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psnet.ahrq.gov/node/60162/psn-pdf
March 25, 2020 - Patient Safety Improvement Act of 2020.
March 25, 2020
SB 3380. 116th Congress (2020).
https://psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
This bill submits amendments to existing US federal law to strengthen state-organized efforts to improve
health care-associated infection control efforts, pediatri…
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psnet.ahrq.gov/node/41578/psn-pdf
October 09, 2013 - Improving Patient Safety in Long-Term Care Facilities:
Training Modules.
October 9, 2013
Taylor SL, Saliba D. Rockville, MD: Agency for Healthcare Research and Quality; July 2012. AHRQ
Publication No. 12-0001.
https://psnet.ahrq.gov/issue/improving-patient-safety-long-term-care-facilities-training-modules
This se…
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psnet.ahrq.gov/node/41311/psn-pdf
April 18, 2012 - Surveillance: a strategy for improving patient safety in
acute and critical care units.
April 18, 2012
Henneman EA, Gawlinski A, Giuliano KK. Surveillance: A strategy for improving patient safety in acute and
critical care units. Crit Care Nurse. 2012;32(2):e9-18. doi:10.4037/ccn2012166.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/38378/psn-pdf
September 24, 2010 - I-CaRe: a case review tool focused on improving inpatient
care.
September 24, 2010
Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt
Comm J Qual Patient Saf. 2009;35(2):115-119, 61.
https://psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpati…
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psnet.ahrq.gov/node/73408/psn-pdf
July 27, 2023 - Patient Safety/Quality Improvement Primer.
July 27, 2023
Otolaryngol Head Neck Surg. 2018-2023.
https://psnet.ahrq.gov/issue/patient-safetyquality-improvement-primer
Otolaryngology-head and neck surgery is vulnerable to wrong site errors and other challenges present in
surgical care. This series of articles highli…
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psnet.ahrq.gov/node/36316/psn-pdf
October 26, 2010 - Improving self-reporting of adverse drug events in a West
Virginia hospital.
October 26, 2010
Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia
hospital. Am J Med Qual. 2006;21(5):335-41.
https://psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-even…
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - December 23, 2020
Effect of changes in hospital nursing resources on improvements in
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psnet.ahrq.gov/node/73445/psn-pdf
June 30, 2021 - Moving beyond the weekend effect: how can we best
target interventions to improve patient care?
June 30, 2021
Marang-van de Mheen PJ, Vincent CA. Moving beyond the weekend effect: how can we best target
interventions to improve patient care? BMJ Qual Saf. 2021;30(7):525-528. doi:10.1136/bmjqs-2020-
012620.
https:…
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psnet.ahrq.gov/node/47322/psn-pdf
September 12, 2018 - Crossing the Global Quality Chasm: Improving Health
Care Worldwide.
September 12, 2018
Committee on Improving the Quality of Health Care Globally. National Academies of Sciences,
Engineering, and Medicine. Washington DC: National Academies Press; August 2018. ISBN:
9780309483087.
https://psnet.ahrq.gov/issue/cros…
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psnet.ahrq.gov/node/44687/psn-pdf
June 21, 2016 - Free From Harm: Accelerating Patient Safety
Improvement Fifteen Years After To Err Is Human.
June 21, 2016
Boston, MA: National Patient Safety Foundation; 2015.
https://psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-
human
This report provides an objective assessmen…
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psnet.ahrq.gov/node/854820/psn-pdf
October 25, 2023 - A multi-method exploratory evaluation of a service
designed to improve medication safety for patients with
monitored dosage systems following hospital discharge.
October 25, 2023
Alqenae FA, Steinke DT, Belither H, et al. A multi-method exploratory evaluation of a service designed to
improve medication safety for …
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psnet.ahrq.gov/node/74257/psn-pdf
January 19, 2022 - Early prescribing outcomes after exporting the EQUIPPED
medication safety improvement programme.
January 19, 2022
Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED
medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001369. doi:10.1136/bmjoq-
2021-00…
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psnet.ahrq.gov/node/46783/psn-pdf
January 24, 2018 - America's Hospitals: Improving Quality and Safety: The
Joint Commission's Annual Report 2017.
January 24, 2018
Oakbrook Terrace; IL: Joint Commission; 2017.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2017
The Joint Commission annual report provide…
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psnet.ahrq.gov/node/50855/psn-pdf
January 29, 2020 - Is one-pen, one-patient achievable in the hospital? A
quality improvement project to reduce risks of inadvertent
insulin pen sharing at a large academic medical center.
January 29, 2020
Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality
Improvement Project to Reduce Risks …
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psnet.ahrq.gov/node/40231/psn-pdf
February 23, 2011 - Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase.
February 23, 2011
Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase. BMJ. 2011;342:d199. doi:10.1136/bmj.d199…
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psnet.ahrq.gov/node/37534/psn-pdf
February 13, 2008 - Measurable outcomes of quality improvement in the
trauma intensive care unit: the impact of a daily quality
rounding checklist.
February 13, 2008
DuBose JJ, Inaba K, Shiflett A, et al. Measurable outcomes of quality improvement in the trauma intensive
care unit: the impact of a daily quality rounding checklist. J …
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psnet.ahrq.gov/node/44626/psn-pdf
November 04, 2015 - "SWARMing" to improve patient care: a novel approach to
root cause analysis.
November 4, 2015
Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause
Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501.
https://psnet.ahrq.gov/issue/swarming-improve-patient-care-…
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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care
setting.
January 2, 2017
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/42399/psn-pdf
December 29, 2014 - Information technology interventions to improve
medication safety in primary care: a systematic review.
December 29, 2014
Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in
primary care: a systematic review. Int J Qual Health Care. 2013;25(5):590-8. doi:10.1093/intq…
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psnet.ahrq.gov/node/38175/psn-pdf
April 11, 2011 - An intervention to decrease narcotic-related adverse drug
events in children's hospitals.
April 11, 2011
Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug
events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1542/peds.2008-1011.
https://psnet.a…