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psnet.ahrq.gov/node/43989/psn-pdf
March 18, 2015 - Application of a trigger tool in near real time to inform
quality improvement activities: a prospective study in a
general medicine ward.
March 18, 2015
Wong BM, Dyal S, Etchells E, et al. Application of a trigger tool in near real time to inform quality
improvement activities: a prospective study in a general med…
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psnet.ahrq.gov/node/43377/psn-pdf
April 25, 2016 - Using Lean "automation with a human touch" to improve
medication safety: a step closer to the "perfect dose."
April 25, 2016
Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve
medication safety: a step closer to the "perfect dose". Jt Comm J Qual Patient Saf. 2014;40(8):…
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psnet.ahrq.gov/node/843089/psn-pdf
May 01, 2020 - Direct observation of depression screening: identifying
diagnostic error and improving accuracy through
unannounced standardized patients.
May 1, 2020
Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic
error and improving accuracy through unannounced standardiz…
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psnet.ahrq.gov/node/60909/psn-pdf
September 16, 2020 - Improving patient handoffs and transitions through
adaptation and implementation of I-PASS across multiple
handoff settings.
September 16, 2020
Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation
and implementation of I-PASS across multiple handoff settings. …
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psnet.ahrq.gov/node/46941/psn-pdf
August 01, 2018 - Incident reporting to improve patient safety: the effects of
process variance on pediatric patient safety in the
emergency department.
August 1, 2018
O?Connell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of
Process Variance on Pediatric Patient Safety in the Emergency De…
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psnet.ahrq.gov/node/60583/psn-pdf
June 10, 2020 - Containing COVID-19 in the emergency department: the
role of improved case detection and segregation of
suspect cases.
June 10, 2020
Wee LE, Fua T?P, Chua YY, et al. Containing COVID-19 in the emergency department: the role of
improved case detection and segregation of suspect cases. Acad Emerg Med. 2020;27(5):379…
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psnet.ahrq.gov/node/48114/psn-pdf
July 17, 2019 - Opportunities for improvement in nursing homes:
variance of six patient safety climate factor scores across
nursing homes and wards—assessed by the Safety
Attitudes Questionnaire.
July 17, 2019
Deilkås ECT, Hofoss D, Husebo BS, et al. Opportunities for improvement in nursing homes: Variance of six
patient safety …
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psnet.ahrq.gov/node/845302/psn-pdf
March 01, 2023 - Reducing preventable adverse events in obstetrics by
improving interprofessional communication skills--results
of an intervention study.
March 1, 2023
Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by
improving interprofessional communication skills – results of an int…
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psnet.ahrq.gov/node/838309/psn-pdf
October 12, 2022 - Duplicate medication order errors: safety gaps and
recommendations for improvement.
October 12, 2022
Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for
improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6.
https://psnet.ahrq.gov/issue/duplic…
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psnet.ahrq.gov/node/837334/psn-pdf
June 08, 2022 - Safety gaps in medical team communication: closing the
loop on quality improvement efforts in the cardiac
catheterization lab.
June 8, 2022
Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on
quality improvement efforts in the cardiac catheterization lab. Catheter …
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psnet.ahrq.gov/node/38347/psn-pdf
May 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings
from the AHRQ Portfolio.
May 24, 2015
Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD:
Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF.
https://psnet.ahrq.gov/issue/usin…
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psnet.ahrq.gov/node/35361/psn-pdf
July 16, 2009 - Improving Patient Safety Through Informed Consent for
Patients with Limited Health Literacy.
July 16, 2009
Wu HW, Nishimi RY, Page-Lopez CM, et al. Washington DC: National Quality Forum; 2005.
https://psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health-
literacy
In the 2…
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psnet.ahrq.gov/node/45965/psn-pdf
April 19, 2017 - Measuring harm and informing quality improvement in the
Welsh NHS: the longitudinal Welsh national adverse
events study.
April 19, 2017
Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh
Nhs: The Longitudinal Welsh National Adverse Events Study. Southampton, UK: NIH…
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psnet.ahrq.gov/node/60532/psn-pdf
May 27, 2020 - Improving timely recognition and treatment of sepsis in
the pediatric ICU.
May 27, 2020
Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU.
Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005.
https://psnet.ahrq.gov/issue/improv…
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psnet.ahrq.gov/node/50555/psn-pdf
October 16, 2019 - Improving critical incident reporting in primary care
through education and involvement.
October 16, 2019
Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through
education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/bmjoq-2018-000556.
https://psnet…
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psnet.ahrq.gov/node/837853/psn-pdf
August 17, 2022 - RaDonda Vaught, medication safety, and the profession
of pharmacy: steps to improve safety and ensure justice.
August 17, 2022
Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to
improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja…
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psnet.ahrq.gov/node/45917/psn-pdf
March 29, 2017 - Improving our understanding of multi-tasking in
healthcare: drawing together the cognitive psychology
and healthcare literature.
March 29, 2017
Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare:
Drawing together the cognitive psychology and healthcare literature. Ap…
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psnet.ahrq.gov/node/44069/psn-pdf
October 08, 2016 - An anesthesia preinduction checklist to improve
information exchange, knowledge of critical information,
perception of safety, and possibly perception of
teamwork in anesthesia teams.
October 8, 2016
Tscholl DW, Weiss M, Kolbe M, et al. An Anesthesia Preinduction Checklist to Improve Information
Exchange, Knowled…
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psnet.ahrq.gov/node/38057/psn-pdf
September 10, 2008 - Randomized controlled trial of a pictogram-based
intervention to reduce liquid medication dosing errors
and improve adherence among caregivers of young
children.
September 10, 2008
Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention to
reduce liquid medication do…
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psnet.ahrq.gov/node/46840/psn-pdf
June 20, 2018 - Interventions to improve employee health and well-being
within health care organizations: a systematic review.
June 20, 2018
Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within
health care organizations: A systematic review. J Healthc Risk Manag. 2018;37(4):25-51…