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psnet.ahrq.gov/node/40925/psn-pdf
December 07, 2011 - Improving the discharge process by embedding a
discharge facilitator in a resident team.
December 7, 2011
Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator
in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924.
https://psnet.ahrq.gov/issue/imp…
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psnet.ahrq.gov/node/867013/psn-pdf
October 23, 2024 - Reducing automated dispensing cabinet overrides in the
peri-anesthesia care unit: a quality improvement project.
October 23, 2024
Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-
anesthesia care unit: a quality improvement project. Jt Comm J Qual Patient Saf. …
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psnet.ahrq.gov/node/41726/psn-pdf
September 26, 2012 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2012.
September 26, 2012
Oakbrook Terrace, IL: The Joint Commission; September 2012.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2012
The seventh annual Joint…
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psnet.ahrq.gov/node/837692/psn-pdf
July 20, 2022 - Assessment of changes in visits and antibiotic
prescribing during the Agency for Healthcare Research
and Quality Safety Program for Improving Antibiotic Use
and the COVID-19 Pandemic.
July 20, 2022
Keller SC, Caballero TM, Tamma PD, et al. Assessment of changes in visits and antibiotic prescribing
during the Agen…
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psnet.ahrq.gov/node/37260/psn-pdf
January 02, 2017 - A visual medication schedule to improve anticoagulation
control: a randomized, controlled trial.
January 2, 2017
Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a
randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;33(10):625-35.
https://psnet.ahr…
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psnet.ahrq.gov/node/840484/psn-pdf
November 30, 2022 - Interdisciplinary collaboration across secondary and
primary care to improve medication safety in the elderly
(The IMMENSE study) - a randomized controlled trial.
November 30, 2022
Johansen JS, Halvorsen KH, Svendsen K, et al. Interdisciplinary collaboration across secondary and
primary care to improve medication …
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psnet.ahrq.gov/node/46450/psn-pdf
August 20, 2018 - Improving Diagnostic Quality and Safety Final Report.
August 20, 2018
Washington, DC: National Quality Forum. September 19, 2017.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
Although diagnostic error is a well-recognized source of preventable patient harm, measuring and
mitiga…
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psnet.ahrq.gov/node/41942/psn-pdf
July 24, 2017 - Improving situation awareness to reduce unrecognized
clinical deterioration and serious safety events.
July 24, 2017
Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical
deterioration and serious safety events. Pediatrics. 2013;131(1):e298-308. doi:10.1542/peds.2012-…
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psnet.ahrq.gov/node/35853/psn-pdf
May 20, 2015 - What practices will most improve safety? Evidence-based
medicine meets patient safety.
May 20, 2015
Leape L, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine
meets patient safety. JAMA. 2002;288(4):501-7.
https://psnet.ahrq.gov/issue/what-practices-will-most-improve-safety-evi…
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psnet.ahrq.gov/node/43258/psn-pdf
May 01, 2015 - Interventions employed to improve intrahospital
handover: a systematic review.
May 1, 2015
Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a
systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309.
https://psnet.ahrq.gov/issue/interventions-…
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psnet.ahrq.gov/node/44951/psn-pdf
March 02, 2016 - Using the Targeted Solutions Tool® to improve
emergency department handoffs in a community hospital.
March 2, 2016
Benjamin MF, Hargrave S, Nether K. Using the Targeted Solutions Tool® to Improve Emergency
Department Handoffs in a Community Hospital. Jt Comm J Qual Patient Saf. 2016;42(3):107-118.
https://psnet.ah…
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psnet.ahrq.gov/node/865922/psn-pdf
May 22, 2024 - Pharmacy-driven performance improvement initiative to
increase compliance with intravenous smart pump drug
error reduction systems at a large urban academic
medical center.
May 22, 2024
Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to increase
compliance with intraveno…
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psnet.ahrq.gov/node/72719/psn-pdf
February 10, 2021 - The Diagnostic Error Index: a quality improvement
initiative to identify and measure diagnostic errors.
February 10, 2021
Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to
identify and measure diagnostic errors. J Pediatr. 2021;232:257-263. doi:10.1016/j.jpeds.20…
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psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
April 04, 2011 - Study
Classic
Explaining Michigan: developing an ex post theory of a quality improvement program.
Citation Text:
Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):…
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psnet.ahrq.gov/issue/harnessing-implementation-science-improve-care-quality-and-patient-safety-systematic-review
October 20, 2014 - Review
Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature.
Citation Text:
Braithwaite J, Marks D, Taylor N. Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted …
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psnet.ahrq.gov/issue/defining-diagnostic-error-scoping-review-assess-impact-national-academies-report-improving
March 03, 2021 - Review
Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care.
Citation Text:
Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' r…
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psnet.ahrq.gov/issue/developing-and-evaluating-success-family-activated-medical-emergency-team-quality-improvement
December 02, 2014 - Study
Developing and evaluating the success of a family activated medical emergency team: a quality improvement report.
Citation Text:
Brady PW, Zix J, Brilli RJ, et al. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. BMJ …
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psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
May 01, 2015 - Study
Classic
A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program.
Citation Text:
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…
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psnet.ahrq.gov/issue/situ-simulation-quality-improvement-tool-identify-and-mitigate-latent-safety-threats
February 22, 2023 - Study
In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative.
Citation Text:
Yang CJ, Saggar V, Seneviratne N, et al. In situ simulation as a quality improveme…
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psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
October 21, 2020 - Study
Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives.
Citation Text:
Mackenhauer J, Winsløv J-H, Holmskov J, et al. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiativ…