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psnet.ahrq.gov/node/44973/psn-pdf
April 06, 2016 - Competencies for patient safety and quality improvement:
a synthesis of recommendations in influential position
papers.
April 6, 2016
Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis
of Recommendations in Influential Position Papers. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/node/73565/psn-pdf
August 04, 2021 - Healthcare worker serious safety events: applying
concepts from patient safety to improve healthcare
worker safety.
August 4, 2021
Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from
patient safety to improve healthcare worker safety. Pediatr Qual Saf. 2021;6(4):e43…
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psnet.ahrq.gov/node/840255/psn-pdf
November 16, 2022 - Using Human Factors Engineering and the SEIPS Model
to Advance Patient Safety in Care Transitions
November 16, 2022
Carayon P, Werner N, Makkenchery A, et al. Using Human Factors Engineering and the SEIPS Model to
Advance Patient Safety in Care Transitions . PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspecti…
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psnet.ahrq.gov/issue/how-guide-prevent-obstetrical-adverse-events
August 08, 2012 - Book/Report
How-to Guide: Prevent Obstetrical Adverse Events.
Citation Text:
How-to Guide: Prevent Obstetrical Adverse Events. Cambridge, MA: Institute for Healthcare Improvement; 2012.
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psnet.ahrq.gov/issue/recommendations-no-action-improving-effectiveness-quality-and-safety-recommendations
January 16, 2025 - Book/Report
Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare.
Citation Text:
Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety In…
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psnet.ahrq.gov/issue/assessing-effectiveness-quality-improvement-strategies-europe-marquis-project
January 28, 2015 - Special or Theme Issue
Assessing the effectiveness of quality improvement strategies in Europe: the MARQuIS project.
Citation Text:
Assessing the effectiveness of quality improvement strategies in Europe: the MARQuIS project. Qual Saf Health Care. 2009;18(suppl 1):i1-i80.
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psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research-funded-projects
December 24, 2008 - Government Resource
Improving Patient Safety Through Simulation Research: Funded Projects.
Citation Text:
Improving Patient Safety Through Simulation Research: Funded Projects. Agency for Healthcare Quality and Research; AHRQ.
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psnet.ahrq.gov/node/33590/psn-pdf
September 15, 2024 - Leadership Role in Improving Safety
September 15, 2024
Leadership Role in Improving Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/leadership-role-improving-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and p…
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psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - Responding to Patient Safety Events
February 26, 2025
Shaikh U. Responding to Patient Safety Events. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/responding-patient-safety-events
Background
Patient safety events that occur in health care facilities require prompt action to ensure that further harm is
mit…
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psnet.ahrq.gov/node/39782/psn-pdf
August 25, 2010 - Developing a common language for evaluation questions
in quality and safety improvement.
August 25, 2010
Lambert MF; Shearer H.
https://psnet.ahrq.gov/issue/developing-common-language-evaluation-questions-quality-and-safety-
improvement
This commentary discusses several frameworks for evaluating patient safety an…
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psnet.ahrq.gov/node/41089/psn-pdf
January 25, 2012 - Improving patient safety: lessons from rock climbing.
January 25, 2012
Robertson N. Improving patient safety: lessons from rock climbing. Clin Teach. 2012;9(1):41-4.
doi:10.1111/j.1743-498X.2011.00485.x.
https://psnet.ahrq.gov/issue/improving-patient-safety-lessons-rock-climbing
This commentary proposes that apply…
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psnet.ahrq.gov/node/41477/psn-pdf
June 27, 2012 - Surgical safety checklists: do they improve outcomes?
June 27, 2012
Walker IA, Reshamwalla S, Wilson IH. Surgical safety checklists: do they improve outcomes? Br J
Anaesth. 2012;109(1):47-54. doi:10.1093/bja/aes175.
https://psnet.ahrq.gov/issue/surgical-safety-checklists-do-they-improve-outcomes
This review discus…
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psnet.ahrq.gov/node/36760/psn-pdf
August 23, 2011 - A plan for achieving significant improvement in patient
safety.
August 23, 2011
Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual.
2007;22(2):164-71.
https://psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
The authors describe the u…
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psnet.ahrq.gov/node/35956/psn-pdf
August 02, 2010 - Patient Guide: 10 Ways to Improve Communication with
Your Doctor.
August 2, 2010
Patient Guide: 10 Ways to Improve Communication With Your Doctor. J Patient Saf. 2008;1(4).
doi:10.1097/01.jps.0000199856.82316.50.
https://psnet.ahrq.gov/issue/patient-guide-10-ways-improve-communication-your-doctor
This article lis…
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psnet.ahrq.gov/node/42187/psn-pdf
April 10, 2013 - Insurers' Medical Loss Ratios and Quality Improvement
Spending in 2011.
April 10, 2013
Hall M, McCue MJ. New York, NY: The Commonwealth Fund; March 22, 2013.
https://psnet.ahrq.gov/issue/insurers-medical-loss-ratios-and-quality-improvement-spending-2011
This report found that insurance companies spend on average $…
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psnet.ahrq.gov/node/39147/psn-pdf
January 13, 2010 - Following the patient journey to improve medicines
management and reduce errors.
January 13, 2010
Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing
times. 2009;105(46):12-5.
https://psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-red…
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psnet.ahrq.gov/node/35100/psn-pdf
November 04, 2015 - Patient Safety Improvement Corps: An AHRQ/VA
partnership.
November 4, 2015
AHRQ; Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/patient-safety-improvement-corps-ahrqva-partnership
The Agency for Healthcare Research and Quality announces the 2007–2008 Patient Safety Improvement
Corps (PSI…
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to
Increase Safety and Diagnostic Accuracy Innovation
August 30, 2023
https://psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-
diagnostic-accuracy
Summary
Addressing diagnostic errors to improve outcomes and patient safety h…
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psnet.ahrq.gov/node/42039/psn-pdf
December 31, 2014 - Enhancing patient safety and quality of care by improving
the usability of electronic health record systems:
recommendations from AMIA.
December 31, 2014
Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the
usability of electronic health record systems: recommen…
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psnet.ahrq.gov/node/60222/psn-pdf
April 15, 2020 - Interventions to improve team effectiveness within health
care: a systematic review of the past decade.
April 15, 2020
Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness
within health care: a systematic review of the past decade. Hum Resourc Health. 2020;18(1).
doi:10.…