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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38141/psn-pdf
    October 22, 2008 - Standardised proformas improve patient handover: audit of trauma handover practice. October 22, 2008 Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24. https://psnet.ahrq.gov/issue/standar…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37038/psn-pdf
    September 16, 2011 - Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. September 16, 2011 Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. Anesthesiol Clin. 2007;25(2):225-36. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40262/psn-pdf
    March 02, 2011 - Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. March 2, 2011 Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8. https://psnet.ahrq.gov/issue/leading-clinical-handover-impro…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41683/psn-pdf
    September 19, 2012 - Techniques to improve patient safety in hospitals: what nurse administrators need to know. September 19, 2012 Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5. https://psnet.ahrq.gov/issue/technique…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36863/psn-pdf
    August 29, 2011 - Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. August 29, 2011 Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607. https://psnet.ahrq.gov/issue/embedding-qual…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36613/psn-pdf
    January 14, 2011 - Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. January 14, 2011 Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22(1):26-33. https://psnet.ahrq.gov/issu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37233/psn-pdf
    December 15, 2011 - Nurses improve medication safety with medication allergy and adverse drug reports. December 15, 2011 Valente S, Murray L, Fisher D. Nurses improve medication safety with medication allergy and adverse drug reports. J Nurs Care Qual. 2007;22(4):322-7. https://psnet.ahrq.gov/issue/nurses-improve-medication-safety-me…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42328/psn-pdf
    June 28, 2013 - Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. June 28, 2013 Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaesth. 2013;23(7):647-54. doi:10.1111/pa…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36924/psn-pdf
    April 21, 2011 - A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. April 21, 2011 Davis RL, Wright J, Chalmers F, et al. A cluster randomized clinical trial to improve prescribing patterns in ambulatory pediatrics. PLoS Clin Trials. 2007;2(5):e25. https://psnet.ahrq.gov/issue/cluster-ran…
  14. Psn-Pdf (pdf file)

    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-…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42370/psn-pdf
    June 19, 2013 - Resident Projects for Improvement. June 19, 2013 Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of New Mexico; May 2013. https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition This publication outlines quality and safety improvement proj…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37094/psn-pdf
    February 01, 2011 - Improving patient care by linking evidence-based medicine and evidence-based management. February 1, 2011 Shortell SM, Rundall TG, Hsu J. Improving Patient Care by Linking Evidence-Based Medicine and Evidence-Based Management. JAMA. 2007;298(6). doi:10.1001/jama.298.6.673. https://psnet.ahrq.gov/issue/improving-pa…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40677/psn-pdf
    August 10, 2011 - Board quality scorecards: measuring improvement. August 10, 2011 Goeschel CA, Berenholtz SM, Culbertson R, et al. Board quality scorecards: measuring improvement. Am J Med Qual. 2011;26(4):254-60. doi:10.1177/1062860610389324. https://psnet.ahrq.gov/issue/board-quality-scorecards-measuring-improvement Hospital boa…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41346/psn-pdf
    May 02, 2012 - Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. May 2, 2012 Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future research in healthcare. Safety Sci. 201…

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