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psnet.ahrq.gov/node/43783/psn-pdf
January 14, 2015 - Improving the quality and safety of care on the medical
ward: a review and synthesis of the evidence base.
January 14, 2015
Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A
review and synthesis of the evidence base. Eur J Intern Med. 2014;25(10):874-87.
doi:…
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psnet.ahrq.gov/node/42697/psn-pdf
December 05, 2013 - An initiative to improve the management of clinically
significant test results in a large health care network.
December 5, 2013
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant
test results in a large health care network. Jt Comm J Qual Patient Saf. 2013;39(1…
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psnet.ahrq.gov/node/61032/psn-pdf
October 14, 2020 - System Governance Towards Improved Patient Safety:
Key Functions, Approaches and Pathways to
Implementation.
October 14, 2020
Auraaen A, Saar K, Klazinga N for the Organisation for Economic Co-operation and Development. OECD
Publishing, Paris, France; 2020. OECD Health Working Papers, No. 120.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/44384/psn-pdf
August 12, 2015 - Effective followership: a standardized algorithm to
resolve clinical conflicts and improve teamwork.
August 12, 2015
Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical
conflicts and improve teamwork. J Healthc Risk Manag. 2015;35(1):21-30. doi:10.1002/jhrm.21174…
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psnet.ahrq.gov/node/47622/psn-pdf
April 24, 2019 - Consumer-directed technologies to improve medication
management and safety.
April 24, 2019
Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and
safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029.
https://psnet.ahrq.gov/issue/consumer-directed-technologies-…
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psnet.ahrq.gov/node/44077/psn-pdf
May 13, 2015 - Modified Early Warning System improves patient safety
and clinical outcomes in an academic community
hospital.
May 13, 2015
Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical
outcomes in an academic community hospital. J Community Hosp Intern Med Perspect. 2015;…
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psnet.ahrq.gov/node/39298/psn-pdf
June 11, 2010 - Medication error reporting in nursing homes: identifying
targets for patient safety improvement.
June 11, 2010
Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets
for patient safety improvement. Qual Saf Health Care. 2010;19(3):218-22. doi:10.1136/qshc.2008.031…
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psnet.ahrq.gov/node/46086/psn-pdf
August 30, 2017 - Quality and Safety in Nursing: a Competency Approach to
Improving Outcomes, Second Edition.
August 30, 2017
Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 9781119151678.
https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-
edition
The Cr…
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psnet.ahrq.gov/node/45811/psn-pdf
May 08, 2017 - A National Web Conference on Improving Health IT Safety
Through the Use of Natural Language Processing to
Improve Accuracy of EHR Documentation.
May 8, 2017
Agency for Healthcare Research and Quality. February 7, 2017.
https://psnet.ahrq.gov/issue/national-web-conference-improving-health-it-safety-through-use-natu…
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psnet.ahrq.gov/node/44737/psn-pdf
December 16, 2015 - How effective are incident-reporting systems for
improving patient safety? A systematic literature review.
December 16, 2015
Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;93(4):826-866.
https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-
systematic-literature
…
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psnet.ahrq.gov/node/45971/psn-pdf
April 21, 2018 - Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families.
April 21, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 2018.
https://psnet.ahrq.gov/issue/guide-improving-patient-safety-primary-care-settings-engaging-patients-and-
families
Patient engagement i…
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psnet.ahrq.gov/node/40602/psn-pdf
December 31, 2014 - How to improve the delivery of medication alerts within
computerized physician order entry systems: an
international Delphi study.
December 31, 2014
Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within
computerized physician order entry systems: an international Delphi study…
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psnet.ahrq.gov/node/44572/psn-pdf
January 22, 2016 - Can social media be used as a hospital quality
improvement tool?
January 22, 2016
Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp
Med. 2016;11(1):52-5. doi:10.1002/jhm.2486.
https://psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-t…
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psnet.ahrq.gov/node/44780/psn-pdf
May 09, 2017 - Improving anesthesiologists' ability to speak up in the
operating room: a randomized controlled experiment of a
simulation-based intervention and a qualitative analysis
of hurdles and enablers.
May 9, 2017
Raemer DB, Kolbe M, Minehart RD, et al. Improving Anesthesiologists’ Ability to Speak Up in the Operating
Ro…
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psnet.ahrq.gov/node/44619/psn-pdf
November 04, 2015 - Seeing through Google Glass: using an innovative
technology to improve medication safety behaviors in
undergraduate nursing students.
November 4, 2015
Schneidereith T. Seeing Through Google Glass: Using an Innovative Technology to Improve Medication
Safety Behaviors in Undergraduate Nursing Students. Nurs Educ Per…
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psnet.ahrq.gov/node/46504/psn-pdf
February 22, 2018 - How guiding coalitions promote positive culture change
in hospitals: a longitudinal mixed methods interventional
study.
February 22, 2018
Bradley EH, Brewster AL, McNatt Z, et al. How guiding coalitions promote positive culture change in
hospitals: a longitudinal mixed methods interventional study. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/42333/psn-pdf
June 05, 2013 - Has improved hand hygiene compliance reduced the risk
of hospital-acquired infections among hospitalized
patients in Ontario? Analysis of publicly reported patient
safety data from 2008 to 2011.
June 5, 2013
DiDiodato G. Has improved hand hygiene compliance reduced the risk of hospital-acquired infections
among h…
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psnet.ahrq.gov/node/45863/psn-pdf
August 28, 2017 - Large-scale implementation of the I-PASS handover
system at an academic medical centre.
August 28, 2017
Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at
an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjqs-2016-006195.
https://psnet.ahr…
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psnet.ahrq.gov/node/43803/psn-pdf
January 29, 2015 - Creating a high-reliability health care system: improving
performance on core processes of care at Johns Hopkins
Medicine.
January 29, 2015
Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving
performance on core processes of care at Johns Hopkins Medicine. Acad Med.…
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psnet.ahrq.gov/node/43690/psn-pdf
March 26, 2015 - Improving healthcare systems' disclosures of large-scale
adverse events: a Department of Veterans Affairs
leadership, policymaker, research and stakeholder
partnership.
March 26, 2015
Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale adverse
events: a Department of Ve…