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psnet.ahrq.gov/node/43243/psn-pdf
June 11, 2014 - Improved incident reporting following the implementation
of a standardized emergency department peer review
process.
June 11, 2014
Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized
emergency department peer review process. Int J Qual Health Care. 2014;26(3):278-86.
d…
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psnet.ahrq.gov/node/36664/psn-pdf
May 27, 2011 - A prospective hazard and improvement analytic approach
to predicting the effectiveness of medication error
interventions.
May 27, 2011
Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to
predicting the effectiveness of medication error interventions. Saf Sci. 2006;45(4).…
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psnet.ahrq.gov/node/38640/psn-pdf
January 18, 2012 - Nurses' responses to medication errors: suggestions for
the development of organizational strategies to improve
reporting.
January 18, 2012
Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of
organizational strategies to improve reporting. J Nurs Care Qual. 2009;24(4):…
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psnet.ahrq.gov/node/41453/psn-pdf
November 26, 2014 - Judging whether a patient is actually improving: more
pitfalls from the science of human perception.
November 26, 2014
Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the
science of human perception. J Gen Intern Med. 2012;27(9):1195-9. doi:10.1007/s11606-012-2097-2.…
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psnet.ahrq.gov/node/42415/psn-pdf
July 24, 2013 - Strategies for improving communication in the
emergency department: mediums and messages in a
noisy environment.
July 24, 2013
Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency
department: mediums and messages in a noisy environment. Jt Comm J Qual Patient Saf. 2013;39(6)…
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psnet.ahrq.gov/node/60833/psn-pdf
September 15, 2020 - Enhancing Your Medication Error Reporting Program to
Improve Global Medication Safety.
August 19, 2020
Institute for Safe Medication Practices. September 15, 2020.
https://psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-
medication-safety
Medication error reporting is key to …
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psnet.ahrq.gov/node/37577/psn-pdf
July 12, 2016 - Optimizing Graduate Medical Trainee (Resident) Hours
and Work Schedules to Improve Patient Safety.
July 12, 2016
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident)
Hours and Work Schedules to Improve Patient Safety. 2009. Washington DC; Institute of Medicine: ISBN:
9781…
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psnet.ahrq.gov/node/50674/psn-pdf
November 20, 2019 - The surgical ward round checklist: improving patient
safety and clinical documentation.
November 20, 2019
Krishnamohan N, Maitra I, Shetty VD. The surgical ward round checklist: improving patient safety and
clinical documentation. J Multidiscip Healthc. 2019;12:789-794. doi:10.2147/JMDH.S178896.
https://psnet.ahrq…
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psnet.ahrq.gov/node/39993/psn-pdf
July 03, 2014 - The influence of organizational context on quality
improvement and patient safety efforts in infection
prevention: a multi-center qualitative study.
July 3, 2014
Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality
improvement and patient safety efforts in infection prev…
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psnet.ahrq.gov/node/39185/psn-pdf
January 06, 2010 - Use of colour-coded labels for intravenous high-risk
medications and lines to improve patient safety.
January 6, 2010
Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines
to improve patient safety. Qual Saf Health Care. 2009;18(6):505-9. doi:10.1136/qshc.2007.…
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psnet.ahrq.gov/node/42221/psn-pdf
April 24, 2013 - Systems approach and systems engineering applied to
health care: improving patient safety and health care
delivery.
April 24, 2013
Ravitz AD, Sapirstein A, Pham JC, et al. Johns Hopkins APL Tech Dig. 2013;31:354-365.
https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improvin…
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psnet.ahrq.gov/node/44270/psn-pdf
July 01, 2015 - Improving Patient Safety Culture Through Teamwork and
Communication: TeamSTEPPS.
July 1, 2015
Chicago, IL: Health Research & Educational Trust; June 2015.
https://psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-
teamstepps
This guide draws from the experience of organizati…
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psnet.ahrq.gov/node/46321/psn-pdf
August 27, 2017 - Using simulation to improve systems-based practices.
August 27, 2017
Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt
Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006.
https://psnet.ahrq.gov/issue/using-simulation-improve-systems-base…
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psnet.ahrq.gov/node/47899/psn-pdf
April 24, 2019 - What words convey: the potential for patient narratives to
inform quality improvement.
April 24, 2019
Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform
Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.12374.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/37679/psn-pdf
June 12, 2008 - Improving patient safety and uniformity of care by a
standardized regimen for the use of oxytocin.
June 12, 2008
Hayes EJ, Weinstein L. Improving patient safety and uniformity of care by a standardized regimen for the
use of oxytocin. Am J Obstet Gynecol. 2008;198(6):622.e1-7. doi:10.1016/j.ajog.2008.01.039.
https…
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psnet.ahrq.gov/node/41112/psn-pdf
February 01, 2012 - Utilizing quality improvement methods to prevent falls
and injury from falls: enhancing resident safety in long-
term care.
February 1, 2012
MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls:
enhancing resident safety in long-term care. J Safety Res. 2011;42(6):…
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psnet.ahrq.gov/node/40062/psn-pdf
July 24, 2011 - Improving medication safety in primary care using
electronic health records.
July 24, 2011
Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J
Patient Saf. 2010;6(4):238-43.
https://psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-heal…
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psnet.ahrq.gov/node/39963/psn-pdf
December 06, 2010 - Critical incident monitoring in paediatric and adult critical
care: from reporting to improved patient outcomes?
December 6, 2010
Frey B, Schwappach DLB. Critical incident monitoring in paediatric and adult critical care: from reporting to
improved patient outcomes? Curr Opin Crit Care. 2010;16(6):649-53.
doi:10.1…
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psnet.ahrq.gov/node/36635/psn-pdf
January 14, 2011 - Six steps from head to hand: a simulator based transfer
oriented psychological training to improve patient safety.
January 14, 2011
Müller MP, Hänsel M, Stehr SN, et al. Six steps from head to hand: a simulator based transfer oriented
psychological training to improve patient safety. Resuscitation. 2007;73(1):137-4…
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psnet.ahrq.gov/node/41771/psn-pdf
March 20, 2018 - Improving Patient Safety Systems for Patients With
Limited English Proficiency: A Guide For Hospitals.
March 20, 2018
Rockville, MD: Agency for Healthcare Research and Quality; September 2012. AHRQ Publication No. 12-
0041.
https://psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-prof…