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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867133/psn-pdf
    November 13, 2024 - Designing an intervention to improve medication safety for nursing home residents based on experiential knowledge related to patient safety culture at the nursing home front line: cocreative process study. November 13, 2024 Juhl MH, Soerensen AL, Vardinghus-Nielsen H, et al. Designing an intervention to improve me…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37856/psn-pdf
    June 16, 2011 - Improving patient safety in intensive care units in Michigan. June 16, 2011 Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09.002. https://psnet.ahrq.gov/issue/improving-patient-safety-intensive-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74098/psn-pdf
    January 01, 2023 - Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study. November 24, 2021 McHale S, Marufu TC, Manning JC, et al. Reducing failure to rescue rates in a paediatric in?patient setting: a 9?year quality improvement study. Nurs Crit Care. 2023;28(1):72-79. doi:10.1111/ni…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836955/psn-pdf
    April 20, 2022 - The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff. April 20, 2022 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022. ISBN: 9780309686259 https://psnet.ahrq.gov/issue/national-imperative-imp…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866745/psn-pdf
    September 18, 2024 - State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. September 18, 2024 Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Pu…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60540/psn-pdf
    November 01, 2016 - Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. November 1, 2016 Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. Jt Comm J Qual Patient Saf. 2016;43(2)…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36902/psn-pdf
    June 09, 2010 - Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. June 9, 2010 Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60612/psn-pdf
    January 01, 2021 - COVID-19: patient safety and quality improvement skills to deploy during the surge. June 24, 2020 Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.1093/intqhc/mzaa050. https://psnet.ahrq…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843329/psn-pdf
    February 01, 2023 - Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. February 1, 2023 Chew MM, Rivas S, Chesser M, et al. Improving administration and documentation of enteral nutrition su…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40364/psn-pdf
    July 01, 2011 - Utilising improvement science methods to optimise medication reconciliation. April 13, 2011 White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845. https://psnet.ahrq.gov/issue/utilising-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60027/psn-pdf
    January 01, 2021 - Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. March 11, 2020 Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high reliability journey at a special hospital f…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46678/psn-pdf
    January 03, 2018 - Measuring patient safety in real time: an essential method for effectively improving the safety of care. January 3, 2018 Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for Effectively Improving the Safety of Care. Ann Intern Med. 2017;167(12). doi:10.7326/m17-2202. h…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45651/psn-pdf
    November 16, 2016 - Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. November 16, 2016 Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851647/psn-pdf
    July 26, 2023 - Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. July 26, 2023 Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Care. 2023;32(3):177-188. doi:10.109…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844550/psn-pdf
    September 01, 2012 - The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. September 1, 2012 Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation program on surgical pathology specimen accessionin…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34775/psn-pdf
    February 07, 2019 - Escape Fire: Lessons for the Future of Health Care. February 7, 2019 Berwick DM. Washington DC: Commonwealth Fund; 2002. https://psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care This report represents an edited version of Donald Berwick’s Plenary Address presented at the Institute for Healthcare Improve…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73490/psn-pdf
    July 14, 2021 - Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. July 14, 2021 Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. BMC Health Serv Res. 2021;21(1). doi:10.1186/s12913-021-0…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37927/psn-pdf
    March 10, 2011 - A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. March 10, 2011 Matheny ME, Sequist TD, Seger AC, et al. A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. J Am Med Inform Assoc. 2008;15(4):424-9. doi:10.1197/jamia.M2602. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60580/psn-pdf
    January 01, 2022 - Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. June 10, 2020 Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement projec…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35813/psn-pdf
    April 06, 2011 - Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? April 6, 2011 Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork training for emergency department staff: does it improve clinical team…

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