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psnet.ahrq.gov/issue/proceedings-european-handover-research-collaborative
March 11, 2009 - Special or Theme Issue
Proceedings from the European Handover Research Collaborative.
Citation Text:
Proceedings from the European Handover Research Collaborative. Philibert I, Barach P, eds. BMJ Qual Saf. 2012;21(suppl 1):i1-i128.
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psnet.ahrq.gov/issue/looking-future-patient-safety
February 13, 2018 - Newspaper/Magazine Article
Looking to the future of patient safety.
Citation Text:
Looking to the future of patient safety. Carr S. Patient Saf Qual Healthc. July/August 2014;11:30-35.
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psnet.ahrq.gov/issue/daily-check-safety-best-practice-common-practice
February 13, 2018 - Newspaper/Magazine Article
Daily check-in for safety: from best practice to common practice.
Citation Text:
Daily check-in for safety: from best practice to common practice. Stockmeier C, Clapper C. Patient Saf Qual Healthc. September/October 2011;8:30-31,34-36.
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psnet.ahrq.gov/issue/condition-help
October 04, 2023 - Toolkit
Condition Help.
Citation Text:
Condition Help. Pittsburg, PA: UPMC Shadyside Hospital: 2019.
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October…
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psnet.ahrq.gov/issue/national-patient-safety-syllabus
March 04, 2020 - Book/Report
National Patient Safety Syllabus.
Citation Text:
National Patient Safety Syllabus. Spurgeon P, Cross S. London, UK; Academy of Medical Royal Colleges: May 2021.
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psnet.ahrq.gov/node/836811/psn-pdf
April 07, 2022 - Implementing a watcher program to improve timeliness of
recognition of deterioration in hospitalized children
April 7, 2022
Evans S, Green A, Roberson A, et al. Implementing a watcher program to improve timeliness of
recognition of deterioration in hospitalized children. J Pediatr Nurs. 2021;61:151-6.
https:/…
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psnet.ahrq.gov/issue/patient-centered-care-what-does-it-take
March 16, 2016 - Book/Report
Patient-Centered Care: What Does It Take?
Citation Text:
Patient-Centered Care: What Does It Take? Shaller D. The Commonwealth Fund. October 2007.
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psnet.ahrq.gov/node/43070/psn-pdf
August 20, 2014 - Reducing the rate of catheter-associated bloodstream
infections in a surgical intensive care unit using the
Institute for Healthcare Improvement Central Line Bundle.
August 20, 2014
Sacks GD, Diggs BS, Hadjizacharia P, et al. Reducing the rate of catheter-associated bloodstream
infections in a surgical intensive c…
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psnet.ahrq.gov/node/41701/psn-pdf
September 26, 2019 - The CUSP Method
September 26, 2019
The CUSP Method.
https://psnet.ahrq.gov/issue/cusp-method
The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital
by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in
several landmark pat…
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psnet.ahrq.gov/node/46749/psn-pdf
April 04, 2018 - Toolkit for Improving Perinatal Safety.
April 4, 2018
Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from
comprehensive unit-based safe…
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psnet.ahrq.gov/node/867094/psn-pdf
January 01, 2025 - Maximizing the ability of health IT and AI to improve
patient safety.
November 6, 2024
Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA
Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343.
https://psnet.ahrq.gov/issue/maximizing-ability-healt…
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psnet.ahrq.gov/node/44294/psn-pdf
October 03, 2017 - You can't understand something you hide: transparency
as a path to improve patient safety.
October 3, 2017
Wachter R, Kaplan GS, Gandhi T, et al. Health Affairs Blog. June 22, 2015.
https://psnet.ahrq.gov/issue/you-cant-understand-something-you-hide-transparency-path-improve-patient-
safety
Transparency is recogn…
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psnet.ahrq.gov/node/33993/psn-pdf
March 02, 2011 - Improving patient care. My right knee.
March 2, 2011
Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5.
https://psnet.ahrq.gov/issue/improving-patient-care-my-right-knee
Dr. Donald Berwick writes this compelling piece as a personal reflection on the current deficiencies in
health…
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psnet.ahrq.gov/node/866555/psn-pdf
August 21, 2024 - Using behavioral insights to strengthen strategies for
change. Practical applications for quality improvement in
healthcare.
August 21, 2024
Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical
applications for quality improvement in healthcare. J Patient Saf. 2024;20(5…
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psnet.ahrq.gov/node/72702/psn-pdf
February 03, 2021 - Outcomes from Wake Up Safe, the pediatric anesthesia
quality improvement initiative.
February 3, 2021
Haché M, Sun LS, Gadi G, et al. Outcomes from Wake Up Safe, the pediatric anesthesia quality
improvement initiative. Paediatr Anaesth. 2020;30(12):1348-1354. doi:10.1111/pan.14044.
https://psnet.ahrq.gov/issue/out…
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psnet.ahrq.gov/node/46425/psn-pdf
September 13, 2017 - Optimizing Crisis Resource Management to Improve
Patient Safety and Team Performance--A Handbook for
Acute Care Health Professionals.
September 13, 2017
Brindley P, Cardinal P, eds. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada;
2017. ISBN: 9781926588414.
https://psnet.ahrq.gov/issue/opti…
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psnet.ahrq.gov/node/45679/psn-pdf
January 03, 2018 - Global Guidelines on the Prevention of Surgical Site
Infection.
January 3, 2018
Global Guidelines on the Prevention of Surgical Site Infection.
https://psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
Efforts to reduce surgical site infections have achieved some success. The World Health O…
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psnet.ahrq.gov/node/42862/psn-pdf
January 15, 2014 - VA Health Care: Improvements Needed in Processes
Used to Address Providers' Actions That Contribute to
Adverse Events.
January 15, 2014
Draper D. Washington, DC: United States Government Accountability Office; December 3, 2013.
Publication GAO-14-55.
https://psnet.ahrq.gov/issue/va-health-care-improvements-needed…
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psnet.ahrq.gov/node/46403/psn-pdf
September 06, 2017 - Supplemental Issue: Quality and Safety Education for
Nurses (QSEN) program.
September 6, 2017
Quality and Safety Education for Nurses.
https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program
Patient safety and quality improvement competencies are developed through interprof…
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psnet.ahrq.gov/node/46784/psn-pdf
January 11, 2023 - Patient Safety Learning Laboratories: Advancing Patient
Safety through Design, Systems Engineering, and Health
Services Research (R18 Clinical Trial Optional).
January 11, 2023
Rockville, MD: Agency for Healthcare Research and Quality. PA-21-266.
https://psnet.ahrq.gov/issue/patient-safety-learning-laboratories-ad…