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psnet.ahrq.gov/node/36474/psn-pdf
May 26, 2011 - The checklist--a tool for error management and
performance improvement.
May 26, 2011
Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit
Care. 2006;21(3):231-5.
https://psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
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June 29, 2011 - Development of medical checklists for improved quality
of patient care.
June 29, 2011
Hales B, Terblanche M, Fowler R, et al. Development of medical checklists for improved quality of patient
care. International Journal for Quality in Health Care. 2007;20(1). doi:10.1093/intqhc/mzm062.
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psnet.ahrq.gov/node/35014/psn-pdf
August 17, 2011 - A team performance measurement model for continuous
improvement.
August 17, 2011
Çiçek MC, Köksal G, Özdemirel NE. A team performance measurement model for continuous
improvement. Total Quality Management & Business Excellence. 2007;16(3).
doi:10.1080/14783360500054129.
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June 19, 2019 - Two decades since To Err Is Human: an assessment of
progress and emerging priorities in patient safety.
June 19, 2019
Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging
Priorities In Patient Safety. Health Aff (Millwood). 2018;37(11):1736-1743. doi:10.1377/hlthaff.2018.0738…
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March 04, 2011 - What evidence supports the use of computerized alerts
and prompts to improve clinicians' prescribing behavior?
March 4, 2011
Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and
prompts to improve clinicians' prescribing behavior? J Am Med Inform Assoc. 2009;16(4):53…
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psnet.ahrq.gov/node/867636/psn-pdf
February 26, 2025 - Early experience of peer advocate program: using quality
improvement to optimize behavioral and communication
disconnect in the operating room.
February 26, 2025
Eckhouse SR, Huston M, Smith ER, et al. Early experience of peer advocate program: using quality
improvement to optimize behavioral and communication dis…
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psnet.ahrq.gov/node/867590/psn-pdf
January 22, 2025 - Evaluation of Measure Dx, a resource to accelerate
diagnostic safety learning and improvement.
January 22, 2025
Bradford A, Tran A, Ali KJ, et al. Evaluation of Measure Dx, a resource to accelerate diagnostic safety
learning and improvement. J Gen Intern Med. . 2024;Epub Oct 22. doi:10.1007/s11606-024-09132-8.
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May 20, 2019 - Error Reduction in Health Care: A Systems Approach to
Improving Patient Safety, Second edition.
May 20, 2019
Spath PL, ed. San Francisco, CA: Jossey-Bass; 2011. ISBN: 9780470502402.
https://psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd-
edition
Error Reduction in H…
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psnet.ahrq.gov/node/40649/psn-pdf
April 21, 2015 - Explaining Michigan: developing an ex post theory of a
quality improvement program.
April 21, 2015
Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality
improvement program. Milbank Q. 2011;89(2):167-205. doi:10.1111/j.1468-0009.2011.00625.x.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/50906/psn-pdf
February 19, 2020 - Implementation of a discharge education program to
improve transitions of care for patients at high risk of
medication errors.
February 19, 2020
Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to
improve transitions of care for patients at high risk of medication err…
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psnet.ahrq.gov/node/46124/psn-pdf
April 17, 2018 - Improving the safety of health information technology
requires shared responsibility: it is time we all step up.
April 17, 2018
Sittig DF, Belmont E, Singh H. Improving the safety of health information technology requires shared
responsibility: It is time we all step up. Healthc (Amst). 2017;6(1):7-12. doi:10.1016/…
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psnet.ahrq.gov/node/61093/psn-pdf
November 04, 2020 - Impact of a nationwide prospective drug utilization review
program to improve prescribing safety of potentially
inappropriate medications in older adults: an interrupted
time series with segmented regression analysis.
November 4, 2020
Jang S, Jeong S, Kang E, et al. Impact of a nationwide prospective drug utilizat…
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psnet.ahrq.gov/node/866565/psn-pdf
August 21, 2024 - Crowdsourced feedback to improve resident physician
error disclosure skills: a randomized clinical trial.
August 21, 2024
White AA, King AM, D’Addario AE, et al. Crowdsourced feedback to improve resident physician error
disclosure skills: a randomized clinical trial. JAMA Netw Open. 2024;7(8):e2425923.
doi:10.1001…
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psnet.ahrq.gov/node/837414/psn-pdf
January 01, 2023 - Improving the approach to defining, classifying, reporting
and monitoring adverse events in seriously ill older
adults: recommendations from a multi-stakeholder
convening.
June 15, 2022
Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifying, reporting and
monitoring adverse ev…
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psnet.ahrq.gov/node/47702/psn-pdf
February 22, 2019 - Quality improvement priorities for safer out-of-hours
palliative care: lessons from a mixed-methods analysis of
a national incident-reporting database.
February 22, 2019
Williams H, Donaldson SL, Noble S, et al. Quality improvement priorities for safer out-of-hours palliative
care: Lessons from a mixed-methods ana…
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psnet.ahrq.gov/node/60551/psn-pdf
January 01, 2021 - Improvement in patient safety may precede policy
changes: trends in patient safety indicators in the United
States, 2000-2013.
June 3, 2020
Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes:
trends in patient safety indicators in the United States, 2000-2013. J Patient …
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psnet.ahrq.gov/node/45648/psn-pdf
February 01, 2017 - Findings of a naloxone database and its utilization to
improve safety and education in a tertiary care medical
center.
February 1, 2017
Rosenfeld DM, Betcher JA, Shah RA, et al. Findings of a Naloxone Database and its Utilization to Improve
Safety and Education in a Tertiary Care Medical Center. Pain Pract. 2016;1…
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psnet.ahrq.gov/node/854262/psn-pdf
October 04, 2023 - Five strategies for how patients and families can improve
patient safety: World Patient Safety Day 2023.
October 4, 2023
Wu AW, Papieva I, Sheridan S, et al. Five strategies for how patients and families can improve patient
safety: World Patient Safety Day 2023. J Patient Saf Risk Manag. 2023;28(4):147-152.
doi:10…
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psnet.ahrq.gov/node/840485/psn-pdf
November 30, 2022 - Using consumer engagement strategies to improve
healthcare safety for young people: an exploration of the
relevance and suitability of current approaches.
November 30, 2022
Newman B, Joseph K, McDonald FEJ, et al. Using consumer engagement strategies to improve healthcare
safety for young people: an exploration of…
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psnet.ahrq.gov/node/73682/psn-pdf
September 08, 2021 - Massive open online course (MOOC) learning builds
capacity and improves competence for patient safety
among global learners: a prospective cohort study.
September 8, 2021
Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds
capacity and improves competence for patient saf…