf
February 15, 2011 - Using staff perceptions on patient safety as a tool for
improving safety culture in a pediatric hospital system.
February 15, 2011
Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving
Safety Culture in a Pediatric Hospital System. J Patient Saf. 2009;4(2). doi:…
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psnet.ahrq.gov/node/35553/psn-pdf
July 03, 2013 - Maximizing the Use of State Adverse Event Data to
Improve Patient Safety.
July 3, 2013
Rosenthal J, Booth M. National Academy for State Health Policy; 2005.
https://psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
This report, generated by the National Academy for State Health Po…
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psnet.ahrq.gov/node/39834/psn-pdf
July 02, 2014 - Improving resident education and patient safety: a
method to balance initial caseloads at academic year-end
transfer.
July 2, 2014
Young JQ, Niehaus B, Lieu SC, et al. Improving resident education and patient safety: a method to balance
initial caseloads at academic year-end transfer. Acad Med. 2010;85(9):1418-24.…
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psnet.ahrq.gov/node/45018/psn-pdf
November 18, 2016 - Identifying risk in the use of tumor markers to improve
patient safety.
November 18, 2016
Moreno-Campoy EE, De la Torre FJM-, Martos-Crespo F, et al. Identifying risk in the use of tumor markers
to improve patient safety. Clin Chem Lab Med. 2016;54(12):1947-1953. doi:10.1515/cclm-2015-0760.
https://psnet.ahrq.gov/…