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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. 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
  8. Psn-Pdf (pdf file)

    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:…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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 …
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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 …
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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 …
  17. Psn-Pdf (pdf file)

    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-…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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