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psnet.ahrq.gov/node/45671/psn-pdf
November 23, 2016 - America's Hospitals: Improving Quality and Safety—The
Joint Commission's Annual Report 2016.
November 23, 2016
Oakbrook Terrace, IL: The Joint Commission; November 2016.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2016
This Joint Commission annual …
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psnet.ahrq.gov/print/pdf/node/838351
July 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Safety Improvement
Curated Library
Foundations
Improving Diagnosis in Health Care.
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and
Medicine. Washington, DC: National Academies Press; …
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psnet.ahrq.gov/node/47654/psn-pdf
February 27, 2019 - The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient
safety initiatives.
February 27, 2019
Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient safety initiatives. A…
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psnet.ahrq.gov/node/45524/psn-pdf
January 03, 2017 - Using human factors design principles and industrial
engineering methods to improve accuracy and speed of
drug selection with medication trays.
January 3, 2017
Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial
Engineering Methods to Improve Accuracy and Speed of Drug Sel…
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psnet.ahrq.gov/node/858172/psn-pdf
January 01, 2024 - Quality and reporting of large-scale improvement
programmes: a review of maternity initiatives in the
English NHS, 2010–2023.
December 13, 2023
McGowan JE, Attal B, Kuhn I, et al. Quality and reporting of large-scale improvement programmes: a
review of maternity initiatives in the English NHS, 2010–2023. BMJ Qual …
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psnet.ahrq.gov/node/45706/psn-pdf
September 01, 2018 - Improving communication and resolution following
adverse events using a patient-created simulation
exercise.
September 1, 2018
Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following
Adverse Events Using a Patient-Created Simulation Exercise. Health Serv Res. 2016;51 Suppl …
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psnet.ahrq.gov/node/34666/psn-pdf
December 22, 2009 - Error reduction and performance improvement in the
emergency department through formal teamwork training:
evaluation results of the MedTeams project.
December 22, 2009
Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in the emergency
department through formal teamwork training: evaluati…
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psnet.ahrq.gov/node/836925/psn-pdf
April 13, 2022 - Strength of improvement recommendations from
injurious fall investigations: a retrospective multi-incident
analysis.
April 13, 2022
Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall
investigations: a retrospective multi-incident analysis. J Patient Saf. 2022;18(3):e61…
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psnet.ahrq.gov/node/852454/psn-pdf
August 16, 2023 - Supporting carers to improve patient safety and maintain
their well-being in transitions from mental health
hospitals to the community: a prioritisation nominal
group technique.
August 16, 2023
McMullen S, Panagioti M, Planner C, et al. Supporting carers to improve patient safety and maintain their
well?being in …
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psnet.ahrq.gov/node/45072/psn-pdf
May 04, 2016 - Interventions to improve safe sleep among hospitalized
infants at eight children's hospitals.
May 4, 2016
Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, et al. Interventions to Improve Safe Sleep Among
Hospitalized Infants at Eight Children's Hospitals. Hosp Pediatr. 2016;6(2):88-94. doi:10.1542/hpeds.2015-
0121.
…
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psnet.ahrq.gov/node/60059/psn-pdf
August 12, 2020 - Survey shows room for improvement with two new ISMP
Targeted Medication Safety Best Practices.
August 12, 2020
ISMP Medication Safety Alert! Acute care edition. July 30, 2020;25(15).
https://psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety-
best-practices
This article rep…
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psnet.ahrq.gov/node/36834/psn-pdf
August 26, 2011 - Healthcare climate: a framework for measuring and
improving patient safety.
August 26, 2011
Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving
patient safety. Crit Care Med. 2007;35(5):1312-7.
https://psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-i…
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psnet.ahrq.gov/node/44844/psn-pdf
March 02, 2016 - From To Err Is Human to Improving Diagnosis in Health
Care: the risk management perspective.
March 2, 2016
Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk
management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1002/jhrm.21205.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/867134/psn-pdf
November 13, 2024 - Improving adverse drug event reporting by healthcare
professionals.
November 13, 2024
Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare
professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594.
doi:10.1002/14651858.cd012594.pub2.
https://psnet.ahrq.gov/issue/im…
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psnet.ahrq.gov/node/46980/psn-pdf
June 19, 2018 - Can first-year medical students acquire quality
improvement knowledge prior to substantial clinical
exposure? A mixed-methods evaluation of a pre-clerkship
curriculum that uses education as the context for
learning.
June 19, 2018
Brown A, Nidumolu A, Stanhope A, et al. Can first-year medical students acquire qual…
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psnet.ahrq.gov/node/42640/psn-pdf
November 08, 2013 - The Safe Patient Flow Initiative: a collaborative quality
improvement journey at Yale-New Haven Hospital.
November 8, 2013
Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement
journey at Yale-New Haven Hospital. Jt Comm J Qual Patient Saf. 2013;39(10):447-59.
…
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psnet.ahrq.gov/node/44162/psn-pdf
May 27, 2015 - Computerised clinical decision support systems to
improve medication safety in long-term care homes: a
systematic review.
May 27, 2015
Marasinghe KM. Computerised clinical decision support systems to improve medication safety in long-term
care homes: a systematic review. BMJ Open. 2015;5(5):e006539. doi:10.1136/bm…
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psnet.ahrq.gov/node/859343/psn-pdf
December 20, 2023 - Reducing retained foreign objects in the operating room:
a quality improvement initiative.
December 20, 2023
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a
quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847.
https…
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psnet.ahrq.gov/node/47993/psn-pdf
May 15, 2019 - Using near-miss events to improve MRI safety in a large
academic centre.
May 15, 2019
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic
centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
https://psnet.ahrq.gov/issue/using-near-miss-events-imp…
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psnet.ahrq.gov/node/44205/psn-pdf
June 21, 2015 - Teamwork, communication and safety climate: a
systematic review of interventions to improve surgical
culture.
June 21, 2015
Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic
review of interventions to improve surgical culture. BMJ Qual Saf. 2015;24(7):458-67. doi:10.11…