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psnet.ahrq.gov/node/855429/psn-pdf
November 15, 2023 - Effect of complementary interventions to redesign care
on teamwork and quality for hospitalized medical
patients: a pragmatic controlled trial.
November 15, 2023
O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on
teamwork and quality for hospitalized medical patie…
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psnet.ahrq.gov/node/844040/psn-pdf
February 08, 2023 - A customized triggers program: a children's hospital's
experience in improving trigger usability.
February 8, 2023
Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's
experience in improving trigger usability. Pediatrics. 2023;151(2):e2022056452. doi:10.1542/peds.2022-…
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psnet.ahrq.gov/node/865534/psn-pdf
April 10, 2024 - Improving formal incivility reporting in ambulatory
oncology: implementing the CIVIC Duty program.
April 10, 2024
Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty
program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23.cjon.602-606.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/38965/psn-pdf
August 15, 2016 - Simulation as a tool to improve the safety of pre-hospital
anaesthesia—a pilot study.
August 15, 2016
Batchelder AJ, Steel A, Mackenzie R, et al. Simulation as a tool to improve the safety of pre-hospital
anaesthesia--a pilot study. Anaesthesia. 2009;64(9):978-83. doi:10.1111/j.1365-2044.2009.05990.x.
https://psne…
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psnet.ahrq.gov/node/41309/psn-pdf
April 18, 2012 - A multifaceted program for improving quality of care in
intensive care units: IATROREF study.
April 18, 2012
Garrouste-Orgeas M, Soufir L, Tabah A, et al. A multifaceted program for improving quality of care in
intensive care units: IATROREF study. Crit Care Med. 2012;40(2):468-76.
doi:10.1097/CCM.0b013e318232d94d…
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psnet.ahrq.gov/node/36810/psn-pdf
November 19, 2014 - A Systems Approach to Quality Improvement in Long-
Term Care: Safe Medication Practices Workbook.
November 19, 2014
Massachusetts Coalition for the Prevention of Medical Errors, MassPRO, Massachusetts Extended Care
Foundation. Boston, MA: Commonwealth of Massachusetts; 2008.
https://psnet.ahrq.gov/issue/systems-ap…
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psnet.ahrq.gov/node/35625/psn-pdf
June 22, 2010 - Improving the safety of medication administration using
an interactive CD-ROM program.
June 22, 2010
Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using
an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-64.
https://psnet.ahrq.gov/issue/improving…
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psnet.ahrq.gov/node/36623/psn-pdf
April 24, 2015 - Public Meeting on Improving Patient Safety by Enhancing
the Container Labeling for Parenteral Infusion Drug
Products.
April 24, 2015
Fed Reg. Nov. 28, 2006;71:68819.
https://psnet.ahrq.gov/issue/public-meeting-improving-patient-safety-enhancing-container-labeling-
parenteral-infusion-drug
The US Food and Drug Ad…
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psnet.ahrq.gov/node/42826/psn-pdf
December 18, 2013 - Improvement of medication event interventions through
use of an electronic database.
December 18, 2013
Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an
electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajhp130021.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/37413/psn-pdf
November 14, 2011 - Patient Safety Tools: Improving Safety at the Point of
Care.
November 14, 2011
https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
Produced in conjunction with its Partnerships in Implementing Patient Safety (PIPS) grant program,
AHRQ has released 17 freely available toolkits to help ho…
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psnet.ahrq.gov/node/45226/psn-pdf
January 04, 2017 - AHRQ Research Summit on Improving Diagnosis in
Health Care.
January 4, 2017
Rockville, MD; Agency for Healthcare Research and Quality: September 28, 2016.
https://psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care
Research is increasingly focusing on diagnostic errors and strategies to reduc…
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psnet.ahrq.gov/node/43437/psn-pdf
August 13, 2014 - Diagnostic error: untapped potential for improving patient
safety?
August 13, 2014
Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag.
2014;34(1):38-43. doi:10.1002/jhrm.21149.
https://psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-saf…
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psnet.ahrq.gov/node/41158/psn-pdf
February 22, 2012 - Strategies for improving patient safety: linking task type
to error type.
February 22, 2012
Mattox EA. Strategies for improving patient safety: linking task type to error type. Crit Care Nurse.
2012;32(1):52-78. doi:10.4037/ccn2012303.
https://psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-t…
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - In Conversation With... Freya Spielberg, MD, MPH
September 28, 2022
In Conversation With.. Freya Spielberg, MD, MPH. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
Editor’s Note: Freya Spielberg, MD, MPH, is the Founder and CEO of Urgent Wellness LLC, a social
enterp…
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psnet.ahrq.gov/issue/remote-video-auditing-real-time-feedback-academic-surgical-suite-improves-safety-and
August 04, 2021 - Study
Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study.
Citation Text:
Overdyk FJ, Dowling O, Newman S, et al. Remote video auditing with real-time feedback in an academic surgical suite improve…
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psnet.ahrq.gov/issue/perceptions-pediatric-hospital-safety-culture-united-states-analysis-2016-hospital-survey
January 19, 2022 - Study
Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture.
Citation Text:
Gampetro PJ, Segvich JP, Jordan N, et al. Perceptions of Pediatric Hospital Safety Culture in the United States: An Analysis of t…
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psnet.ahrq.gov/node/44529/psn-pdf
September 30, 2015 - Learning from no-fault treatment injury claims to improve
the safety of older patients.
September 30, 2015
Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam
Med. 2015;13(5):472-4. doi:10.1370/afm.1810.
https://psnet.ahrq.gov/issue/learning-no-fault-treatment…
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psnet.ahrq.gov/node/44760/psn-pdf
July 10, 2024 - Collaborative for Accountability and Improvement.
July 10, 2024
University of Washington.
https://psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
Communication-and-resolution programs (CRPs) are a promising strategy to improve respectful and
effective discussions with patients and families after …
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psnet.ahrq.gov/node/45926/psn-pdf
May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers.
May 17, 2017
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…
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psnet.ahrq.gov/node/41710/psn-pdf
November 08, 2012 - Improving teamwork on general medical units: when
teams do not work face-to-face.
November 8, 2012
McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams
do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478.
https://psnet.ahrq.gov/issue/improving-tea…