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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856587/psn-pdf
    January 01, 2024 - Surgical leadership in a culture of safety: an inter- professional study of metrics and tools for improving clinical practice. November 29, 2023 Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter- professional study of metrics and tools for improving clinical practice…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837761/psn-pdf
    August 03, 2022 - The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. August 3, 2022 Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review. Adv …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41725/psn-pdf
    January 01, 2013 - Improving patient handovers from hospital to primary care: a systematic review. October 3, 2012 Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-201209180-00006. https://psnet.ah…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837429/psn-pdf
    January 01, 2022 - Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. January 1, 2022 Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patient Saf. 2022;18(1):e108-e114. d…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43227/psn-pdf
    June 04, 2014 - Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators. June 4, 2014 Mull HJ, Borzecki A, Loveland S, et al. Detecting adverse events in surgery: comparing events detected by the Veterans Health Ad…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866900/psn-pdf
    October 09, 2024 - Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. October 9, 2024 Padula WV, Pronovost PJ. Defects in value associated with hospital-acquired conditions: how improving quality could save U.S. healthcare $50 billion. J Patient Saf. 2024;20(7…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853968/psn-pdf
    January 01, 2024 - When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. September 27, 2023 Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthca…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73300/psn-pdf
    July 01, 2022 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care May 26, 2021 https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care Summary The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge needs,…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33693/psn-pdf
    February 01, 2010 - The Role of Graduate Medical Education (GME) in Improving Patient Safety February 1, 2010 Baron RB, Vidyarthi A. The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety Perspec…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35444/psn-pdf
    March 11, 2011 - Improving acceptance of computerized prescribing alerts in ambulatory care. March 11, 2011 Shah N, Seger AC, Seger DL, et al. Improving acceptance of computerized prescribing alerts in ambulatory care. J Am Med Inform Assoc. 2006;13(1):5-11. https://psnet.ahrq.gov/issue/improving-acceptance-computerized-prescribin…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42712/psn-pdf
    October 02, 2017 - Improving patient safety through transparency. October 2, 2017 Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-9. doi:10.1056/NEJMp1303960. https://psnet.ahrq.gov/issue/improving-patient-safety-through-transparency This commentary describes successful transparency initiat…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40856/psn-pdf
    October 19, 2011 - Safer care at home: use of simulation training to improve standards. October 19, 2011 Unsworth J, Tuffnell C, Platt A. Safer care at home: use of simulation training to improve standards. Br J Community Nurs. 2011;16(7):334-9. https://psnet.ahrq.gov/issue/safer-care-home-use-simulation-training-improve-standards …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50726/psn-pdf
    December 11, 2019 - Toolkit To Improve Antibiotic Use in Acute Care Hospitals December 11, 2019 Agency for Healthcare Research and Quality. 2019. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals Structured processes are important strategies for embedding safe care practices. This tool kit shares traini…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39612/psn-pdf
    June 16, 2010 - National Action Plan to Improve Health Literacy. June 16, 2010 Washington, DC: United States Department of Health and Human Services; 2010.   https://psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy This report presents goals for improved health literacy in the United States and recommends pra…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37369/psn-pdf
    January 22, 2017 - Improving the Health Care Work Environment. January 22, 2017 Jt Comm J Qual Saf. 2007;33(11 supp):s2-s84.   https://psnet.ahrq.gov/issue/improving-health-care-work-environment This supplement includes articles regarding several research projects that explore organizational climate, hospital staffing, and work…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41854/psn-pdf
    September 24, 2016 - Reducing interruptions to improve medication safety. September 24, 2016 Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e. https://psnet.ahrq.gov/issue/reducing-interruptions-improve-medication-safety …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37930/psn-pdf
    July 23, 2008 - Measurement for improvement: a survey of current practice in Australian public hospitals. July 23, 2008 Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in Australian public hospitals. Med J Aust. 2008;189(1):35-40. https://psnet.ahrq.gov/issue/measurement-improvemen…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40087/psn-pdf
    December 15, 2010 - Managing patient access and flow in the emergency department to improve patient safety. December 15, 2010 PA-PSRS Patient Saf Advis. 2010;7:123-134.  https://psnet.ahrq.gov/issue/managing-patient-access-and-flow-emergency-department-improve-patient- safety This report examines how optimizing patient flow fro…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41574/psn-pdf
    August 08, 2012 - On-site pharmacists in the ED improve medical errors. August 8, 2012 Ernst AA, Weiss SJ, Sullivan A, et al. On-site pharmacists in the ED improve medical errors. Am J Emerg Med. 2012;30(5):717-25. doi:10.1016/j.ajem.2011.05.002. https://psnet.ahrq.gov/issue/site-pharmacists-ed-improve-medical-errors The presence o…
  20. psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
    August 28, 2024 - Study Long-term reduction in adverse drug events: an evidence-based improvement model. Citation Text: Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902. Copy Citation …

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