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psnet.ahrq.gov/node/38137/psn-pdf
October 15, 2008 - Ethical and legal issues in the use of health information
technology to improve patient safety.
October 15, 2008
Berner ES. Ethical and legal issues in the use of health information technology to improve patient safety.
HEC Forum. 2008;20(3):243-58. doi:10.1007/s10730-008-9074-5.
https://psnet.ahrq.gov/issue/ethic…
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psnet.ahrq.gov/node/41484/psn-pdf
September 26, 2012 - An institution-wide handoff task force to standardise and
improve physician handoffs.
September 26, 2012
Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve
physician handoffs. BMJ Qual Saf. 2012;21(10):863-71.
https://psnet.ahrq.gov/issue/institution-wide-ha…
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psnet.ahrq.gov/node/40658/psn-pdf
August 03, 2011 - Development and validation of a tool to improve
paediatric referral/consultation communication.
August 3, 2011
Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric
referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. doi:10.1136/bmjqs.2010.045781.
https:…
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psnet.ahrq.gov/node/36976/psn-pdf
June 15, 2011 - Evaluation of an intervention aimed at improving
voluntary incident reporting in hospitals.
June 15, 2011
Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident
reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75.
https://psnet.ahrq.gov/issue/evaluation…
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psnet.ahrq.gov/node/41048/psn-pdf
November 04, 2012 - An educational intervention to increase "speaking-up"
behaviors in nurses and improve patient safety.
November 4, 2012
Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up"
behaviors in nurses and improve patient safety. J Nurs Care Qual. 2012;27(2):154-60.
doi:10.1097/N…
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psnet.ahrq.gov/node/42553/psn-pdf
January 07, 2014 - Learning in action: developing safety improvement
capabilities through action learning.
January 7, 2014
Christiansen A, Prescott T, Ball J. Learning in action: developing safety improvement capabilities through
action learning. Nurse Educ Today. 2014;34(2):243-7. doi:10.1016/j.nedt.2013.07.008.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/45478/psn-pdf
October 26, 2016 - Core principles of quality improvement and patient safety.
October 26, 2016
Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev.
2016;37(10):407-417.
https://psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
This review discusses key patient safet…
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psnet.ahrq.gov/node/36049/psn-pdf
January 02, 2017 - Improving health care quality and safety for people with
disabilities: an interview with Lisa Iezzoni.
January 2, 2017
Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa
Iezzoni. Interview by Steven Berman. Jt Comm J Qual Patient Saf. 2006;32(7):400-6, 357.
ht…
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psnet.ahrq.gov/node/42224/psn-pdf
April 24, 2013 - Top 10 ways to improve patient safety now.
April 24, 2013
O'Reilly KB.
https://psnet.ahrq.gov/issue/top-10-ways-improve-patient-safety-now
This news article highlights patient safety improvement strategies covered in the AHRQ Making Health
Care Safer II report.
https://psnet.ahrq.gov/issue/top-10-ways-improve-pat…
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psnet.ahrq.gov/node/37434/psn-pdf
January 02, 2008 - Hospital adoption of information technologies and
improved patient safety: a study of 98 hospitals in Florida.
January 2, 2008
Menachemi N; Saunders C; Chukmaitov A; Matthews MC; Brooks RG.
https://psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study-
98-hospitals
Hosp…
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psnet.ahrq.gov/node/38395/psn-pdf
January 02, 2017 - Reducing medication errors and improving systems
reliability using an electronic medication reconciliation
system.
January 2, 2017
Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic
Medication Reconciliation System. The Joint Commission Journal on Quality and Patient…
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psnet.ahrq.gov/node/41641/psn-pdf
August 29, 2012 - Patient safety and quality improvement: an overview of
QI.
August 29, 2012
Schriefer J, Leonard M. Patient safety and quality improvement: an overview of QI. Pediatr Rev.
2012;33(8):353-9; quiz 359-60. doi:10.1542/pir.33-8-353.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-overview-qi
This c…
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psnet.ahrq.gov/node/38316/psn-pdf
March 04, 2009 - Practising open disclosure: clinical incident
communication and systems improvement.
March 4, 2009
Iedema R, Jorm C, Wakefield J, et al. Practising Open Disclosure: clinical incident communication and
systems improvement. Sociol Health Illn. 2009;31(2):262-77. doi:10.1111/j.1467-9566.2008.01131.x.
https://psnet.ah…
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www.ahrq.gov/sites/default/files/2024-07/huck-report.pdf
January 01, 2024 - Final Progress Report: Rural Healthcare Quality Network (RHQN) – AHRQ Grant Pre-Intervention Study Results
Rural Healthcare Quality Network (RHQN) – Agency for Healthcare Research and
Quality Grant
FINAL REPORT
BACKGROUND
Purpose of the Study
The purpose of the study was to examine clinician’s attitudes and p…
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to
Increase Safety and Diagnostic Accuracy Innovation
August 30, 2023
https://psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-
diagnostic-accuracy
Summary
Addressing diagnostic errors to improve outcomes and patient safety h…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/culture-checkup-tool.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Culture Check-Up Tool
AHRQ Safety Program for Perinatal Care
Culture Checkup Tool
Culture Checkup Tool
Problem statement: Improving safety culture in a patient care area takes time.
What is culture? Attitudes reflect the norms, values, and beliefs in the unit and, in turn, cre…
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www.ahrq.gov/news/blog/ahrqviews/ahrq-2024-proposed-budget.html
March 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders
With New Funds Proposed for 2024, AHRQ is Poised to Tackle Critical Healthcare Challenges
MAR
14
2023
By
Robert Otto
Valdez,
Ph.D., M.H.S.A.
Robert Otto Valdez, Ph.D., M.H.S.A.
I am pleased to report that the proposed Fis…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-privacy-factSheet.pdf
October 01, 2021 - Privacy, Security, Confidentiality, and
Privilege Considerations for Patient Safety
and Quality Improvement Activities
Before you begin, check with the appropriate point of contact
in your organization to:
Confirm that all participants in the improvement activity are
authorized to access and use patient informa…
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psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
July 19, 2019 - Review
Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review.
Citation Text:
Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…
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psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-need-improve-measurement
November 03, 2015 - Commentary
Classic
Toward a safer health care system: the critical need to improve measurement.
Citation Text:
Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement. JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448…