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psnet.ahrq.gov/node/39088/psn-pdf
September 01, 2015 - Laboratory session to improve first-year pharmacy
students' knowledge and confidence concerning the
prevention of medication errors.
September 1, 2015
Kiersma ME, Darbishire PL, Plake KS, et al. Laboratory session to improve first-year pharmacy students'
knowledge and confidence concerning the prevention of medica…
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psnet.ahrq.gov/node/47013/psn-pdf
April 07, 2019 - An electronic intervention to improve safety for pain
patients co-prescribed chronic opioids and
benzodiazepines.
April 7, 2019
Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-
prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448.
doi:…
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psnet.ahrq.gov/node/43516/psn-pdf
June 15, 2017 - Application of failure mode effect analysis to improve the
care of septic patients admitted through the emergency
department.
June 15, 2017
Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of
Septic Patients Admitted Through the Emergency Department. J Patient …
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psnet.ahrq.gov/node/44952/psn-pdf
March 02, 2016 - Engaging pediatric resident physicians in quality
improvement through resident-led morbidity and mortality
conferences.
March 2, 2016
Destino LA, Kahana M, Patel SJ. Engaging Pediatric Resident Physicians in Quality Improvement Through
Resident-Led Morbidity and Mortality Conferences. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/node/48062/psn-pdf
August 07, 2019 - Ten ways to improve medication safety in community
pharmacies.
August 7, 2019
Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003).
2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018.
https://psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies
Med…
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psnet.ahrq.gov/node/45131/psn-pdf
July 20, 2016 - Systematic review and meta-analysis of educational
interventions designed to improve medication
administration skills and safety of registered nurses.
July 20, 2016
Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational
interventions designed to improve medication administr…
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psnet.ahrq.gov/node/43182/psn-pdf
May 14, 2014 - Quality and safety in pediatric anesthesia: how can
guidelines, checklists, and initiatives improve the
outcome?
May 14, 2014
Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines,
checklists, and initiatives improve the outcome? Curr Opin Anaesthesiol. 2014;27(3):323-9…
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psnet.ahrq.gov/node/73878/psn-pdf
September 29, 2021 - Interventions to improve communication at hospital
discharge and rates of readmission: a systematic review
and meta-analysis.
September 29, 2021
Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and
rates of readmission. JAMA Netw Open. 2021;4(8):e2119346. doi:10.100…
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psnet.ahrq.gov/node/42656/psn-pdf
April 21, 2015 - Improving quality and safety of care using
"technovigilance": an ethnographic case study of
secondary use of data from an electronic prescribing and
decision support system.
April 21, 2015
Dixon-Woods M, Redwood S, Leslie M, et al. Improving quality and safety of care using "technovigilance":
an ethnographic case…
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psnet.ahrq.gov/node/43760/psn-pdf
March 20, 2015 - Pending studies at hospital discharge: a pre-post analysis
of an electronic medical record tool to improve
communication at hospital discharge.
March 20, 2015
Kantor MA, Evans KH, Shieh L. Pending studies at hospital discharge: a pre-post analysis of an electronic
medical record tool to improve communication at ho…
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psnet.ahrq.gov/node/841759/psn-pdf
December 21, 2022 - Sources of nurse-sensitive inpatient safety improvement.
December 21, 2022
Dynan L, Smith RB. Sources of nurse?sensitive inpatient safety improvement. Health Serv Res.
2022;57(6):1235-1246. doi:10.1111/1475-6773.13979.
https://psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
Nurses play a …
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psnet.ahrq.gov/node/74236/psn-pdf
January 12, 2022 - Can SBAR be implemented with high fidelity and does it
improve communication between healthcare workers? A
systematic review.
January 12, 2022
Lo L, Rotteau L, Shojania KG. Can SBAR be implemented with high fidelity and does it improve
communication between healthcare workers? A systematic review. BMJ Open. 2021;1…
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psnet.ahrq.gov/node/60938/psn-pdf
January 23, 2020 - A model for improving health care quality for transgender
and gender nonconforming patients.
January 23, 2020
Ding JM, Ehrenfeld JM, Edmiston EK, et al. A model for improving health care quality for transgender and
gender nonconforming patients. Jt Comm J Qual Patient Saf. 2020;46(1):37-43.
doi:10.1016/j.jcjq.2019…
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psnet.ahrq.gov/node/852464/psn-pdf
August 16, 2023 - Notice of Intent to Publish Funding Opportunity
Announcements to Understand and Improve Diagnostic
Safety in Ambulatory Care.
August 16, 2023
Rockville, MD: Agency for Research and Quality; July 27, 2023. Notice Number NOT-HS-23-018.
https://psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announceme…
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psnet.ahrq.gov/node/44060/psn-pdf
November 16, 2015 - Developing person-centred analysis of harm in a
paediatric hospital: a quality improvement report.
November 16, 2015
Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital:
a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44. doi:10.1136/bmjqs-2014-003795…
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psnet.ahrq.gov/node/836827/psn-pdf
March 30, 2022 - Economic evaluation of quality improvement
interventions to prevent catheter-associated urinary tract
infections in the hospital setting: a systematic review.
March 30, 2022
McCleskey SG, Shek L, Grein J, et al. Economic evaluation of quality improvement interventions to prevent
catheter-associated urinary tract i…
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psnet.ahrq.gov/node/47099/psn-pdf
May 16, 2018 - Defense Health Agency Should Improve Tracking of
Serious Adverse Medical Events and Monitoring of
Required Follow-up.
May 16, 2018
Washington, DC: United States Government Accountability Office; April 2018. Publication GAO-18-378.
https://psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-a…
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psnet.ahrq.gov/node/836775/psn-pdf
March 23, 2022 - Embracing multiple aims in healthcare improvement and
innovation.
March 23, 2022
Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation.
Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006.
https://psnet.ahrq.gov/issue/embracing-multiple-aims-healthc…
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psnet.ahrq.gov/node/43850/psn-pdf
March 11, 2015 - Practice and quality improvement: successful
implementation of TeamSTEPPS tools into an academic
interventional ultrasound practice.
March 11, 2015
Gupta RT, Sexton B, Milne J, et al. Practice and quality improvement: successful implementation of
TeamSTEPPS tools into an academic interventional ultrasound practice…
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psnet.ahrq.gov/node/43065/psn-pdf
April 09, 2014 - Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of
health care.
April 9, 2014
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of health care. A…