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psnet.ahrq.gov/node/42052/psn-pdf
December 21, 2014 - Improved prophylaxis and decreased rates of preventable
harm with the use of a mandatory computerized clinical
decision support tool for prophylaxis for venous
thromboembolism in trauma.
December 21, 2014
Haut ER, Lau BD, Kraenzlin FS, et al. Improved prophylaxis and decreased rates of preventable harm with
the u…
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psnet.ahrq.gov/node/74852/psn-pdf
February 23, 2022 - Use of a structured approach and virtual simulation
practice to improve diagnostic reasoning.
February 23, 2022
Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to
improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:10.1515/dx-2020-0160.
https://…
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psnet.ahrq.gov/node/38174/psn-pdf
November 05, 2008 - National Surgical Quality Improvement Program.
November 5, 2008
American College of Surgeons.
https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
During the 1980s, the Department of Veterans Affairs (VA) received significant public scrutiny over the
quality of surgical care in their hospital…
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psnet.ahrq.gov/node/838255/psn-pdf
October 05, 2022 - Opportunities to Improve Patient Safety, Advancing U.S.
Innovation, and Innovation Hubs.
October 5, 2022
President’s Council of Advisors on Science and Technology. Washington, DC: White House; September
21, 2022.
https://psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovati…
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psnet.ahrq.gov/node/42386/psn-pdf
December 29, 2014 - Compliance with the WHO Surgical Safety Checklist:
deviations and possible improvements.
December 29, 2014
Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist:
deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187.
doi:10.1093/intqhc/mzt004.
ht…
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psnet.ahrq.gov/node/45032/psn-pdf
July 21, 2016 - From tokenism to empowerment: progressing patient and
public involvement in healthcare improvement.
July 21, 2016
Ocloo J, Matthews R. From tokenism to empowerment: progressing patient and public involvement in
healthcare improvement. BMJ Qual Saf. 2016;25(8):626-32. doi:10.1136/bmjqs-2015-004839.
https://psnet.ah…
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psnet.ahrq.gov/node/39460/psn-pdf
March 23, 2011 - Applying root cause analysis to improve patient safety:
decreasing falls in postpartum women.
March 23, 2011
Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in
postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.1136/qshc.2008.028787.
https://psnet.a…
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psnet.ahrq.gov/node/47197/psn-pdf
June 20, 2018 - Artificial intelligence will improve medical treatments.
June 20, 2018
The Economist. June 7, 2018.
https://psnet.ahrq.gov/issue/artificial-intelligence-will-improve-medical-treatments
Artificial intelligence (AI) can improve the timeliness and accuracy of decision making in health care. This
magazine article repo…
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psnet.ahrq.gov/node/39767/psn-pdf
August 18, 2010 - Improving safety culture on adult medical units through
multidisciplinary teamwork and communication
interventions: the TOPS Project.
August 18, 2010
Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through
multidisciplinary teamwork and communication interventions: the TO…
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psnet.ahrq.gov/node/73653/psn-pdf
September 01, 2021 - Improving diagnostic performance through feedback: the
Diagnosis Learning Cycle.
September 1, 2021
Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback:
the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bmjqs-2020-012456.
https://psnet.ahrq…
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psnet.ahrq.gov/node/47737/psn-pdf
March 06, 2019 - Quality improvement and safety in pediatric emergency
medicine.
March 6, 2019
Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine.
Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010.
https://psnet.ahrq.gov/issue/quality-improvement-and-safety-pedia…
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psnet.ahrq.gov/node/45119/psn-pdf
November 18, 2016 - Encouraging employees to speak up to prevent
infections: opportunities to leverage quality improvement
and care management processes.
November 18, 2016
Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to
leverage quality improvement and care management processes. Am …
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psnet.ahrq.gov/node/47171/psn-pdf
June 27, 2018 - The safety stand-down: a technique for improving and
sustaining hand hygiene compliance among health care
personnel.
June 27, 2018
Cunningham D, Brilli RJ, McClead RE, et al. The Safety Stand-down: A Technique for Improving and
Sustaining Hand Hygiene Compliance Among Health Care Personnel. J Patient Saf. 2018;14(…
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psnet.ahrq.gov/node/44763/psn-pdf
November 18, 2016 - A 'paperless' wall-mounted surgical safety checklist with
migrated leadership can improve compliance and team
engagement.
November 18, 2016
Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated
leadership can improve compliance and team engagement. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/38679/psn-pdf
March 01, 2011 - Improving alarm performance in the medical intensive
care unit using delays and clinical context.
March 1, 2011
Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit
using delays and clinical context. Anesth Analg. 2009;108(5):1546-52.
doi:10.1213/ane.0b013e31819bdfb…
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psnet.ahrq.gov/node/60630/psn-pdf
June 24, 2020 - Education is “predictably disappointing” and should
never be relied upon alone to improve safety.
June 24, 2020
ISMP Medication Safety Alert! Acute care edition. June 4, 2020;25(11):1-4.
https://psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-
improve-safety
Interven…
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psnet.ahrq.gov/node/39860/psn-pdf
September 01, 2017 - Interventions to improve hand hygiene compliance in
patient care.
September 1, 2017
Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care.
Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4.
https://psnet.ahrq.gov/issue/interventions-i…
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psnet.ahrq.gov/node/42247/psn-pdf
June 12, 2013 - A multicenter, multidisciplinary, high-alert medication
collaborative to improve patient safety: the Singapore
experience.
June 12, 2013
Khoo AL, Teng M, Lim BP, et al. A multicenter, multidisciplinary, high-alert medication collaborative to
improve patient safety: the Singapore experience. Jt Comm J Qual Patient …
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psnet.ahrq.gov/node/41635/psn-pdf
January 18, 2013 - Improvement in the detection of adverse drug events by
the use of electronic health and prescription records: an
evaluation of two trigger tools.
January 18, 2013
Nwulu U, Nirantharakumar K, Odesanya R, et al. Improvement in the detection of adverse drug events by
the use of electronic health and prescription reco…
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psnet.ahrq.gov/node/41741/psn-pdf
October 10, 2012 - Improving America's Hospitals—The Joint Commission's
Annual Report on Quality and Safety.
October 10, 2012
Oakbrook Terrace, IL: Joint Commission.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety
The Joint Commission's annual report summarizes hospital …