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psnet.ahrq.gov/node/34570/psn-pdf
March 07, 2005 - Measuring the Success of the Regional Medication Safety
Program for Hospitals.
March 7, 2005
Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
The Regional Medication Safety Prog…
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psnet.ahrq.gov/node/42380/psn-pdf
December 29, 2014 - Missed medication doses in hospitalised patients: a
descriptive account of quality improvement measures and
time series analysis.
December 29, 2014
Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive
account of quality improvement measures and time series analysi…
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psnet.ahrq.gov/node/47288/psn-pdf
December 21, 2018 - Reframing and addressing horizontal violence as a
workplace quality improvement concern.
December 21, 2018
Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement
concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273.
https://psnet.ahrq.gov/issue/reframing-and…
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psnet.ahrq.gov/node/34586/psn-pdf
July 21, 2009 - Sentara Norfolk General Hospital: accelerating
improvement by focusing on building a culture of safety.
July 21, 2009
Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by
focusing on building a culture of safety. Jt Comm J Qual Patient Saf. 2004;30(10):534-542.
http…
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psnet.ahrq.gov/node/42635/psn-pdf
December 06, 2013 - Improving disclosure and management of medical
error—an opportunity to transform the surgeons of
tomorrow.
December 6, 2013
Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to
transform the surgeons of tomorrow. Surgeon. 2013;11(6):338-43. doi:10.1016/j.surge.20…
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psnet.ahrq.gov/node/43994/psn-pdf
August 02, 2015 - Using simulation to improve patient safety: dawn of a new
era.
August 2, 2015
Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA
Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817.
https://psnet.ahrq.gov/issue/using-simulation-improve-patient-safety-daw…
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psnet.ahrq.gov/node/40443/psn-pdf
November 02, 2011 - In-home medication reviews: a novel approach to
improving patient care through coordination of care.
November 2, 2011
Willis JS, Hoy RH, Jenkins WD. In-home medication reviews: a novel approach to improving patient care
through coordination of care. J Community Health. 2011;36(6):1027-31. doi:10.1007/s10900-011-940…
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psnet.ahrq.gov/node/37067/psn-pdf
October 03, 2011 - Using an interactive voice response system to improve
patient safety following hospital discharge.
October 3, 2011
Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following
hospital discharge. J Eval Clin Pract. 2007;13(3):346-51.
https://psnet.ahrq.gov/issue/using-…
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psnet.ahrq.gov/node/73489/psn-pdf
July 15, 2021 - A diagnostic time-out to improve differential diagnosis in
pediatric abdominal pain.
July 15, 2021
Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric
abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-0054.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/42022/psn-pdf
February 13, 2013 - Improving patient safety using the sterile cockpit
principle during medication administration: a
collaborative, unit-based project.
February 13, 2013
Fore AM, Sculli GL, Albee D, et al. Improving patient safety using the sterile cockpit principle during
medication administration: a collaborative, unit-based projec…
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psnet.ahrq.gov/node/43431/psn-pdf
August 27, 2014 - After Mid Staffordshire: from acknowledgement, through
learning, to improvement.
August 27, 2014
Martin G, Dixon-Woods M. After Mid Staffordshire: from acknowledgement, through learning, to
improvement. BMJ Qual Saf. 2014;23(9):706-8. doi:10.1136/bmjqs-2014-003359.
https://psnet.ahrq.gov/issue/after-mid-staffordsh…
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - The Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis
Introduction
Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - National Patient Safety Goals
Citation Text:
Shaikh U. National Patient Safety Goals. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - Promising Areas for Patient Safety Research
December 1, 2003
Brady JP, Munier WB, Azam I. Promising Areas for Patient Safety Research. PSNet [internet]. 2003.
https://psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
Perspective
Setting a Course for Patient Safety Research
Although patient safety…
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psnet.ahrq.gov/node/60731/psn-pdf
July 29, 2020 - Patient feedback for safety improvement in primary care:
results from a feasibility study.
July 29, 2020
Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a
feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen-2020-037887.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/72697/psn-pdf
February 03, 2021 - Culture of safety: impact on improvement in infection
prevention process and outcomes.
February 3, 2021
Braun B, Chitavi SO, Suzuki H, et al. Culture of Safety: Impact on Improvement in Infection Prevention
Process and Outcomes. Curr Infect Dis Rep. 2020;22(12):34. doi:10.1007/s11908-020-00741-y.
https://psnet.ahr…
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psnet.ahrq.gov/node/44994/psn-pdf
October 11, 2017 - Diagnostic delays and errors in head and neck cancer
patients: opportunities for improvement.
October 11, 2017
Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer
Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335.
doi:10.1177/1062860616638413.
ht…
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psnet.ahrq.gov/node/44255/psn-pdf
November 09, 2015 - Biopsy site selfies—a quality improvement pilot study to
assist with correct surgical site identification.
November 9, 2015
Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct
surgical site identification. Dermatol Surg. 2015;41(4):499-504. doi:10.1097/DSS.00…
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psnet.ahrq.gov/node/39275/psn-pdf
February 03, 2010 - Medical librarians supporting information systems project
lifecycles toward improved patient safety.
February 3, 2010
Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles
toward improved patient safety. Medical librarians possess expertise to navigate various s…
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psnet.ahrq.gov/node/37794/psn-pdf
February 15, 2011 - Using staff perceptions on patient safety as a tool for
improving safety culture in a pediatric hospital system.
February 15, 2011
Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving
Safety Culture in a Pediatric Hospital System. J Patient Saf. 2009;4(2). doi:…