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  1. Psn-Pdf (pdf file)

    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 This commentar…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37459/psn-pdf
    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. https://psnet.ahrq.gov/issue…
  3. Psn-Pdf (pdf file)

    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. https://psnet.ahrq.gov/issue/team-performan…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47530/psn-pdf
    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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38778/psn-pdf
    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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. htt…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40469/psn-pdf
    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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/…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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 …
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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