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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42581/psn-pdf
    July 12, 2016 - Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement—Workshop Proceedings. July 12, 2016 Roundtable on Value and Science Driven Healthcare; Institute of Medicine. Washington, DC: National Academies Press; 2013. ISBN: 9780309288965. https://psnet.ahrq.gov/issue/partnering-patients-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35310/psn-pdf
    January 02, 2017 - Using the AHRQ Quality Indicators to improve health care quality. January 2, 2017 Elixhauser A, Pancholi M, Clancy CM. Using the AHRQ Quality Indicators to Improve Health Care Quality. Jt Comm J Qual Patient Saf. 2016;31(9):533-538. doi:10.1016/s1553-7250(05)31069-5. https://psnet.ahrq.gov/issue/using-ahrq-quality…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40036/psn-pdf
    November 24, 2010 - Integrating CUSP and TRIP to improve patient safety. November 24, 2010 Romig M, Goeschel CA, Pronovost P, et al. Integrating CUSP and TRIP to improve patient safety. Hosp Pract (1995). 2010;38(4):114-21. doi:10.3810/hp.2010.11.348. https://psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety This …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41484/psn-pdf
    September 26, 2012 - An institution-wide handoff task force to standardise and improve physician handoffs. September 26, 2012 Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve physician handoffs. BMJ Qual Saf. 2012;21(10):863-71. https://psnet.ahrq.gov/issue/institution-wide-ha…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50939/psn-pdf
    February 26, 2020 - Homecare safety virtual quality improvement collaboratives February 26, 2020 Miller W, Asselbergs M, Bank J, et al. Homecare safety virtual quality improvement collaboratives. Healthc Q. 2020;22(SP). doi:10.12927/hcq.2020.26042. https://psnet.ahrq.gov/issue/homecare-safety-virtual-quality-improvement-collaborative…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39500/psn-pdf
    January 03, 2017 - Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. January 3, 2017 Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16. https://psnet.ahrq.gov/issue/using-situ-simulation-improve-h…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38137/psn-pdf
    October 15, 2008 - Ethical and legal issues in the use of health information technology to improve patient safety. October 15, 2008 Berner ES. Ethical and legal issues in the use of health information technology to improve patient safety. HEC Forum. 2008;20(3):243-58. doi:10.1007/s10730-008-9074-5. https://psnet.ahrq.gov/issue/ethic…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38316/psn-pdf
    March 04, 2009 - Practising open disclosure: clinical incident communication and systems improvement. March 4, 2009 Iedema R, Jorm C, Wakefield J, et al. Practising Open Disclosure: clinical incident communication and systems improvement. Sociol Health Illn. 2009;31(2):262-77. doi:10.1111/j.1467-9566.2008.01131.x. https://psnet.ah…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42224/psn-pdf
    April 24, 2013 - Top 10 ways to improve patient safety now. April 24, 2013 O'Reilly KB. https://psnet.ahrq.gov/issue/top-10-ways-improve-patient-safety-now This news article highlights patient safety improvement strategies covered in the AHRQ Making Health Care Safer II report. https://psnet.ahrq.gov/issue/top-10-ways-improve-pat…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39558/psn-pdf
    May 26, 2010 - ReCASTing the RCA: an improved model for performing root cause analyses. May 26, 2010 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. https://psnet.ahrq.gov/issue/recasting-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40658/psn-pdf
    August 03, 2011 - Development and validation of a tool to improve paediatric referral/consultation communication. August 3, 2011 Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. doi:10.1136/bmjqs.2010.045781. https:…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35090/psn-pdf
    June 22, 2009 - Improving end of life care: an information systems approach to reducing medical errors. June 22, 2009 Tamang S, Kopec D, Shagas G, et al. Improving end of life care: an information systems approach to reducing medical errors. Stud Health Technol Inform. 2005;114:93-104. https://psnet.ahrq.gov/issue/improving-end-l…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40374/psn-pdf
    April 13, 2011 - Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. April 13, 2011 Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern Med. 2011;171(6):487-8. doi:10.1001/arc…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39863/psn-pdf
    January 04, 2011 - Improving the quality of drug error reporting. January 4, 2011 Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract. 2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x. https://psnet.ahrq.gov/issue/improving-quality-drug-error-reporting This analysis of voluntarily…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35989/psn-pdf
    September 17, 2010 - Using preprinted medication order forms to improve the safety of investigational drug use. September 17, 2010 Tamer H, Shehab N. Using preprinted medication order forms to improve the safety of investigational drug use. Am J Health Syst Pharm. 2006;63(11):1022, 1025-1026, 1028. https://psnet.ahrq.gov/issue/using-p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43603/psn-pdf
    October 15, 2014 - Coaching to improve the quality of communication during briefings and debriefings. October 15, 2014 Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012. https://psnet.ahrq.gov/issue/coachi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36557/psn-pdf
    July 14, 2010 - Adoption of technology to improve medication safety: perspectives of pharmacy directors. July 14, 2010 Bussard BE, McAlearney AS, Pedersen CA, et al. Adoption of Technology to Improve Medication Safety. J Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000236914.48955.99. https://psnet.ahrq.gov/issue/adoption-technolo…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37434/psn-pdf
    January 02, 2008 - Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. January 2, 2008 Menachemi N; Saunders C; Chukmaitov A; Matthews MC; Brooks RG. https://psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study- 98-hospitals Hosp…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36050/psn-pdf
    January 02, 2017 - Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. January 2, 2017 Just S, Schepers G, Piotrowski MM, et al. Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. Jt Comm J Qual Patient Saf. 2006;32(7):366-72. https://psnet.ahrq.gov/issu…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42304/psn-pdf
    November 21, 2016 - Strategies for improving family engagement during family-centered rounds. November 21, 2016 Kelly MM, Xie A, Carayon P, et al. Strategies for improving family engagement during family-centered rounds. J Hosp Med. 2013;8(4):201-7. doi:10.1002/jhm.2022. https://psnet.ahrq.gov/issue/strategies-improving-family-engage…

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