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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865664/psn-pdf
    April 24, 2024 - The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. April 24, 2024 Kassie AM, Eakin E, Abate BB, et al. The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. BMC Health Serv Res. 2024;24(1):438. doi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836724/psn-pdf
    March 09, 2022 - When no news is bad news: improving diagnostic testing communication through patient engagement. March 9, 2022 Zomerlei T, Carraher A, Chao A, et al. When no news is bad news: improving diagnostic testing communication through patient engagement. J Patient Saf Risk Manage. 2021;26(5):221-224. doi:10.1177/251604352…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845637/psn-pdf
    March 08, 2023 - Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. March 8, 2023 Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration p…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837203/psn-pdf
    May 25, 2022 - Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. May 25, 2022 Joseph K, Newman B, Manias E, et al. Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. Patient Educ Couns. 2022;105(8):2778-2784. …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850917/psn-pdf
    June 21, 2023 - Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. June 21, 2023 Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Safety Sci. 2023;165:106200. doi:10.1016/j.ssci.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35872/psn-pdf
    September 07, 2011 - Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. September 7, 2011 Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. J Am Med Inform Assoc. 2006;13(2):17…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856587/psn-pdf
    January 01, 2024 - Surgical leadership in a culture of safety: an inter- professional study of metrics and tools for improving clinical practice. November 29, 2023 Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter- professional study of metrics and tools for improving clinical practice…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837761/psn-pdf
    August 03, 2022 - The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. August 3, 2022 Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review. Adv …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41725/psn-pdf
    January 01, 2013 - Improving patient handovers from hospital to primary care: a systematic review. October 3, 2012 Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-201209180-00006. https://psnet.ah…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837429/psn-pdf
    January 01, 2022 - Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. January 1, 2022 Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patient Saf. 2022;18(1):e108-e114. d…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43227/psn-pdf
    June 04, 2014 - Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators. June 4, 2014 Mull HJ, Borzecki A, Loveland S, et al. Detecting adverse events in surgery: comparing events detected by the Veterans Health Ad…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866900/psn-pdf
    October 09, 2024 - Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. October 9, 2024 Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. J Patient Saf. 2024;20(7…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853968/psn-pdf
    January 01, 2024 - When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. September 27, 2023 Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthca…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35444/psn-pdf
    March 11, 2011 - Improving acceptance of computerized prescribing alerts in ambulatory care. March 11, 2011 Shah N, Seger AC, Seger DL, et al. Improving acceptance of computerized prescribing alerts in ambulatory care. J Am Med Inform Assoc. 2006;13(1):5-11. https://psnet.ahrq.gov/issue/improving-acceptance-computerized-prescribin…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42712/psn-pdf
    October 02, 2017 - Improving patient safety through transparency. October 2, 2017 Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-9. doi:10.1056/NEJMp1303960. https://psnet.ahrq.gov/issue/improving-patient-safety-through-transparency This commentary describes successful transparency initiat…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40856/psn-pdf
    October 19, 2011 - Safer care at home: use of simulation training to improve standards. October 19, 2011 Unsworth J, Tuffnell C, Platt A. Safer care at home: use of simulation training to improve standards. Br J Community Nurs. 2011;16(7):334-9. https://psnet.ahrq.gov/issue/safer-care-home-use-simulation-training-improve-standards …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50726/psn-pdf
    December 11, 2019 - Toolkit To Improve Antibiotic Use in Acute Care Hospitals December 11, 2019 Agency for Healthcare Research and Quality. 2019. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals Structured processes are important strategies for embedding safe care practices. This tool kit shares traini…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39612/psn-pdf
    June 16, 2010 - National Action Plan to Improve Health Literacy. June 16, 2010 Washington, DC: United States Department of Health and Human Services; 2010.   https://psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy This report presents goals for improved health literacy in the United States and recommends pra…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41854/psn-pdf
    September 24, 2016 - Reducing interruptions to improve medication safety. September 24, 2016 Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e. https://psnet.ahrq.gov/issue/reducing-interruptions-improve-medication-safety …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37930/psn-pdf
    July 23, 2008 - Measurement for improvement: a survey of current practice in Australian public hospitals. July 23, 2008 Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in Australian public hospitals. Med J Aust. 2008;189(1):35-40. https://psnet.ahrq.gov/issue/measurement-improvemen…

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