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psnet.ahrq.gov/node/38351/psn-pdf
January 21, 2009 - Improving patient understanding of prescription drug
label instructions.
January 21, 2009
Davis TC, Federman AD, Bass PF, et al. Improving patient understanding of prescription drug label
instructions. J Gen Intern Med. 2009;24(1):57-62. doi:10.1007/s11606-008-0833-4.
https://psnet.ahrq.gov/issue/improving-patient…
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psnet.ahrq.gov/node/35234/psn-pdf
December 11, 2008 - Using OrgAhead, a computational modeling program, to
improve patient care unit safety and quality outcomes.
December 11, 2008
Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve
patient care unit safety and quality outcomes. Int J Med Inform. 2005;74(7-8):605-13.
http…
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psnet.ahrq.gov/node/41797/psn-pdf
August 20, 2018 - Risk models to improve safety of dispensing high-alert
medications in community pharmacies.
August 20, 2018
Cohen MR, Smetzer JL, Westphal JE, et al. Risk models to improve safety of dispensing high-alert
medications in community pharmacies. J Am Pharm Assoc (2003). 2012;52(5):584-602.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/41072/psn-pdf
January 18, 2012 - Improving medication management through the redesign
of the hospital code cart medication drawer.
January 18, 2012
Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code
Cart Medication Drawer. Human Factors: The Journal of the Human Factors and Ergonomics Society.
2011;5…
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psnet.ahrq.gov/node/45526/psn-pdf
January 01, 2019 - Improving incident reporting among physician trainees.
September 28, 2016
Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient
Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325.
https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train…
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psnet.ahrq.gov/node/41976/psn-pdf
March 11, 2013 - Moving beyond readmission penalties: creating an ideal
process to improve transitional care.
March 11, 2013
Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal
process to improve transitional care. J Hosp Med. 2013;8(2):102-9. doi:10.1002/jhm.1990.
https://psnet.ahr…
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psnet.ahrq.gov/node/50919/psn-pdf
October 03, 2013 - SEIPS 2.0: a human factors framework for studying and
improving the work of healthcare professionals and
patients.
October 3, 2013
Holden RJ, Carayon P, Gurses AP, et al. SEIPS 2.0: a human factors framework for studying and
improving the work of healthcare professionals and patients. Ergonomics. 2013;56(11):1669-…
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psnet.ahrq.gov/node/46158/psn-pdf
October 31, 2017 - Improving care teams' functioning: recommendations
from team science.
October 31, 2017
Fiscella K, Mauksch L, Bodenheimer T, et al. Improving Care Teams' Functioning: Recommendations from
Team Science. Jt Comm J Qual Patient Saf. 2017;43(7):361-368. doi:10.1016/j.jcjq.2017.03.009.
https://psnet.ahrq.gov/issue/impr…
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psnet.ahrq.gov/node/859352/psn-pdf
December 20, 2023 - More hospitals move to confront medical errors head on.
December 20, 2023
Gorenstein D. Tradeoffs. November 16, 2023.
https://psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
Amid governmental guidance to improve safety, front-line perspectives remain an important source for
insight to make im…
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psnet.ahrq.gov/node/41069/psn-pdf
February 21, 2012 - Using the opportunity estimator tool to improve
engagement in a quality and safety intervention.
February 21, 2012
Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve
engagement in a quality and safety intervention. Jt Comm J Qual Patient Saf. 2012;38(1):41-47, 1.
https://p…
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psnet.ahrq.gov/node/42555/psn-pdf
January 15, 2014 - Patient Safety: Committing to Learn and Acting to
Improve.
January 15, 2014
Twigg D, Attree M, eds. Nurse Educ Today. 2014;34(2):159-284.
https://psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
This special issue highlights research exploring educational, learning, and leadersh…
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psnet.ahrq.gov/node/41615/psn-pdf
July 02, 2014 - Implementing a nurse-shadowing program for first-year
medical students to improve interprofessional
collaborations on health care teams.
July 2, 2014
Jain A, Luo E, Yang J, et al. Implementing a nurse-shadowing program for first-year medical students to
improve interprofessional collaborations on health care teams…
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psnet.ahrq.gov/node/45724/psn-pdf
July 21, 2017 - Remembering to learn: the overlooked role of
remembrance in safety improvement.
July 21, 2017
Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual
Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547.
https://psnet.ahrq.gov/issue/remembering-learn-overlooked-role-rem…
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psnet.ahrq.gov/node/43753/psn-pdf
December 10, 2014 - Improving the quality and safety of patient care in cardiac
anesthesia.
December 10, 2014
Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J
Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018.
https://psnet.ahrq.gov/issue/improving-qu…
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psnet.ahrq.gov/node/39861/psn-pdf
September 22, 2010 - A network collaboration implementing technology to
improve medication dispensing and administration in
critical access hospitals.
September 22, 2010
Wakefield DS, Ward MM, Loes JL, et al. A network collaboration implementing technology to improve
medication dispensing and administration in critical access hospital…
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psnet.ahrq.gov/node/41849/psn-pdf
December 05, 2012 - Improving care transitions: current practice and future
opportunities for pharmacists.
December 5, 2012
Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future
opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi:10.1002/phar.1215.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/43018/psn-pdf
March 19, 2014 - Improved obstetric safety through programmatic
collaboration.
March 19, 2014
Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration.
J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131.
https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
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psnet.ahrq.gov/node/42082/psn-pdf
January 24, 2019 - Strategies to improve patient safety: the evidence base
matures.
January 24, 2019
Wachter RM, Pronovost P, Shekelle PG. Strategies to Improve Patient Safety: The Evidence Base
Matures. Ann Intern Med. 2013;158(5_Part_1):350. doi:10.7326/0003-4819-158-5-201303050-00010.
https://psnet.ahrq.gov/issue/strategies-impro…
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psnet.ahrq.gov/node/38746/psn-pdf
July 01, 2009 - Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexisting
hospital electronic health record.
July 1, 2009
Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexist…
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psnet.ahrq.gov/node/47513/psn-pdf
October 24, 2021 - Measurement and Monitoring of Safety Framework
October 24, 2021
Healthcare Excellence Canada.
https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-canada-cpsi-safety-improvement-project
Collaboratives are a recognized strategy to support large-scale improvement. This program works to apply
a framework fo…