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psnet.ahrq.gov/node/41234/psn-pdf
July 02, 2014 - The patient handoff: a comprehensive curricular blueprint
for resident education to improve continuity of care.
July 2, 2014
Wohlauer M, Arora V, Horwitz LI, et al. The patient handoff: a comprehensive curricular blueprint for
resident education to improve continuity of care. Acad Med. 2012;87(4):411-8.
doi:10.109…
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psnet.ahrq.gov/node/43315/psn-pdf
May 10, 2016 - Chief resident for quality improvement and patient safety:
a description.
May 10, 2016
Cox LAM, Fanucchi LC, Sinex NC, et al. Chief resident for quality improvement and patient safety: a
description. Am J Med. 2014;127(6):565-8. doi:10.1016/j.amjmed.2014.02.034.
https://psnet.ahrq.gov/issue/chief-resident-quality-…
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psnet.ahrq.gov/node/839832/psn-pdf
November 09, 2022 - Diagnostic Safety Centers of Excellence.
November 9, 2022
Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
https://psnet.ahrq.gov/issue/diagnostic-safety-centers-excellence
Diagnostic improvement engages a variety of activities to achieve excellence. This announcement
highlights ten organiz…
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psnet.ahrq.gov/node/37071/psn-pdf
September 30, 2011 - Improving patient safety in radiotherapy by learning from
near misses, incidents and errors.
September 30, 2011
Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br
J Radiol. 2007;80(953):297-301.
https://psnet.ahrq.gov/issue/improving-patient-safety-radiother…
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psnet.ahrq.gov/node/34136/psn-pdf
January 29, 2018 - Institute for Healthcare Improvement.
January 29, 2018
53 State Street, 19th Floor, Boston, MA 02109. 617-301-4800, info@ihi.org.
https://psnet.ahrq.gov/issue/institute-healthcare-improvement
The Institute for Healthcare Improvement (IHI) is a not-for-profit organization promoting health improvement
by advancing t…
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psnet.ahrq.gov/node/36754/psn-pdf
August 09, 2011 - Improving patient safety and communication through care
rounds in a pediatric oncology outpatient clinic.
August 9, 2011
Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric
oncology outpatient clinic. J Nurs Care Qual. 2007;22(2):159-63.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/46306/psn-pdf
August 02, 2017 - Use of cascading A3s to drive systemwide improvement.
August 2, 2017
Winner LE, Burroughs TJ, Cady-Reh JA, et al. Use of Cascading A3s to Drive Systemwide Improvement. Jt
Comm J Qual Patient Saf. 2017;43(8):422-428. doi:10.1016/j.jcjq.2017.03.011.
https://psnet.ahrq.gov/issue/use-cascading-a3s-drive-systemwide-impr…
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psnet.ahrq.gov/node/40824/psn-pdf
October 05, 2011 - Quality improvement project to reduce perioperative
opioid oversedation events in a paediatric hospital.
October 5, 2011
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid
oversedation events in a paediatric hospital. BMJ Qual Saf. 2011;20(10):895-902.
doi:10.1136/bmj…
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psnet.ahrq.gov/node/837981/psn-pdf
August 31, 2022 - Improving medication reconciliation in hospitals.
August 31, 2022
Schnipper JL. Ann Intern Med. 2022;175(8):ho2-ho3.
https://psnet.ahrq.gov/issue/improving-medication-reconciliation-hospitals
Medication reconciliation is a primary method for improving the safety of medication administration in acute
care. Thi…
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - Breadcrumb
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psnet.ahrq.gov/node/854636/psn-pdf
October 18, 2023 - Primary care teams' reported actions to improve
medication safety: a qualitative study with insights in
high reliability organising.
October 18, 2023
Young RA, Gurses AP, Fulda KG, et al. Primary care teams’ reported actions to improve medication safety:
a qualitative study with insights in high reliability organi…
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psnet.ahrq.gov/node/47714/psn-pdf
March 27, 2019 - Quality improvement in ambulatory surgery centers: a
major national effort aimed at reducing infections and
other surgical complications.
March 27, 2019
Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major
National Effort Aimed at Reducing Infections and Other Surgical C…
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psnet.ahrq.gov/node/73676/psn-pdf
September 08, 2021 - Organizational readiness to change as a leverage point
for improving safety: a national nursing home survey.
September 8, 2021
Quach ED, Kazis LE, Zhao S, et al. Organizational readiness to change as a leverage point for improving
safety: a national nursing home survey. BMC Health Serv Res. 2021;21(1):842. doi:10.1…
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psnet.ahrq.gov/node/42682/psn-pdf
January 01, 2015 - Review article: improving the hospital clinical handover
between paramedics and emergency department staff in
the deteriorating patient.
November 13, 2013
Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between
paramedics and emergency department staff in the deteriorating pa…
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psnet.ahrq.gov/node/50935/psn-pdf
February 26, 2020 - Moving from knowledge to action: improving safety and
quality of care for patients with limited English
proficiency.
February 26, 2020
Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care
for patients with limited English proficiency. Clin Pediatr (Phila). 2020;59…
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psnet.ahrq.gov/node/35407/psn-pdf
September 11, 2009 - Liability reform should make patients safer: "Avoidable
classes of events" are a key improvement.
September 11, 2009
Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a
key improvement. J Law Med Ethics. 2005;33(3):478-500.
https://psnet.ahrq.gov/issue/liabili…
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psnet.ahrq.gov/node/46569/psn-pdf
November 15, 2017 - Identifying patient-centred recommendations for
improving patient safety in General Practices in England:
a qualitative content analysis of free-text responses using
the Patient Reported Experiences and Outcomes of Safety
in Primary Care (PREOS-PC) questionnaire.
November 15, 2017
Ricci-Cabello I, Saletti-Cuesta …
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psnet.ahrq.gov/node/37091/psn-pdf
March 02, 2016 - The tension between needing to improve care and
knowing how to do it.
March 2, 2016
Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how
to do it. N Engl J Med. 2007;357(6):608-13.
https://psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
…
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psnet.ahrq.gov/node/60195/psn-pdf
April 01, 2020 - What every health lawyer should know about the Patient
Safety and Quality Improvement Act of 2005.
April 1, 2020
Hanzal M. What every health lawyer should know about the Patient Safety and Quality Improvement Act of
2005. J Health Life Sci Law. 2020;13(2):71-88.
https://psnet.ahrq.gov/issue/what-every-health-lawye…
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psnet.ahrq.gov/node/60249/psn-pdf
April 22, 2020 - Interventions designed to improve the safety and quality
of therapeutic anticoagulation in an inpatient electronic
medical record.
April 22, 2020
Austin J, Barras M, Sullivan C. Interventions designed to improve the safety and quality of therapeutic
anticoagulation in an inpatient electronic medical record. Int J …