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psnet.ahrq.gov/node/42689/psn-pdf
October 23, 2013 - Solving the puzzle: improving safety outcomes.
October 23, 2013
Whitehouse D. Br J Healthc Manage. 2013;19(9):446-448.
https://psnet.ahrq.gov/issue/solving-puzzle-improving-safety-outcomes
This article illustrates the importance of recognizing complexity when working to create high reliability in
health care.
htt…
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psnet.ahrq.gov/node/36510/psn-pdf
June 13, 2011 - Using clinical decision support to improve medication
reconciliation.
June 13, 2011
Moore G. Patient Saf Qual Healthc. November / December 2006.
https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation
The author provides strategies to enhance the value of medication reconcili…
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psnet.ahrq.gov/node/35123/psn-pdf
July 03, 2015 - Patient Safety Tools: Improving Safety at the Point of
Care.
July 3, 2015
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care
The Agency for Healthcare Research and Quality (AHRQ) awarded more than $8 million to 15 Partnerships
in Implementing …
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psnet.ahrq.gov/node/43441/psn-pdf
July 12, 2018 - Fixing Healthcare Delivery.
July 12, 2018
University of Florida, Institute for Healthcare Improvement, Coursera.
https://psnet.ahrq.gov/issue/fixing-healthcare-delivery
This online course presents teamwork, systems design, leadership, and change management as strategies
to improve health care safety. The course in…
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - Handoffs
June 15, 2024
Handoffs and Signouts. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/handoffs
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Backgroun…
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It
Jerry Gurwitz, MD | August 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix I…
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psnet.ahrq.gov/node/33636/psn-pdf
July 01, 2006 - Key Issues in Developing a Successful Hospital Safety
Program
July 1, 2006
Whittington JC. Key Issues in Developing a Successful Hospital Safety Program. PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
Perspective
What are the key success factors…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
November 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case November 2008
Dangerous Shift
Source and Credits
This presentation is based on the November 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Emily S. Patterson, PhD
Institute for Ergonomics, Ohi…
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psnet.ahrq.gov/web-mm/glucose-roller-coaster
February 02, 2022 - Glucose Roller Coaster
Citation Text:
Sharpe B. Glucose Roller Coaster. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…
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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/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/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/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/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/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/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/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/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/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…