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psnet.ahrq.gov/node/47249/psn-pdf
July 25, 2018 - Survey results: smart pump data analytics pump metrics
that should be monitored to improve safety.
July 25, 2018
ISMP Medication Safety Alert! Acute care edition. July 12, 2018;23:1-4.
https://psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-
improve-safety
Smart pump…
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psnet.ahrq.gov/node/35497/psn-pdf
June 30, 2011 - Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process.
June 30, 2011
Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16.
https://psnet.ahr…
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psnet.ahrq.gov/node/837632/psn-pdf
July 06, 2022 - Serious experience events: applying patient safety
concepts to improve patient experience.
July 6, 2022
Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety
concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026.
doi:10.1177/23743735221102670.
…
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psnet.ahrq.gov/node/848813/psn-pdf
May 10, 2023 - Blood and blood products transfusion errors: what can
we do to improve patient safety.
May 10, 2023
Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient
safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326.
https://psnet.ahrq.gov/issue/blood-and-blood-p…
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psnet.ahrq.gov/node/840149/psn-pdf
November 16, 2022 - Developing strategic recommendations for implementing
smart pumps in advanced healthcare systems to improve
intravenous medication safety.
November 16, 2022
Sutherland A, Jones MD, Howlett M, et al. Developing strategic recommendations for implementing smart
pumps in advanced healthcare systems to improve intraven…
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psnet.ahrq.gov/node/853242/psn-pdf
September 06, 2023 - Protocolization of analgesia and sedation through smart
technology in intensive care: improving patient safety.
September 6, 2023
Ojeda IM, Sánchez-Cuervo M, Candela-Toha Á, et al. Protocolization of Analgesia and Sedation Through
Smart Technology in Intensive Care: Improving Patient Safety. Crit Care Nurs. 2023;43…
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psnet.ahrq.gov/node/46653/psn-pdf
July 02, 2019 - Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis.
July 2, 2019
Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):841-847.
doi:10.1093/jamia/ocy026.
h…
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psnet.ahrq.gov/node/45384/psn-pdf
November 18, 2016 - Inter-professional clinical handover in post-anaesthetic
care units: tools to improve quality and safety.
November 18, 2016
Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units:
tools to improve quality and safety. Int J Qual Health Care. 2016;28(5):573-579.
htt…
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psnet.ahrq.gov/node/45692/psn-pdf
January 01, 2020 - A patient reported approach to identify medical errors and
improve patient safety in the emergency department.
November 23, 2016
Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and
Improve Patient Safety in the Emergency Department. J Patient Saf. 2020;16(3):211-215.
…
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psnet.ahrq.gov/node/837508/psn-pdf
June 22, 2022 - Creating a learning health system for improving
diagnostic safety: pragmatic insights from US health care
organizations.
June 22, 2022
Giardina TD, Shahid U, Mushtaq U, et al. Creating a learning health system for improving diagnostic safety:
pragmatic insights from US health care organizations. J Gen Intern Med. …
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psnet.ahrq.gov/node/865487/psn-pdf
April 03, 2024 - Evaluation of the design and structure of electronic
medication labels to improve patient health knowledge
and safety: a systematic review.
April 3, 2024
Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels
to improve patient health knowledge and safety: a sy…
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psnet.ahrq.gov/node/47902/psn-pdf
April 24, 2019 - Recommendations from a national panel on quality
improvement in obstetrics.
April 24, 2019
Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality
Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.02.011.
https://psnet.ahrq.gov/issue/r…
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psnet.ahrq.gov/node/44117/psn-pdf
December 04, 2016 - The TRANSFORM patient safety project: a microsystem
approach to improving outcomes on inpatient units.
December 4, 2016
Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem
approach to improving outcomes on inpatient units. J Gen Intern Med. 2015;30(4):425-33.
doi:10.1007…
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psnet.ahrq.gov/node/849121/psn-pdf
May 17, 2023 - Thematic reviews of patient safety incidents as a tool for
systems thinking: a quality improvement report.
May 17, 2023
Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality
improvement report. BMJ Open Qual. 2023;12(2):e002020. doi:10.1136/bmjoq-2022-002020.
https://psne…
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psnet.ahrq.gov/node/44350/psn-pdf
July 29, 2015 - Reporting and using near-miss events to improve patient
safety in diverse primary care practices: a collaborative
approach to learning from our mistakes.
July 29, 2015
Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in
Diverse Primary Care Practices: A Collaborat…
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psnet.ahrq.gov/node/47223/psn-pdf
August 14, 2018 - Six Building Blocks: A Team-Based Approach to
Improving Opioid Management in Primary Care.
August 14, 2018
MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute,
University of Washington.
https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
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psnet.ahrq.gov/node/47368/psn-pdf
September 12, 2018 - Using co-design to develop a collective leadership
intervention for healthcare teams to improve safety
culture.
September 12, 2018
Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for
Healthcare Teams to Improve Safety Culture. Int J Environ Res Public Health. 20…
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psnet.ahrq.gov/node/851458/psn-pdf
July 19, 2023 - Improving handoffs in the perioperative environment: a
conceptual framework of key theories, system factors,
methods, and core interventions to ensure success.
July 19, 2023
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a
conceptual framework of key theories, syste…
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psnet.ahrq.gov/node/844555/psn-pdf
February 15, 2023 - AHRQ-Funded Patient Safety Project Highlights:
Improving Healthcare Safety by Engaging Patients and
Families.
February 15, 2023
Rockville, MD: Agency for Healthcare Research and Quality; January 2023. AHRQ Pub. No.22(23)-0065-1.
https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-h…
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psnet.ahrq.gov/node/836710/psn-pdf
March 09, 2022 - Implementation of an antibiotic stewardship program in
long-term care facilities across the US.
March 9, 2022
doi:http://www.doi.org/10.1001/jamanetworkopen.2022.0181.
https://psnet.ahrq.gov/issue/implementation-antibiotic-stewardship-program-long-term-care-facilities-
across-us
Overuse of antibiotics has been co…