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psnet.ahrq.gov/node/866073/psn-pdf
June 05, 2024 - Improving communication of diagnostic uncertainty to
families of hospitalized children.
June 5, 2024
Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of
hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/40256/psn-pdf
March 02, 2011 - Development of a core drug list towards improving
prescribing education and reducing errors in the UK.
March 2, 2011
Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing
education and reducing errors in the UK. Br J Clin Pharmacol. 2010;71(2):190-198. doi:10.1111/j…
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psnet.ahrq.gov/node/851052/psn-pdf
June 28, 2023 - Opportunities for diagnostic improvement among
pediatric hospital readmissions.
June 28, 2023
Congdon M, Rauch B, Carroll B, et al. Opportunities for diagnostic improvement among pediatric hospital
readmissions. Hosp Pediatr. 2023;13(7):563-571. doi:10.1542/hpeds.2023-007157.
https://psnet.ahrq.gov/issue/opportuni…
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psnet.ahrq.gov/node/46651/psn-pdf
January 17, 2018 - Piloting a patient safety and quality improvement co-
curriculum.
January 17, 2018
Kroker-Bode C, Whicker SA, Pline ER, et al. Piloting a patient safety and quality improvement co-
curriculum. J Community Hosp Intern Med Perspect. 2017;7(6):351-357.
doi:10.1080/20009666.2017.1403830.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/60712/psn-pdf
July 22, 2020 - Patient safety and quality improvement: ethical principles
for a regulatory approach to bias in healthcare machine
learning.
July 22, 2020
McCradden MD, Joshi S, Anderson JA, et al. Patient safety and quality improvement: Ethical principles for
a regulatory approach to bias in healthcare machine learning. J Am Med…
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psnet.ahrq.gov/node/866824/psn-pdf
September 25, 2024 - 'Failing wisely' can promote a safer healthcare system.
September 25, 2024
Fleisher LA, Edmondson AC. 'Failing wisely' can promote a safer healthcare system. MedPage Today.
September 17, 2024;
https://psnet.ahrq.gov/issue/failing-wisely-can-promote-safer-healthcare-system
The ability to learn-by-doing in an enviro…
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psnet.ahrq.gov/node/843094/psn-pdf
January 25, 2023 - Getting Started with a Communication and Resolution
Program (CRP) Policy or Commitment Statement to CR.
January 25, 2023
Collaborative for Accountability and Improvement Policy Committee. Seattle, WA: University of
Washington; 2022
https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-c…
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psnet.ahrq.gov/node/73481/psn-pdf
July 07, 2021 - Leadership To Improve Diagnosis: A Call to Action.
July 7, 2021
Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality;
June 2021. AHRQ Publication No. 20(21)-0040-5-EF.
https://psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action
The mindset on diagnostic error…
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psnet.ahrq.gov/node/42489/psn-pdf
May 19, 2014 - Improving medication administration safety in solid organ
transplant patients through barcode-assisted medication
administration.
May 19, 2014
Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ
transplant patients through barcode-assisted medication administration. A…
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psnet.ahrq.gov/node/45053/psn-pdf
May 19, 2019 - Five topics health care simulation can address to improve
patient safety: results from a consensus process.
May 19, 2019
Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve
Patient Safety: Results From a Consensus Process. J Patient Saf. 2019;15(2):111-120.
doi:10.1097/…
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psnet.ahrq.gov/node/861294/psn-pdf
January 24, 2024 - Shining a glaring light on surgery: technology that
records every move aims to improve safety.
January 24, 2024
Freyer FJ. Boston Globe. January 13, 2024.
https://psnet.ahrq.gov/issue/shining-glaring-light-surgery-technology-records-every-move-aims-improve-
safety
The surgical black box uses cameras and microphon…
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psnet.ahrq.gov/node/46632/psn-pdf
May 11, 2019 - Higher accuracy of complex medication reconciliation
through improved design of electronic tools.
May 11, 2019
Horsky J, Drucker EA, Ramelson HZ. Higher accuracy of complex medication reconciliation through
improved design of electronic tools. J Am Med Inform Assoc. 2018;25(5):465-475.
doi:10.1093/jamia/ocx127.
h…
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psnet.ahrq.gov/node/42459/psn-pdf
July 31, 2013 - Improving adverse drug event detection in critically ill
patients through screening intensive care unit transfer
summaries.
July 31, 2013
Anthes AM, Harinstein LM, Smithburger PL, et al. Improving adverse drug event detection in critically ill
patients through screening intensive care unit transfer summaries. Phar…
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psnet.ahrq.gov/node/850348/psn-pdf
June 14, 2023 - Approaches to improving patient safety in integrated
care: a scoping review.
June 14, 2023
Lalani M, Wytrykowski S, Hogan H. Approaches to improving patient safety in integrated care: a scoping
review. BMJ Open. 2023;13(4):e067441. doi:10.1136/bmjopen-2022-067441.
https://psnet.ahrq.gov/issue/approaches-improving-…
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psnet.ahrq.gov/node/44924/psn-pdf
April 15, 2016 - Assessment of fidelity in interventions to improve hand
hygiene of healthcare workers: a systematic review.
April 15, 2016
Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of
Healthcare Workers: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(5):567-75…
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psnet.ahrq.gov/node/42672/psn-pdf
October 23, 2013 - SBAR improves nurse–physician communication and
reduces unexpected death: a pre and post intervention
study.
October 23, 2013
De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and
reduces unexpected death: a pre and post intervention study. Resuscitation. 2013;84(9):1192-6.
…
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psnet.ahrq.gov/node/44061/psn-pdf
November 16, 2015 - Quality improvement and patient safety organizations in
anesthesiology.
November 16, 2015
Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics.
2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503.
https://psnet.ahrq.gov/issue/quality-improvement-and-patien…
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psnet.ahrq.gov/node/44662/psn-pdf
January 25, 2016 - The stories clinicians tell: achieving high reliability and
improving patient safety.
January 25, 2016
Cohen DL, Stewart KO. The Stories Clinicians Tell: Achieving High Reliability and Improving Patient Safety.
Perm J. 2016;20(1):85-90. doi:10.7812/TPP/15-039.
https://psnet.ahrq.gov/issue/stories-clinicians-tell-a…
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psnet.ahrq.gov/node/46354/psn-pdf
November 21, 2017 - Controlled trial to improve resident sign-out in a medical
intensive care unit.
November 21, 2017
Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive
care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657.
https://psnet.ahrq.gov/issue/contr…
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psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review
April 27, 2022 - Review
The value of learning from near misses to improve patient safety: a scoping review.
Citation Text:
Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078…