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psnet.ahrq.gov/node/43210/psn-pdf
May 28, 2014 - Improving cancer patient care with combined medication
error reviews and morbidity and mortality conferences.
May 28, 2014
Ranchon F, You B, Salles G, et al. Improving Cancer Patient Care with Combined Medication Error
Reviews and Morbidity and Mortality Conferences. Chemotherapy (Los Angel). 2014;59(5).
doi:10.11…
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psnet.ahrq.gov/node/43727/psn-pdf
January 28, 2015 - Pediatric crisis resource management training improves
emergency medicine trainees' perceived ability to manage
emergencies and ability to identify teamwork errors.
January 28, 2015
Bank I, Snell L, Bhanji F. Pediatric crisis resource management training improves emergency medicine
trainees' perceived ability to m…
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psnet.ahrq.gov/node/47574/psn-pdf
November 21, 2018 - The architecture of safety: an emerging priority for
improving patient safety.
November 21, 2018
Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient
Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/43146/psn-pdf
August 12, 2014 - Computerised provider order entry combined with clinical
decision support systems to improve medication safety: a
narrative review.
August 12, 2014
Ranji SR, Rennke S, Wachter R. Computerised provider order entry combined with clinical decision support
systems to improve medication safety: a narrative review. BMJ …
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psnet.ahrq.gov/node/837330/psn-pdf
June 08, 2022 - A call to action: next steps to advance diagnosis
education in the health professions.
June 8, 2022
Graber ML, Holmboe ES, Stanley J, et al. A call to action: next steps to advance diagnosis education in the
health professions. Diagnosis (Berl). 2022;9(2):166-175. doi:10.1515/dx-2021-0103.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/34784/psn-pdf
June 24, 2015 - The potential for improved teamwork to reduce medical
errors in the emergency department.
June 24, 2015
Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in
the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4.
https://ps…
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psnet.ahrq.gov/node/866323/psn-pdf
July 17, 2024 - AHRQ-Funded Patient Safety Project Highlights:
Improving Patient Safety by Enhancing Care
Coordination.
July 17, 2024
Rockville, MD: Agency for Healthcare Research and Quality; June 2024. AHRQ Pub. No. 24-0017-2-EF.
https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety…
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psnet.ahrq.gov/node/848365/psn-pdf
May 03, 2023 - Value of improving patient safety: health economic
considerations for rapid response systems-a rapid review
of the literature and expert round table.
May 3, 2023
Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations
for rapid response systems–a rapid review of the l…
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psnet.ahrq.gov/node/43368/psn-pdf
October 01, 2014 - Improving safety and quality of care with enhanced
teamwork through operating room briefings.
October 1, 2014
Hicks CW, Rosen MA, Hobson DB, et al. Improving safety and quality of care with enhanced teamwork
through operating room briefings. JAMA Surg. 2014;149(8):863-8. doi:10.1001/jamasurg.2014.172.
https://psne…
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psnet.ahrq.gov/node/862609/psn-pdf
February 14, 2024 - Hospital testing of the effectiveness of co-designed
educational materials to improve patient and visitor
knowledge and confidence in reporting patient
deterioration.
February 14, 2024
King L, Belan I, Clark RA, et al. Hospital testing of the effectiveness of co-designed educational materials to
improve patient a…
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psnet.ahrq.gov/node/48157/psn-pdf
August 21, 2019 - Recommendations for using the Revised Safer Dx
instrument to help measure and improve diagnostic
safety.
August 21, 2019
Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to
help measure and improve diagnostic safety. Diagnosis (Berl). 2019;6(4):315-323. doi:10.151…
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psnet.ahrq.gov/node/43715/psn-pdf
November 26, 2014 - An intervention to improve transitions from NICU to
ambulatory care: quasi-experimental study.
November 26, 2014
Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory
care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3.
https://psnet.ahrq.gov/issue/inter…
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psnet.ahrq.gov/node/73092/psn-pdf
March 31, 2021 - SAFER Care: improving caregiver comprehension of
discharge instructions.
March 31, 2021
Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge
instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031.
https://psnet.ahrq.gov/issue/safer-care-improving-careg…
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psnet.ahrq.gov/node/40435/psn-pdf
July 22, 2011 - How does context affect interventions to improve patient
safety? An assessment of evidence from studies of five
patient safety practices and proposals for research.
July 22, 2011
Ovretveit JC, Shekelle PG, Dy SM, et al. How does context affect interventions to improve patient safety?
An assessment of evidence from…
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psnet.ahrq.gov/node/853975/psn-pdf
September 27, 2023 - Strategies for Improving Clinician Psychological Safety in
Reporting and Discussing Diagnostic Error.
September 27, 2023
Amin D, Cosby K. Rockville, MD: Agency for Healthcare Research and Quality; September 2023.
Publication No. 23-0040-6-EF.
https://psnet.ahrq.gov/issue/strategies-improving-clinician-psychologica…
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psnet.ahrq.gov/node/43744/psn-pdf
December 03, 2014 - Mobile physician reporting of clinically significant
events—a novel way to improve handoff communication
and supervision of resident on call activities.
December 3, 2014
Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel
way to improve handoff communication…
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psnet.ahrq.gov/node/838193/psn-pdf
September 28, 2022 - Economics of Medication Safety. Improving Medication
Safety Through Collective, Real-time Learning.
September 28, 2022
de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and
Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147.
…
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psnet.ahrq.gov/node/74271/psn-pdf
January 19, 2022 - Improving shared situation awareness for high-risk
therapies in hospitalized children.
January 19, 2022
Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in
hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.2021-006193.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/852802/psn-pdf
August 23, 2023 - Indian Health Service: Actions Needed to Improve Use of
Data on Adverse Events.
August 23, 2023
Washington, DC: United States Government Accounting Office; July 10, 2023. Publication GAO-23-
105722.
https://psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events
Health info…
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psnet.ahrq.gov/node/47923/psn-pdf
April 17, 2019 - Improving employee voice about transgressive or
disruptive behavior: a case study.
April 17, 2019
Dixon-Woods M, Campbell A, Martin G, et al. Improving Employee Voice About Transgressive or Disruptive
Behavior: A Case Study. Acad Med. 2019;94(4):579-585. doi:10.1097/ACM.0000000000002447.
https://psnet.ahrq.gov/iss…