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psnet.ahrq.gov/node/72475/psn-pdf
November 18, 2020 - Omissions of care in nursing homes: a uniform definition
for research and quality improvement.
November 18, 2020
Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for
research and quality improvement. J Am Med Dir Assoc. 2020;21(11):1587-1591.e2.
doi:10.1016/j.jamda…
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psnet.ahrq.gov/node/854388/psn-pdf
October 11, 2023 - Improving care safety by characterizing task interruptions
during interactions between healthcare professionals: an
observational study.
October 11, 2023
Teigné D, Cazet L, Birgand G, et al. Improving care safety by characterizing task interruptions during
interactions between healthcare professionals: an observat…
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psnet.ahrq.gov/node/45876/psn-pdf
January 01, 2021 - Making residents part of the safety culture: improving
error reporting and reducing harms.
February 15, 2017
Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error
Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378.
doi:10.1097/PTS.0000000000000344.
https://…
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psnet.ahrq.gov/node/47896/psn-pdf
July 10, 2019 - Engaging patients and informal caregivers to improve
safety and facilitate person- and family-centered care
during transitions from hospital to home: a qualitative
descriptive study.
July 10, 2019
Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety and facilitate
person- and family…
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psnet.ahrq.gov/node/73187/psn-pdf
April 28, 2021 - Improving handoff by deliberate cognitive processing:
results from a randomized controlled experimental study.
April 28, 2021
van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results
from a randomized controlled experimental study. Jt Comm J Qual Patient Saf. 2020;47(4…
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psnet.ahrq.gov/node/836822/psn-pdf
March 30, 2022 - Leveraging a safety event management system to
improve organizational learning and safety culture.
March 30, 2022
Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve
organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021-
006…
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psnet.ahrq.gov/node/860722/psn-pdf
January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest
- Are they useful for improvements?
January 17, 2024
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements?
Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
https://psnet.ahrq.gov/issue/ten-y…
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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/39243/psn-pdf
February 10, 2015 - Advancing nursing home quality through quality
improvement itself.
February 10, 2015
Werner RM, Konetzka RT. Advancing Nursing Home Quality Through Quality Improvement Itself. Health
Aff. 2010;29(1):81-86. doi:10.1377/hlthaff.2009.0555.
https://psnet.ahrq.gov/issue/advancing-nursing-home-quality-through-quality-im…
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psnet.ahrq.gov/node/40039/psn-pdf
December 01, 2010 - How to use an article about quality improvement.
December 1, 2010
Fan E, Laupacis A, Pronovost P, et al. How to use an article about quality improvement. JAMA.
2010;304(20):2279-87. doi:10.1001/jama.2010.1692.
https://psnet.ahrq.gov/issue/how-use-article-about-quality-improvement
Part of the Users' Guides to the M…
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psnet.ahrq.gov/node/35427/psn-pdf
September 11, 2009 - Information behavior in the context of improving patient
safety.
September 11, 2009
MacIntosh-Murray A, Choo CW. Information behavior in the context of improving patient safety. Journal of
the American Society for Information Science and Technology. 2005;56(12). doi:10.1002/asi.20228.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/37681/psn-pdf
April 09, 2008 - Navigating towards improved surgical safety using
aviation-based strategies.
April 9, 2008
Kao LS, Thomas EJ. Navigating towards improved surgical safety using aviation-based strategies. J Surg
Res. 2008;145(2):327-35.
https://psnet.ahrq.gov/issue/navigating-towards-improved-surgical-safety-using-aviation-based-st…
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psnet.ahrq.gov/node/35608/psn-pdf
July 05, 2013 - Battling the obstetric malpractice crisis: improving
patient safety, part 2.
July 5, 2013
Bernstein PS.
https://psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-2
This article addresses systems issues that need to be resolved in order to improve the safety of obstetric
care…
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psnet.ahrq.gov/node/40438/psn-pdf
August 17, 2011 - Consumers' Priorities for Hospital Quality Improvement
and Implications for Public Reporting.
August 17, 2011
Ginsburg M, Glasmire K. Oakland, CA: California HealthCare Foundation; April 2011.
https://psnet.ahrq.gov/issue/consumers-priorities-hospital-quality-improvement-and-implications-public-
reporting
Examini…
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psnet.ahrq.gov/node/41892/psn-pdf
December 19, 2012 - Improving Patient and Worker Safety—Opportunities for
Synergy, Collaboration and Innovation.
December 19, 2012
Oakbrook Terrace, IL: Joint Commission; 2012.
https://psnet.ahrq.gov/issue/improving-patient-and-worker-safety-opportunities-synergy-collaboration-and-
innovation
This monograph highlights opportunities …
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psnet.ahrq.gov/node/41933/psn-pdf
February 19, 2013 - Overarching goals: a strategy for improving healthcare
quality and safety?
February 19, 2013
Nanji KC, Ferris T, Torchiana DF, et al. Overarching goals: a strategy for improving healthcare quality and
safety? BMJ Qual Saf. 2013;22(3):187-93. doi:10.1136/bmjqs-2012-001082.
https://psnet.ahrq.gov/issue/overarching-g…
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psnet.ahrq.gov/node/50902/psn-pdf
February 12, 2020 - Improving care by using patient feedback.
February 12, 2020
National Institute for Health Research. Southampton, UK: NIHR Dissemination Centre; December 2019.
https://psnet.ahrq.gov/issue/improving-care-using-patient-feedback
Patient feedback is a problematic source of patient safety improvement information. This r…
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psnet.ahrq.gov/issue/improving-medication-safety-high-risk-medicare-beneficiaries-toolkit
October 23, 2019 - Government Resource
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit.
Citation Text:
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agen…
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psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use-research-r18
December 20, 2023 - Government Resource
Advancing Patient Safety Implementation Through Safe Medication Use Research (R18).
Citation Text:
Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Rockville, MD: Agency for Healthcare Research and Quality. PA-14-002.
Copy Citation…
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psnet.ahrq.gov/issue/viewing-health-care-delivery-science-challenges-benefits-and-policy-implications
May 24, 2012 - Commentary
Viewing health care delivery as science: challenges, benefits, and policy implications.
Citation Text:
Pronovost P, Goeschel CA. Viewing health care delivery as science: challenges, benefits, and policy implications. Health Serv Res. 2010;45(5 Pt 2):1508-22. doi:10.1111/j.1…