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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…
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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/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/44676/psn-pdf
January 22, 2016 - Nursing assessment of continuous vital sign surveillance
to improve patient safety on the medical/surgical unit.
January 22, 2016
Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve
patient safety on the medical/surgical unit. J Clin Nurs. 2016;25(1-2):278-81. doi:10.…
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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…
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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/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…
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psnet.ahrq.gov/node/44763/psn-pdf
November 18, 2016 - A 'paperless' wall-mounted surgical safety checklist with
migrated leadership can improve compliance and team
engagement.
November 18, 2016
Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated
leadership can improve compliance and team engagement. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/39256/psn-pdf
November 14, 2011 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2009.
November 14, 2011
Oakbrook Terrace, IL: The Joint Commission; January 2010.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2009
America's hospitals continu…
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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 …
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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…
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psnet.ahrq.gov/node/39460/psn-pdf
March 23, 2011 - Applying root cause analysis to improve patient safety:
decreasing falls in postpartum women.
March 23, 2011
Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in
postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.1136/qshc.2008.028787.
https://psnet.a…
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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/47171/psn-pdf
June 27, 2018 - The safety stand-down: a technique for improving and
sustaining hand hygiene compliance among health care
personnel.
June 27, 2018
Cunningham D, Brilli RJ, McClead RE, et al. The Safety Stand-down: A Technique for Improving and
Sustaining Hand Hygiene Compliance Among Health Care Personnel. J Patient Saf. 2018;14(…
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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…
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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…
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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…
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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…
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psnet.ahrq.gov/node/45032/psn-pdf
July 21, 2016 - From tokenism to empowerment: progressing patient and
public involvement in healthcare improvement.
July 21, 2016
Ocloo J, Matthews R. From tokenism to empowerment: progressing patient and public involvement in
healthcare improvement. BMJ Qual Saf. 2016;25(8):626-32. doi:10.1136/bmjqs-2015-004839.
https://psnet.ah…
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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 …