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psnet.ahrq.gov/node/41892/psn-pdf
December 19, 2012 - Improving Patient and Worker Safety—Opportunities for
Synergy, Collaboration and Innovation.
December 19, 2012
Oakbrook Terrace, IL: Joint Commission; 2012.
https://psnet.ahrq.gov/issue/improving-patient-and-worker-safety-opportunities-synergy-collaboration-and-
innovation
This monograph highlights opportunities …
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psnet.ahrq.gov/node/35608/psn-pdf
July 05, 2013 - Battling the obstetric malpractice crisis: improving
patient safety, part 2.
July 5, 2013
Bernstein PS.
https://psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-2
This article addresses systems issues that need to be resolved in order to improve the safety of obstetric
care…
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psnet.ahrq.gov/node/37681/psn-pdf
April 09, 2008 - Navigating towards improved surgical safety using
aviation-based strategies.
April 9, 2008
Kao LS, Thomas EJ. Navigating towards improved surgical safety using aviation-based strategies. J Surg
Res. 2008;145(2):327-35.
https://psnet.ahrq.gov/issue/navigating-towards-improved-surgical-safety-using-aviation-based-st…
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psnet.ahrq.gov/node/39243/psn-pdf
February 10, 2015 - Advancing nursing home quality through quality
improvement itself.
February 10, 2015
Werner RM, Konetzka RT. Advancing Nursing Home Quality Through Quality Improvement Itself. Health
Aff. 2010;29(1):81-86. doi:10.1377/hlthaff.2009.0555.
https://psnet.ahrq.gov/issue/advancing-nursing-home-quality-through-quality-im…
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psnet.ahrq.gov/node/35427/psn-pdf
September 11, 2009 - Information behavior in the context of improving patient
safety.
September 11, 2009
MacIntosh-Murray A, Choo CW. Information behavior in the context of improving patient safety. Journal of
the American Society for Information Science and Technology. 2005;56(12). doi:10.1002/asi.20228.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/60044/psn-pdf
March 16, 2020 - Patient Safety in Medical, Nursing, and Other Clinical
Education
March 16, 2020
Howley LD, Hall KK, Fitall E. Patient Safety in Medical, Nursing, and Other Clinical Education . PSNet
[internet]. 2020.
https://psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
Background
Despit…
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effectivehealthcare.ahrq.gov/sites/default/files/15_crosscutting_potential_high_impact_2012-12-11.pdf
January 01, 2012 - its full potential and that more data are
needed to determine whether this intervention actually improves
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation
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August 30, 2023
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digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-american
January 01, 2023 - Using Innovative Communication Technology to Improve the Health of Young African American Women
Project Final Report ( PDF , 359.77 KB)
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Project Description
Annual Summaries
Publications
…
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digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-training.pdf
June 16, 2021 - Fall and Fall-related Injury Quality Improvement Clinical Decision Support Tool
Fall and Fall-related Injury
Quality Improvement
Clinical Decision Support Tool
Overview:
This offering provides Information to
support nurse leaders to access and
utilize the Quality Improvement Decision
Support Tool (QI-CDS)…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - The PRIDx framework to engage payers in reducing diagnostic errors in healthcare
Mini Review
Kisha J. Ali*, Christine A. Goeschel, Derek M. DeLia, Leah M. Blackall and Hardeep Singh
The PRIDx framework to engage payers in
reducing diagnostic errors in healthcare
https://doi.org/10.1515/dx-2023-0042
Received April 9…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Patient Safety
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Research
…
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digital.ahrq.gov/ahrq-funded-projects/machine-learning-validation-medication-regimen-complexity-critical-care
March 31, 2025 - Machine Learning Validation of Medication Regimen Complexity for Critical Care Pharmacist Resource Prediction
Project Description
Publications
Research Story
Creating a visualization tool that applies innovative machine learning prediction methods may improve health…
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psnet.ahrq.gov/node/41428/psn-pdf
April 17, 2013 - A checklist to improve patient safety in interventional
radiology.
April 17, 2013
Koetser ICJ, de Vries EN, van Delden OM, et al. A checklist to improve patient safety in interventional
radiology. Cardiovasc Intervent Radiol. 2013;36(2):312-9. doi:10.1007/s00270-012-0395-z.
https://psnet.ahrq.gov/issue/checklist-i…
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psnet.ahrq.gov/node/39179/psn-pdf
December 16, 2009 - Improving operating room safety.
December 16, 2009
Hurlbert SN, Garrett J. Improving operating room safety. Patient Saf Surg. 2009;3(1):25. doi:10.1186/1754-
9493-3-25.
https://psnet.ahrq.gov/issue/improving-operating-room-safety
A training program focused on preoperative briefings resulted in an improvement in op…
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psnet.ahrq.gov/node/37010/psn-pdf
March 10, 2011 - Randomized trial to improve prescribing safety during
pregnancy.
March 10, 2011
Raebel MA, Carroll NM, Kelleher JA, et al. Randomized trial to improve prescribing safety during
pregnancy. J Am Med Inform Assoc. 2007;14(4):440-450.
https://psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-safety-during-preg…
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psnet.ahrq.gov/node/37536/psn-pdf
February 01, 2011 - Improving patient safety by taking systems seriously.
February 1, 2011
Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447.
doi:10.1001/jama.299.4.445.
https://psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
The authors advocate that system…
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psnet.ahrq.gov/node/40762/psn-pdf
February 10, 2012 - Changing practice to improve patient safety and quality of
care in perinatal medicine.
February 10, 2012
Kaplan HC, Ballard J. Changing Practice to Improve Patient Safety and Quality of Care in Perinatal
Medicine. Am J Perinatol. 2011;29(01). doi:10.1055/s-0031-1285826.
https://psnet.ahrq.gov/issue/changing-practi…
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psnet.ahrq.gov/node/34961/psn-pdf
June 22, 2009 - Improving hospital performance: culture change is not
the answer.
June 22, 2009
Leggat SG, Dwyer J. Improving hospital performance: culture change is not the answer. Healthc Q.
2005;8(2):60-6.
https://psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
The authors suggest that people man…
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psnet.ahrq.gov/node/37066/psn-pdf
October 03, 2011 - Improving patient safety by identifying latent failures in
successful operations.
October 3, 2011
Catchpole K, Giddings AEB, Wilkinson M, et al. Improving patient safety by identifying latent failures in
successful operations. Surgery. 2007;142(1):102-10.
https://psnet.ahrq.gov/issue/improving-patient-safety-ident…