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psnet.ahrq.gov/node/34926/psn-pdf
February 03, 2010 - Strategies to improve the patient safety outcome
indicator: preventing or reducing falls.
February 3, 2010
Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home
Healthc Nurse. 2005;23(1):29-36.
https://psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome…
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psnet.ahrq.gov/node/37205/psn-pdf
December 14, 2007 - Health IT implementation stories: HANDS care plan tool
seeks to improve nurse communication at handoff in
AHRQ-funded study.
December 14, 2007
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse-
communication
This art…
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psnet.ahrq.gov/node/35352/psn-pdf
July 20, 2009 - Database construction for improving patient safety by
examining pathology errors.
July 20, 2009
Grzybicki DM, Turcsany B, Becich MJ, et al. Database Construction for Improving Patient Safety by
Examining Pathology Errors. Am J Clin Pathol. 2008;124(4). doi:10.1309/xn25jg7k0jfjb10c.
https://psnet.ahrq.gov/issue/d…
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psnet.ahrq.gov/node/37599/psn-pdf
January 01, 2009 - Improving process while changing practice: FMEA and
medication administration.
March 12, 2008
Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2).
doi:10.1097/01.numa.0000310533.54708.38.
https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and…
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psnet.ahrq.gov/node/42528/psn-pdf
August 21, 2013 - Organising a manuscript reporting quality improvement
or patient safety research.
August 21, 2013
Holzmueller CG, Pronovost P. Organising a manuscript reporting quality improvement or patient safety
research. BMJ Qual Saf. 2013;22(9):777-85. doi:10.1136/bmjqs-2012-001603.
https://psnet.ahrq.gov/issue/organising-ma…
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psnet.ahrq.gov/node/36939/psn-pdf
September 09, 2011 - Internal reporting system to improve a pharmacy's
medication distribution process.
September 9, 2011
Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's
medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202.
https://psnet.ahrq.gov/issue/internal…
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psnet.ahrq.gov/node/42332/psn-pdf
June 12, 2013 - Quality improvement through implementation of
discharge order reconciliation.
June 12, 2013
Lu Y, Clifford P, Bjorneby A, et al. Quality improvement through implementation of discharge order
reconciliation. Am J Health Syst Pharm. 2013;70(9):815-20. doi:10.2146/ajhp120050.
https://psnet.ahrq.gov/issue/quality-impr…
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psnet.ahrq.gov/node/38479/psn-pdf
March 11, 2009 - Assessing the effectiveness of quality improvement
strategies in Europe: the MARQuIS project.
March 11, 2009
Qual Saf Health Care. 2009;18(suppl 1):i1-i80.
https://psnet.ahrq.gov/issue/assessing-effectiveness-quality-improvement-strategies-europe-marquis-
project
Articles in this supplement highlight findings fro…
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psnet.ahrq.gov/node/33647/psn-pdf
March 01, 2007 - The Role of the Patient in Improving Patient Safety
March 1, 2007
Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
Perspective
Patients have three roles in improving patient safety: helping to ensure thei…
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psnet.ahrq.gov/issue/diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-call
September 13, 2023 - Book/Report
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action.
Citation Text:
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…
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psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
November 22, 2017 - Book/Report
Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns.
Citation Text:
Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Washington, DC: United States Government …
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psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
February 03, 2011 - Commentary
Aiming higher to enhance professionalism: beyond accreditation and certification.
Citation Text:
Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818.
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F…
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psnet.ahrq.gov/issue/patient-safety-dialogue-evaluation-intervention-aimed-achieving-improved-patient-safety
December 09, 2020 - Study
Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture.
Citation Text:
Öhrn A, Rutberg H, Nilsen P. Patient safety dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. J Patient Saf. …
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psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children
March 14, 2022 - Commentary
Preventing health care–associated harm in children.
Citation Text:
Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038.
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Format:
DOI Google Scholar PubMed BibTeX …
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psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned-development-action
September 17, 2010 - Study
Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans.
Citation Text:
Vigorito MC, McNicoll L, Adams L, et al. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-orie…
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psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
June 26, 2019 - Commentary
The problem with Plan-Do-Study-Act cycles.
Citation Text:
Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52. doi:10.1136/bmjqs-2015-005076.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
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psnet.ahrq.gov/issue/activating-knowledge-patient-safety-practices-canadian-academic-policy-partnership
January 08, 2015 - Commentary
Activating knowledge for patient safety practices: a Canadian academic-policy partnership.
Citation Text:
Harrison MB, Nicklin W, Owen M, et al. Activating knowledge for patient safety practices: a Canadian academic-policy partnership. Worldviews Evid Based Nurs. 2012;9(1):4…
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psnet.ahrq.gov/issue/new-tool-give-hospitalists-feedback-improve-interprofessional-teamwork-and-advance-patient
February 10, 2015 - Commentary
A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care.
Citation Text:
Chesluk BJ, Bernabeo E, Hess B, et al. A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. Health Aff…
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psnet.ahrq.gov/issue/what-if-transforming-diagnostic-research-leveraging-diagnostic-process-map-engage-patients
October 27, 2021 - Book/Report
What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors.
Citation Text:
Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage …
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psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
November 10, 2010 - Commentary
ReCASTing the RCA: an improved model for performing root cause analyses.
Citation Text:
Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533…