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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42399/psn-pdf
    December 29, 2014 - Information technology interventions to improve medication safety in primary care: a systematic review. December 29, 2014 Lainer M, Mann E, Sönnichsen A. Information technology interventions to improve medication safety in primary care: a systematic review. Int J Qual Health Care. 2013;25(5):590-8. doi:10.1093/intq…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38175/psn-pdf
    April 11, 2011 - An intervention to decrease narcotic-related adverse drug events in children's hospitals. April 11, 2011 Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1542/peds.2008-1011. https://psnet.a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855429/psn-pdf
    November 15, 2023 - Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. November 15, 2023 O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patie…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844040/psn-pdf
    February 08, 2023 - A customized triggers program: a children's hospital's experience in improving trigger usability. February 8, 2023 Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e2022056452. doi:10.1542/peds.2022-…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865534/psn-pdf
    April 10, 2024 - Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. April 10, 2024 Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23.cjon.602-606. https://psnet.ahrq.gov/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38965/psn-pdf
    August 15, 2016 - Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study. August 15, 2016 Batchelder AJ, Steel A, Mackenzie R, et al. Simulation as a tool to improve the safety of pre-hospital anaesthesia--a pilot study. Anaesthesia. 2009;64(9):978-83. doi:10.1111/j.1365-2044.2009.05990.x. https://psne…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41309/psn-pdf
    April 18, 2012 - A multifaceted program for improving quality of care in intensive care units: IATROREF study. April 18, 2012 Garrouste-Orgeas M, Soufir L, Tabah A, et al. A multifaceted program for improving quality of care in intensive care units: IATROREF study. Crit Care Med. 2012;40(2):468-76. doi:10.1097/CCM.0b013e318232d94d…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36810/psn-pdf
    November 19, 2014 - A Systems Approach to Quality Improvement in Long- Term Care: Safe Medication Practices Workbook. November 19, 2014 Massachusetts Coalition for the Prevention of Medical Errors, MassPRO, Massachusetts Extended Care Foundation. Boston, MA: Commonwealth of Massachusetts; 2008. https://psnet.ahrq.gov/issue/systems-ap…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35625/psn-pdf
    June 22, 2010 - Improving the safety of medication administration using an interactive CD-ROM program. June 22, 2010 Schneider PJ, Pedersen CA, Montanya KR, et al. Improving the safety of medication administration using an interactive CD-ROM program. Am J Health Syst Pharm. 2006;63(1):59-64. https://psnet.ahrq.gov/issue/improving…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36623/psn-pdf
    April 24, 2015 - Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products. April 24, 2015 Fed Reg. Nov. 28, 2006;71:68819. https://psnet.ahrq.gov/issue/public-meeting-improving-patient-safety-enhancing-container-labeling- parenteral-infusion-drug The US Food and Drug Ad…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42826/psn-pdf
    December 18, 2013 - Improvement of medication event interventions through use of an electronic database. December 18, 2013 Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajhp130021. https://psnet.ahrq.gov…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37413/psn-pdf
    November 14, 2011 - Patient Safety Tools: Improving Safety at the Point of Care. November 14, 2011 https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0 Produced in conjunction with its Partnerships in Implementing Patient Safety (PIPS) grant program, AHRQ has released 17 freely available toolkits to help ho…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45226/psn-pdf
    January 04, 2017 - AHRQ Research Summit on Improving Diagnosis in Health Care. January 4, 2017 Rockville, MD; Agency for Healthcare Research and Quality: September 28, 2016. https://psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care Research is increasingly focusing on diagnostic errors and strategies to reduc…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37788/psn-pdf
    May 28, 2008 - Durable improvements in efficiency, safety, and satisfaction in the operating room. May 28, 2008 Heslin MJ, Doster BE, Daily SL, et al. Durable improvements in efficiency, safety, and satisfaction in the operating room. J Am Coll Surg. 2008;206(5):1083-9; discussion 1089-90. doi:10.1016/j.jamcollsurg.2008.02.006. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43437/psn-pdf
    August 13, 2014 - Diagnostic error: untapped potential for improving patient safety? August 13, 2014 Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag. 2014;34(1):38-43. doi:10.1002/jhrm.21149. https://psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-saf…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41158/psn-pdf
    February 22, 2012 - Strategies for improving patient safety: linking task type to error type. February 22, 2012 Mattox EA. Strategies for improving patient safety: linking task type to error type. Crit Care Nurse. 2012;32(1):52-78. doi:10.4037/ccn2012303. https://psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-t…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838221/psn-pdf
    September 28, 2022 - In Conversation With... Freya Spielberg, MD, MPH September 28, 2022 In Conversation With.. Freya Spielberg, MD, MPH. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph Editor’s Note: Freya Spielberg, MD, MPH, is the Founder and CEO of Urgent Wellness LLC, a social enterp…
  18. psnet.ahrq.gov/issue/viewing-prevention-catheter-associated-urinary-tract-infection-system-using-systems
    July 12, 2023 - Study Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. Citation Text: Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Ass…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44529/psn-pdf
    September 30, 2015 - Learning from no-fault treatment injury claims to improve the safety of older patients. September 30, 2015 Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810. https://psnet.ahrq.gov/issue/learning-no-fault-treatment…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44760/psn-pdf
    July 10, 2024 - Collaborative for Accountability and Improvement. July 10, 2024 University of Washington. https://psnet.ahrq.gov/issue/collaborative-accountability-and-improvement Communication-and-resolution programs (CRPs) are a promising strategy to improve respectful and effective discussions with patients and families after …

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