-
psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Study
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Citation Text:
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…
-
psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring
July 11, 2018 - Book/Report
Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up.
Citation Text:
Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Washington, DC: United St…
-
psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-healthcare-safety-engaging-patients
March 22, 2024 - Book/Report
AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families.
Citation Text:
AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. Rockville, MD: Agency for Healthcare Rese…
-
psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
January 23, 2012 - Commentary
The ongoing quality improvement journey: next stop, high reliability.
Citation Text:
Chassin MR, Loeb JM. The ongoing quality improvement journey: next stop, high reliability. Health Aff (Millwood). 2011;30(4):559-68. doi:10.1377/hlthaff.2011.0076.
Copy Citation
Format…
-
psnet.ahrq.gov/issue/rethinking-medical-ward-quality
November 03, 2015 - Commentary
Rethinking medical ward quality.
Citation Text:
Pannick S, Wachter R, Vincent CA, et al. Rethinking medical ward quality. BMJ. 2016;355:i5417. doi:10.1136/bmj.i5417.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
-
psnet.ahrq.gov/issue/ahrq-health-services-research-project-partners-enabling-diagnostic-excellence-r01
April 20, 2022 - Grant Announcement
AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01).
Citation Text:
AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
-
psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2014
November 23, 2016 - Book/Report
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014.
Citation Text:
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. Oakbrook Terrace, IL: The Joint Commission; November 2014.
Copy Citatio…
-
psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18
May 30, 2018 - Grant Announcement
Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18).
Citation Text:
Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018.…
-
psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
July 15, 2015 - Commentary
Classic
Improving diagnosis in health care—the next imperative for patient safety.
Citation Text:
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…
-
psnet.ahrq.gov/node/42247/psn-pdf
June 12, 2013 - A multicenter, multidisciplinary, high-alert medication
collaborative to improve patient safety: the Singapore
experience.
June 12, 2013
Khoo AL, Teng M, Lim BP, et al. A multicenter, multidisciplinary, high-alert medication collaborative to
improve patient safety: the Singapore experience. Jt Comm J Qual Patient …
-
psnet.ahrq.gov/node/44234/psn-pdf
September 09, 2015 - Improving the reliability of verbal communication between
primary care physicians and pediatric hospitalists at
hospital discharge.
September 9, 2015
Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between
primary care physicians and pediatric hospitalists at hospital d…
-
psnet.ahrq.gov/node/43797/psn-pdf
January 07, 2015 - Building a community engagement approach for patient
safety improvement.
January 7, 2015
Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety
improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044.
https://psnet.ahrq.gov/issue/building-community-engagement-appro…
-
psnet.ahrq.gov/node/38831/psn-pdf
August 05, 2009 - Rural hospital information technology implementation for
safety and quality improvement: lessons learned.
August 5, 2009
Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and
quality improvement: lessons learned. Comput Inform Nurs. 2009;27(4):206-14.
doi:10.1097…
-
psnet.ahrq.gov/node/50673/psn-pdf
November 20, 2019 - The introduction of a Neurosurgical Postoperative
Checklist improved quality of care and patient safety.
November 20, 2019
Hall AJ, Toner NS, Bhatt PM. The introduction of a Neurosurgical Postoperative Checklist improved quality
of care and patient safety. Br J Neurosurg. 2019;33(5):495-499. doi:10.1080/02688697.20…
-
psnet.ahrq.gov/node/41635/psn-pdf
January 18, 2013 - Improvement in the detection of adverse drug events by
the use of electronic health and prescription records: an
evaluation of two trigger tools.
January 18, 2013
Nwulu U, Nirantharakumar K, Odesanya R, et al. Improvement in the detection of adverse drug events by
the use of electronic health and prescription reco…
-
psnet.ahrq.gov/node/60630/psn-pdf
June 24, 2020 - Education is “predictably disappointing” and should
never be relied upon alone to improve safety.
June 24, 2020
ISMP Medication Safety Alert! Acute care edition. June 4, 2020;25(11):1-4.
https://psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-
improve-safety
Interven…
-
psnet.ahrq.gov/node/43605/psn-pdf
October 15, 2014 - Cost-effectiveness of a quality improvement programme
to reduce central line–associated bloodstream infections
in intensive care units in the USA.
October 15, 2014
Herzer KR, Niessen L, Constenla DO, et al. Cost-effectiveness of a quality improvement programme to
reduce central line-associated bloodstream infectio…
-
psnet.ahrq.gov/node/38679/psn-pdf
March 01, 2011 - Improving alarm performance in the medical intensive
care unit using delays and clinical context.
March 1, 2011
Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit
using delays and clinical context. Anesth Analg. 2009;108(5):1546-52.
doi:10.1213/ane.0b013e31819bdfb…
-
psnet.ahrq.gov/node/35417/psn-pdf
February 15, 2010 - Errors in laboratory medicine: practical lessons to
improve patient safety.
February 15, 2010
Howanitz PJ. Errors in laboratory medicine: practical lessons to improve patient safety. Arch Pathol Lab
Med. 2005;129(10):1252-1261.
https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patie…
-
psnet.ahrq.gov/node/46786/psn-pdf
May 30, 2018 - Improving patient safety for older people in acute
admissions: implementation of the Frailsafe checklist in
12 hospitals across the UK.
May 30, 2018
Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions:
implementation of the Frailsafe checklist in 12 hospitals acros…