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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37024/psn-pdfJanuary 02, 2017 - Every error a treasure: improving medication use with a nonpunitive reporting system. January 2, 2017 Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.1016/s1553- 7250(07)33046-8. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40391/psn-pdfApril 20, 2011 - The ongoing quality improvement journey: next stop, high reliability. April 20, 2011 Chassin MR, Loeb JM. The ongoing quality improvement journey: next stop, high reliability. Health Aff (Millwood). 2011;30(4):559-68. doi:10.1377/hlthaff.2011.0076. https://psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39509/psn-pdfAugust 08, 2010 - Bad stars or guiding lights? Learning from disasters to improve patient safety. August 8, 2010 Hughes C, Travaglia JF, Braithwaite J. Bad stars or guiding lights? Learning from disasters to improve patient safety. Qual Saf Health Care. 2010;19(4):332-6. doi:10.1136/qshc.2008.030148. https://psnet.ahrq.gov/issue/ba… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35730/psn-pdfJuly 14, 2010 - Patient Safety and Quality Improvement Act of 2005: what you need to know. July 14, 2010 Rohrich RJ. Patient Safety and Quality Improvement Act of 2005: what you need to know. Plast Reconstr Surg. 2006;117(2):671-2. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-what-you-need-know Th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45075/psn-pdfMay 18, 2019 - NHS Improvement. May 18, 2019 NHS England. https://psnet.ahrq.gov/issue/nhs-improvement The National Health Service (NHS) has been a global leader in patient safety improvement since the publication of An Organization With a Memory in 2000. This government resource combines several NHS initiatives—such as the Nat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42550/psn-pdfJune 27, 2018 - Using Six Sigma to improve patient safety in the perioperative process. June 27, 2018 Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41. https://psnet.ahrq.gov/issue/using-six-sigma-improve-patient-safety-perioperative-process This magazine article describes how… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42045/psn-pdfFebruary 13, 2013 - Improving patient safety through the systematic evaluation of patient outcomes. February 13, 2013 Forster AJ, Dervin G, Martin C, et al. Improving patient safety through the systematic evaluation of patient outcomes. Can J Surg. 2012;55(6):418-25. doi:10.1503/cjs.007811. https://psnet.ahrq.gov/issue/improving-pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42185/psn-pdfApril 10, 2013 - Improving patient safety in medicine: is the model of anaesthesia care enough? April 10, 2013 Haller G. Improving patient safety in medicine: is the model of anaesthesia care enough? Swiss Med Wkly. 2013;143:w13770. doi:10.4414/smw.2013.13770. https://psnet.ahrq.gov/issue/improving-patient-safety-medicine-model-an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33900/psn-pdfDecember 06, 2011 - Patient Safety: Supporting a Culture of Continuous Quality Improvement in Hospitals and Other Health Care Organizations. December 6, 2011 Clancy CM, Agency for Health Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/patient-safety-supporting-culture-continuous-quality-improvement-hospitals- and-other-heal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848809/psn-pdfMay 10, 2023 - Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information. May 10, 2023 Allen G, Setzer J, Jones R, et al. Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46848/psn-pdfOctober 13, 2018 - Identifying what is known about improving operating room to intensive care handovers: a scoping review. October 13, 2018 Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual. 2018;33(5):540-548. doi:10.1177… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853429/psn-pdfSeptember 13, 2023 - Multifaceted intervention to improve patient safety incident reporting in intensive care units. September 13, 2023 Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428. doi:10.1097/pts.0000000000001… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45746/psn-pdfDecember 14, 2016 - Moving toward improved teamwork in cancer care: the role of psychological safety in team communication. December 14, 2016 Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication. J Oncol Pract. 2016;12(11):1000-1011. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43027/psn-pdfJuly 23, 2014 - Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. July 23, 2014 Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Br J Anaesth. 2014;112(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74179/psn-pdfJanuary 01, 2022 - Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. December 12, 2021 Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst Pharm. 2022;79(4):297-305. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44355/psn-pdfSeptember 02, 2015 - Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures. September 2, 2015 Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):414-420. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48044/psn-pdfJune 12, 2019 - What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. June 12, 2019 Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS? Lessons from aviation to improve patient safety. Br J Oral Maxillofac Surg. 2019;57(5):407-411. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847532/psn-pdfApril 12, 2023 - The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. April 12, 2023 Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. Am J Obstet Gynecol MFM. 2023… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764390/psn-pdfMarch 02, 2022 - Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. March 2, 2022 Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Qual Manag Health Care. 2022;31(4):231-241. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44513/psn-pdfSeptember 23, 2015 - Improving Diagnosis in Health Care. September 23, 2015 Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309377690. https://psnet.ahrq.gov/issue/improving-diagnosis-health-care The National Academy of Me…
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