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psnet.ahrq.gov/node/46565/psn-pdf
January 23, 2019 - Closing the Loop: A Guide to Safer Ambulatory Referrals
in the EHR Era.
January 23, 2019
Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for
Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
Missed an…
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psnet.ahrq.gov/node/34804/psn-pdf
January 05, 2017 - Incident reporting system does not detect adverse drug
events: a problem for quality improvement.
January 5, 2017
Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events:
a problem for quality improvement. Jt Comm J Qual Improv. 1995;21(10):541-8.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/39422/psn-pdf
March 23, 2011 - Organisational readiness: exploring the preconditions for
success in organisation-wide patient safety improvement
programmes.
March 23, 2011
Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in
organisation-wide patient safety improvement programmes. Qual Saf Heal…
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psnet.ahrq.gov/node/865878/psn-pdf
May 15, 2024 - Testing an intervention to improve health care worker
well-being during the COVID-19 pandemic: a cluster
randomized clinical trial.
May 15, 2024
Meredith LS, Ahluwalia SC, Chen PG, et al. Testing an intervention to improve health care worker well-
being during the COVID-19 pandemic: a cluster randomized clinical t…
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psnet.ahrq.gov/node/866432/psn-pdf
August 07, 2024 - Improving appropriate use of peripherally inserted central
catheters through a statewide collaborative hospital
initiative: a cost-effectiveness analysis.
August 7, 2024
Heath M, Bernstein SJ, Paje D, et al. Improving appropriate use of peripherally inserted central catheters
through a statewide collaborative hosp…
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psnet.ahrq.gov/node/866584/psn-pdf
August 28, 2024 - Raising the barcode: improving medication safety
behaviours through a behavioural science-informed
feedback intervention. A quality improvement project and
difference-in-difference analysis.
August 28, 2024
Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving medication safety behaviours
throu…
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psnet.ahrq.gov/node/39699/psn-pdf
November 02, 2010 - Medical engagement in organisation-wide safety and
quality-improvement programmes: experience in the UK
Safer Patients Initiative.
November 2, 2010
Parand A, Burnett S, Benn J, et al. Medical engagement in organisation-wide safety and quality-
improvement programmes: experience in the UK Safer Patients Initiative.…
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psnet.ahrq.gov/node/38660/psn-pdf
November 13, 2009 - Improving medication error reporting in hospice care.
November 13, 2009
Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J
Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145.
https://psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-c…
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psnet.ahrq.gov/node/36163/psn-pdf
September 29, 2010 - Improving the bar-coded medication administration
system at the Department of Veterans Affairs.
September 29, 2010
Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the
Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):1442-7.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/842416/psn-pdf
January 11, 2023 - A failure in the medication delivery system-how
disclosure and systems investigation improve patient
safety.
January 11, 2023
Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems
investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10…
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psnet.ahrq.gov/node/43707/psn-pdf
November 26, 2014 - America's Hospitals: Improving Quality and Safety: The
Joint Commission's Annual Report 2014.
November 26, 2014
Oakbrook Terrace, IL: The Joint Commission; November 2014.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2014
This Joint Commission annual…
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psnet.ahrq.gov/node/837193/psn-pdf
May 25, 2022 - Defining diagnostic error: a scoping review to assess the
impact of the National Academies' report Improving
Diagnosis in Health Care.
May 25, 2022
Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the
National Academies' report Improving Diagnosis in Health …
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psnet.ahrq.gov/node/866554/psn-pdf
August 21, 2024 - Multi-team shared expectations tool (MT-SET): an
exercise to improve teamwork across health care teams.
August 21, 2024
Marsteller JA, Rosen MA, Wyskiel R, et al. Multi-team shared expectations tool (MT-SET): an exercise to
improve teamwork across health care teams. Jt Comm J Qual Patient Saf. 2024;50(10):737-744.
…
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psnet.ahrq.gov/node/39691/psn-pdf
January 22, 2014 - Responsibility for quality improvement and patient safety:
hospital board and medical staff leadership challenges.
January 22, 2014
Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital
board and medical staff leadership challenges. Chest. 2010;138(1):171-8. doi:10…
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psnet.ahrq.gov/node/43349/psn-pdf
July 16, 2014 - Multifaceted interventions improve adherence to the
surgical checklist.
July 16, 2014
Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist.
Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032.
https://psnet.ahrq.gov/issue/multifaceted-interventions-imp…
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digital.ahrq.gov/ahrq-funded-projects/development-and-evaluation-patient-reported-outcome-score-visualization-improve
January 01, 2023 - Development and Evaluation of Patient-Reported Outcome Score Visualization to Improve Their Utilization (PROVIZ)
Project Final Report ( PDF , 1.06 MB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its conte…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
January 01, 2008 - Module 7: Putting It All Together
Module 7
Putting It All Together
TeamSTEPPS® for Diagnosis Improvement
Welcome to the TeamSTEPPS for Diagnosis Improvement Course. This presentation will cover Module 7, Putting It All Together, that you will review as the course facilitator.
The purpose of this summary module is…
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psnet.ahrq.gov/node/37732/psn-pdf
May 30, 2008 - Oncology care setting design and planning part I:
concepts for the oncology nurse that improve patient
safety.
May 30, 2008
Sheridan-Leos N. Oncology care setting design and planning part I: Concepts for the oncology nurse that
improve patient safety. Clin J Oncol Nurs. 2008;12(2):361-3. doi:10.1188/08.CJON.361-36…
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psnet.ahrq.gov/node/47131/psn-pdf
July 18, 2018 - Good Catch Campaign: improving the perioperative
culture of safety.
July 18, 2018
Lozito M, Whiteman K, Swanson-Biearman B, et al. Good Catch Campaign: Improving the Perioperative
Culture of Safety. AORN J. 2018;107(6):705-714. doi:10.1002/aorn.12148.
https://psnet.ahrq.gov/issue/good-catch-campaign-improving-peri…
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psnet.ahrq.gov/node/45133/psn-pdf
July 18, 2016 - Pharmacist medication reviews to improve safety
monitoring in primary care patients.
July 18, 2016
Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in
primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh0000185.
https://psnet.ahrq.gov/is…