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psnet.ahrq.gov/node/44060/psn-pdf
November 16, 2015 - Developing person-centred analysis of harm in a
paediatric hospital: a quality improvement report.
November 16, 2015
Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital:
a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44. doi:10.1136/bmjqs-2014-003795…
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psnet.ahrq.gov/node/836827/psn-pdf
March 30, 2022 - Economic evaluation of quality improvement
interventions to prevent catheter-associated urinary tract
infections in the hospital setting: a systematic review.
March 30, 2022
McCleskey SG, Shek L, Grein J, et al. Economic evaluation of quality improvement interventions to prevent
catheter-associated urinary tract i…
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psnet.ahrq.gov/node/47099/psn-pdf
May 16, 2018 - Defense Health Agency Should Improve Tracking of
Serious Adverse Medical Events and Monitoring of
Required Follow-up.
May 16, 2018
Washington, DC: United States Government Accountability Office; April 2018. Publication GAO-18-378.
https://psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-a…
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psnet.ahrq.gov/node/60938/psn-pdf
January 23, 2020 - A model for improving health care quality for transgender
and gender nonconforming patients.
January 23, 2020
Ding JM, Ehrenfeld JM, Edmiston EK, et al. A model for improving health care quality for transgender and
gender nonconforming patients. Jt Comm J Qual Patient Saf. 2020;46(1):37-43.
doi:10.1016/j.jcjq.2019…
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psnet.ahrq.gov/node/43065/psn-pdf
April 09, 2014 - Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of
health care.
April 9, 2014
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of health care. A…
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psnet.ahrq.gov/node/60985/psn-pdf
October 07, 2020 - Rapid-cycle improvement during the COVID-19 pandemic:
using safety reports to inform incident command.
October 7, 2020
Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety
reports to inform incident command. Jt Comm J Qual Patient Saf. 2020;46(12):715-714.
doi:10.1…
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psnet.ahrq.gov/node/43175/psn-pdf
December 12, 2014 - Interventions to improve safe and effective medicines use
by consumers: an overview of systematic reviews.
December 12, 2014
Ryan R, Santesso N, Lowe D, et al. Interventions to improve safe and effective medicines use by
consumers: an overview of systematic reviews. Cochrane Database Syst Rev. 2014;(4):CD007768.
d…
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psnet.ahrq.gov/node/852464/psn-pdf
August 16, 2023 - Notice of Intent to Publish Funding Opportunity
Announcements to Understand and Improve Diagnostic
Safety in Ambulatory Care.
August 16, 2023
Rockville, MD: Agency for Research and Quality; July 27, 2023. Notice Number NOT-HS-23-018.
https://psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announceme…
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psnet.ahrq.gov/node/836775/psn-pdf
March 23, 2022 - Embracing multiple aims in healthcare improvement and
innovation.
March 23, 2022
Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation.
Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006.
https://psnet.ahrq.gov/issue/embracing-multiple-aims-healthc…
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psnet.ahrq.gov/node/43850/psn-pdf
March 11, 2015 - Practice and quality improvement: successful
implementation of TeamSTEPPS tools into an academic
interventional ultrasound practice.
March 11, 2015
Gupta RT, Sexton B, Milne J, et al. Practice and quality improvement: successful implementation of
TeamSTEPPS tools into an academic interventional ultrasound practice…
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psnet.ahrq.gov/node/44335/psn-pdf
July 16, 2015 - Near-misses are an opportunity to improve patient safety:
adapting strategies of high reliability organizations to
healthcare.
July 16, 2015
Van Spall H, Kassam A, Tollefson TT. Near-misses are an opportunity to improve patient safety: adapting
strategies of high reliability organizations to healthcare. Curr Opin …
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psnet.ahrq.gov/node/47013/psn-pdf
April 07, 2019 - An electronic intervention to improve safety for pain
patients co-prescribed chronic opioids and
benzodiazepines.
April 7, 2019
Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-
prescribed chronic opioids and benzodiazepines. Subst Abus. 2018;39(4):441-448.
doi:…
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psnet.ahrq.gov/node/44887/psn-pdf
March 16, 2016 - Qualitative evaluation of the Safety and Improvement in
Primary Care (SIPC) pilot collaborative in Scotland:
perceptions and experiences of participating care teams.
March 16, 2016
Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary Care
(SIPC) pilot collaborative in…
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psnet.ahrq.gov/node/46123/psn-pdf
January 01, 2020 - Improving patient safety in handover from intensive care
unit to general ward: a systematic review.
June 21, 2017
Wibrandt I, Lippert A. Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A
Systematic Review. J Patient Saf. 2020;16(3):199-210. doi:10.1097/pts.0000000000000266.
https://p…
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psnet.ahrq.gov/node/35365/psn-pdf
February 17, 2011 - Accidental deaths, saved lives, and improved quality.
February 17, 2011
Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New
England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157.
https://psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-qua…
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psnet.ahrq.gov/node/44952/psn-pdf
March 02, 2016 - Engaging pediatric resident physicians in quality
improvement through resident-led morbidity and mortality
conferences.
March 2, 2016
Destino LA, Kahana M, Patel SJ. Engaging Pediatric Resident Physicians in Quality Improvement Through
Resident-Led Morbidity and Mortality Conferences. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/node/38332/psn-pdf
January 14, 2009 - Verifying patient identity and site of surgery: improving
compliance with protocol by audit and feedback.
January 14, 2009
Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance
with protocol by audit and feedback. Qual Saf Health Care. 2008;17(6):454-8.
doi:10.11…
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psnet.ahrq.gov/node/48062/psn-pdf
August 07, 2019 - Ten ways to improve medication safety in community
pharmacies.
August 7, 2019
Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003).
2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018.
https://psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies
Med…
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psnet.ahrq.gov/node/45131/psn-pdf
July 20, 2016 - Systematic review and meta-analysis of educational
interventions designed to improve medication
administration skills and safety of registered nurses.
July 20, 2016
Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational
interventions designed to improve medication administr…
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psnet.ahrq.gov/node/43182/psn-pdf
May 14, 2014 - Quality and safety in pediatric anesthesia: how can
guidelines, checklists, and initiatives improve the
outcome?
May 14, 2014
Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines,
checklists, and initiatives improve the outcome? Curr Opin Anaesthesiol. 2014;27(3):323-9…