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psnet.ahrq.gov/node/865978/psn-pdf
May 29, 2024 - Ensuring safe and equitable discharge: a quality
improvement initiative for individuals with hypertensive
disorders of pregnancy.
May 29, 2024
Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement
initiative for individuals with hypertensive disorders of pregnancy.…
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psnet.ahrq.gov/node/47697/psn-pdf
April 03, 2019 - Engineering a foundation for partnership to improve
medication safety during care transitions.
April 3, 2019
Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety
during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. doi:10.1177/2516043518821497.
https://p…
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psnet.ahrq.gov/node/39860/psn-pdf
September 01, 2017 - Interventions to improve hand hygiene compliance in
patient care.
September 1, 2017
Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care.
Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4.
https://psnet.ahrq.gov/issue/interventions-i…
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psnet.ahrq.gov/node/41741/psn-pdf
October 10, 2012 - Improving America's Hospitals—The Joint Commission's
Annual Report on Quality and Safety.
October 10, 2012
Oakbrook Terrace, IL: Joint Commission.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety
The Joint Commission's annual report summarizes hospital …
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psnet.ahrq.gov/node/42052/psn-pdf
December 21, 2014 - Improved prophylaxis and decreased rates of preventable
harm with the use of a mandatory computerized clinical
decision support tool for prophylaxis for venous
thromboembolism in trauma.
December 21, 2014
Haut ER, Lau BD, Kraenzlin FS, et al. Improved prophylaxis and decreased rates of preventable harm with
the u…
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psnet.ahrq.gov/node/50893/psn-pdf
February 12, 2020 - The Rural VA Multi-Center Medication Reconciliation
Quality Improvement Study (R-VA-MARQUIS).
February 12, 2020
Presley CA, Wooldridge KT, Byerly SH, et al. The Rural VA Multi-Center Medication Reconciliation Quality
Improvement Study (R-VA-MARQUIS). Am J Health Syst Pharm. 2020;77(2):128-137.
doi:10.1093/ajhp/zxz…
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psnet.ahrq.gov/node/45522/psn-pdf
January 01, 2020 - Is communication improved with the implementation of an
obstetrical version of the World Health Organization safe
surgery checklist?
November 9, 2016
Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of
an Obstetrical Version of the World Health Organization Safe Sur…
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psnet.ahrq.gov/node/46038/psn-pdf
July 05, 2017 - Significant and sustained reduction in chemotherapy
errors through improvement science.
July 5, 2017
Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through
improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.2017.020842.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/45119/psn-pdf
November 18, 2016 - Encouraging employees to speak up to prevent
infections: opportunities to leverage quality improvement
and care management processes.
November 18, 2016
Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to
leverage quality improvement and care management processes. Am …
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psnet.ahrq.gov/node/867757/psn-pdf
March 12, 2025 - Improving medication-related safety for residents in
nursing homes: a qualitative study.
March 12, 2025
Shieu B, Lee Y-W, Epps F, et al. Improving medication-related safety for residents in nursing homes: a
qualitative study. J Gerontol Nurs. 2025;51(3):38-43. doi:10.3928/00989134-20250102-03.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/46324/psn-pdf
August 09, 2017 - IHI Framework for Improving Joy in Work.
August 9, 2017
Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a…
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psnet.ahrq.gov/node/867527/psn-pdf
January 15, 2025 - Interventions to improve timely cancer diagnosis: an
integrative review.
January 15, 2025
Graber ML, Winters BD, Matin R, et al. Interventions to improve timely cancer diagnosis: an integrative
review. Diagnosis (Berl). 2024;Epub Oct 18. doi:10.1515/dx-2024-0113.
https://psnet.ahrq.gov/issue/interventions-improve-…
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psnet.ahrq.gov/node/74704/psn-pdf
January 26, 2022 - Improving self-reported empathy and communication
skills through harm in healthcare response training.
January 26, 2022
Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills
through harm in healthcare response training. J Patient Saf Risk Manage. 2021;26(6):251-260.
doi…
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psnet.ahrq.gov/node/40962/psn-pdf
December 14, 2011 - American College of Surgeons' Committee on Trauma
performance improvement and patient safety program:
maximal impact in a mature trauma center.
December 14, 2011
Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma
Performance Improvement and Patient Safety program: …
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psnet.ahrq.gov/node/74852/psn-pdf
February 23, 2022 - Use of a structured approach and virtual simulation
practice to improve diagnostic reasoning.
February 23, 2022
Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to
improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:10.1515/dx-2020-0160.
https://…
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psnet.ahrq.gov/node/38174/psn-pdf
November 05, 2008 - National Surgical Quality Improvement Program.
November 5, 2008
American College of Surgeons.
https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
During the 1980s, the Department of Veterans Affairs (VA) received significant public scrutiny over the
quality of surgical care in their hospital…
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psnet.ahrq.gov/node/838255/psn-pdf
October 05, 2022 - Opportunities to Improve Patient Safety, Advancing U.S.
Innovation, and Innovation Hubs.
October 5, 2022
President’s Council of Advisors on Science and Technology. Washington, DC: White House; September
21, 2022.
https://psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovati…
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psnet.ahrq.gov/node/47737/psn-pdf
March 06, 2019 - Quality improvement and safety in pediatric emergency
medicine.
March 6, 2019
Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine.
Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010.
https://psnet.ahrq.gov/issue/quality-improvement-and-safety-pedia…
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psnet.ahrq.gov/node/39767/psn-pdf
August 18, 2010 - Improving safety culture on adult medical units through
multidisciplinary teamwork and communication
interventions: the TOPS Project.
August 18, 2010
Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through
multidisciplinary teamwork and communication interventions: the TO…
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psnet.ahrq.gov/node/73653/psn-pdf
September 01, 2021 - Improving diagnostic performance through feedback: the
Diagnosis Learning Cycle.
September 1, 2021
Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback:
the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bmjqs-2020-012456.
https://psnet.ahrq…