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psnet.ahrq.gov/node/40317/psn-pdf
November 21, 2016 - Achieving an Exceptional Patient and Family Experience
of Inpatient Hospital Care.
November 21, 2016
Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.
https://psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care
This whit…
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psnet.ahrq.gov/node/41560/psn-pdf
August 01, 2012 - Improving Medication Safety in High Risk Medicare
Beneficiaries Toolkit.
August 1, 2012
Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD:
Agency for Healthcare Research and Quality; July 2012. AHRQ Publication No. 12-EHC027-EF.
https://psnet.ahrq.gov/issue/improving…
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psnet.ahrq.gov/node/38155/psn-pdf
July 03, 2013 - Patient Safety and Quality Improvement; Final Rule.
July 3, 2013
US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal
Register. November 21, 2008;73:70731-70814.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-final-rule
This final rule outlines how to…
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psnet.ahrq.gov/node/39128/psn-pdf
December 01, 2009 - Rapid response teams and continuous quality
improvement.
November 25, 2009
Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.
https://psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement
This study discusses how analysis of rapid response team calls id…
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psnet.ahrq.gov/node/46852/psn-pdf
March 07, 2018 - NHS Resolution.
March 7, 2018
NHS Resolution.
https://psnet.ahrq.gov/issue/nhs-resolution
The National Health Service (NHS) is a global leader in patient safety improvement. This website
coalesces information and activities generated by three NHS improvement efforts: patient compensation,
performance assessment, …
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psnet.ahrq.gov/node/33947/psn-pdf
November 21, 2016 - Improving Health Care Quality: A Guide for Patients and
Families.
November 21, 2016
Agency for Healthcare Research and Quality (AHRQ)
https://psnet.ahrq.gov/issue/improving-health-care-quality-guide-patients-and-families
This guide offers information and resources to allow consumers to understand quality health ca…
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psnet.ahrq.gov/node/37358/psn-pdf
January 02, 2017 - Reducing surgical complications.
January 2, 2017
Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5.
https://psnet.ahrq.gov/issue/reducing-surgical-complications
The author supports the Institute for Healthcare Improvement’s 5 Million Lives Campaign by
recommending several ch…
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psnet.ahrq.gov/node/38223/psn-pdf
October 14, 2015 - Patient-Centered Care Improvement Guide.
October 14, 2015
Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.
https://psnet.ahrq.gov/issue/patient-centered-care-improvement-guide
This guide contains comprehensive information about best practices and implementation tool…
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psnet.ahrq.gov/node/50601/psn-pdf
October 09, 2022 - Medication Safety: Advancing the Development of
Improvement Strategies and Tools (R18).
October 9, 2022
Rockville, MD: Agency for Healthcare Research and Quality; September 28, 2022. PA-
20-028.
https://psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
Medication errors are …
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psnet.ahrq.gov/node/42573/psn-pdf
September 04, 2013 - QI Gateway: Quality Improvement for Residents.
September 4, 2013
The Committee of Interns and Residents; CIR; SEIU Healthcare.
https://psnet.ahrq.gov/issue/qi-gateway-quality-improvement-residents
This Web site hosts resources for resident physicians to support collaboration on safety and quality
activities at tea…
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psnet.ahrq.gov/node/39737/psn-pdf
November 30, 2016 - Physician's Guide to Patient Safety Organizations.
November 30, 2016
Chicago, IL: American Medical Association; 2009.
https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
This guide reviews the Patient Safety Quality and Improvement Act of 2005 and aims to further physician
knowledge of and p…
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psnet.ahrq.gov/node/40553/psn-pdf
June 22, 2011 - Applying the Universal Protocol to improve patient safety
in radiology services.
June 22, 2011
PA-PSRS Patient Saf Advis. June 2011;8:63-69.
https://psnet.ahrq.gov/issue/applying-universal-protocol-improve-patient-safety-radiology-services
Exploring causes of wrong-site, wrong patient, and wrong procedure errors i…
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psnet.ahrq.gov/node/39392/psn-pdf
September 20, 2011 - Effect of point-of-care computer reminders on physician
behaviour: a systematic review.
September 20, 2011
Shojania KG, Jennings A, Mayhew A, et al. Effect of point-of-care computer reminders on physician
behaviour: a systematic review. CMAJ. 2010;182(5):E216-25. doi:10.1503/cmaj.090578.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/42917/psn-pdf
February 05, 2014 - The PROMISES Project.
February 5, 2014
Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the
Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School;
Health Care for All; Massachusetts Medical Society; Massachusetts Departme…
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psnet.ahrq.gov/node/44972/psn-pdf
February 15, 2017 - The effectiveness of electronic differential diagnoses
(DDX) generators: a systematic review and meta-analysis.
February 15, 2017
Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX)
Generators: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(3):e0148991.
doi:…
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psnet.ahrq.gov/node/40450/psn-pdf
December 21, 2014 - Unit-based care teams and the frequency and quality of
physician–nurse communications.
December 21, 2014
Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-
nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54.
htt…
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psnet.ahrq.gov/node/37707/psn-pdf
March 02, 2011 - Bar-coding surgical sponges to improve safety: a
randomized controlled trial.
March 2, 2011
Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann
Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.
https://psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safe…
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psnet.ahrq.gov/node/39294/psn-pdf
January 03, 2017 - Patient handoffs: standardized and reliable measurement
tools remain elusive.
January 3, 2017
Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt
Comm J Qual Patient Saf. 2010;36(2):52-61.
https://psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-m…
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psnet.ahrq.gov/node/37514/psn-pdf
February 04, 2015 - Who pays for medical errors? An analysis of adverse
event costs, the medical liability system, and incentives
for patient safety improvement.
February 4, 2015
Mello MM, Studdert DM, Thomas EJ, et al. Who Pays for Medical Errors? An Analysis of Adverse Event
Costs, the Medical Liability System, and Incentives for P…
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psnet.ahrq.gov/node/44750/psn-pdf
January 06, 2016 - Simulation in the executive suite: lessons learned for
building patient safety leadership.
January 6, 2016
Rosen MA, Goeschel CA, Che X-X, et al. Simulation in the Executive Suite: Lessons Learned for Building
Patient Safety Leadership. Simul Healthc. 2015;10(6):372-377.
https://psnet.ahrq.gov/issue/simulation-exe…