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psnet.ahrq.gov/node/38736/psn-pdf
June 24, 2009 - Improving patient safety by understanding past
experiences in day surgery and PACU.
June 24, 2009
Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J
Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001.
https://psnet.ahrq.gov/issue/improving-patien…
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psnet.ahrq.gov/node/47462/psn-pdf
October 31, 2018 - Emergency department checklist: an innovation to
improve safety in emergency care.
October 31, 2018
Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in
emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-000325.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/38737/psn-pdf
July 13, 2009 - Reengineering hospital discharge: a protocol to improve
patient safety, reduce costs, and boost patient
satisfaction.
July 13, 2009
Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and
boost patient satisfaction. Am J Med Qual. 2009;24(4):344-6. doi:10.1177/106286060…
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psnet.ahrq.gov/node/37067/psn-pdf
October 03, 2011 - Using an interactive voice response system to improve
patient safety following hospital discharge.
October 3, 2011
Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following
hospital discharge. J Eval Clin Pract. 2007;13(3):346-51.
https://psnet.ahrq.gov/issue/using-…
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psnet.ahrq.gov/node/73489/psn-pdf
July 15, 2021 - A diagnostic time-out to improve differential diagnosis in
pediatric abdominal pain.
July 15, 2021
Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric
abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-0054.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/42022/psn-pdf
February 13, 2013 - Improving patient safety using the sterile cockpit
principle during medication administration: a
collaborative, unit-based project.
February 13, 2013
Fore AM, Sculli GL, Albee D, et al. Improving patient safety using the sterile cockpit principle during
medication administration: a collaborative, unit-based projec…
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psnet.ahrq.gov/node/43431/psn-pdf
August 27, 2014 - After Mid Staffordshire: from acknowledgement, through
learning, to improvement.
August 27, 2014
Martin G, Dixon-Woods M. After Mid Staffordshire: from acknowledgement, through learning, to
improvement. BMJ Qual Saf. 2014;23(9):706-8. doi:10.1136/bmjqs-2014-003359.
https://psnet.ahrq.gov/issue/after-mid-staffordsh…
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psnet.ahrq.gov/node/44574/psn-pdf
October 21, 2015 - Patient safety and quality improvement: reducing risk of
harm.
October 21, 2015
Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev.
2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
T…
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psnet.ahrq.gov/node/35690/psn-pdf
July 12, 2010 - Pharmacy clarification of prescriptions ordered in primary
care: a report from the Applied Strategies for Improving
Patient Safety (ASIPS) collaborative.
July 12, 2010
Hansen LB, Fernald D, Araya-Guerra R, et al. Pharmacy clarification of prescriptions ordered in primary
care: a report from the Applied Strategies …
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psnet.ahrq.gov/node/46336/psn-pdf
August 23, 2017 - Improving the Working Environment for Safe Surgical
Care.
August 23, 2017
Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of
Edinburgh; July 31, 2017.
https://psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
Surgical training is demanding and can r…
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psnet.ahrq.gov/node/37621/psn-pdf
March 19, 2008 - An effort to improve electronic health record medication
list accuracy between visits: patients' and physicians'
response.
March 19, 2008
Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list
accuracy between visits: patients' and physicians' response. Int J Med …
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psnet.ahrq.gov/node/60800/psn-pdf
January 01, 2021 - Changing hospital organisational culture for improved
patient outcomes: developing and implementing the
Leadership Saves Lives intervention.
August 12, 2020
Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient
outcomes: developing and implementing the leadership s…
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psnet.ahrq.gov/node/41425/psn-pdf
June 19, 2012 - Mortality and morbidity meetings: an untapped resource
for improving the governance of patient safety?
June 19, 2012
Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving
the governance of patient safety? BMJ Qual Saf. 2012;21(7):576-585. doi:10.1136/bmjqs-2011-00060…
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psnet.ahrq.gov/node/41018/psn-pdf
December 21, 2011 - What stands in the way of technology-mediated patient
safety improvements? A study of facilitators and barriers
to physicians' use of electronic health records.
December 21, 2011
Holden RJ. What stands in the way of technology-mediated patient safety improvements?: a study of
facilitators and barriers to physician…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
March 27, 2025 - Healthcare Safety Competencies Affinity Group Environmental Scan
Page 1 of 15
Healthcare Safety Competencies Affinity Group
Environmental Scan, Resources, and Strategies version 4.7.2025
Table of Contents
Background ...............................................................................................…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety
Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety
SAY:
This module introduces the comprehensive unit-based safety program, also called CUSP, that we will use as the foundation …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action_facnotes.docx
December 01, 2017 - Facilitator Guide: Turn Data Into Action
Turning Data Into Action – Facilitator Notes
Slide Title and Commentary
Slide Number and Slide
Title Slide
Turning Data Into Action: Using HSOPS and SSI Data as Part of a Meaningful Change
SAY:
In this module, you’ll learn about using data as part of your team’s improvemen…
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psnet.ahrq.gov/node/866216/psn-pdf
July 10, 2024 - Health Plan Patient Safety Initiatives
July 10, 2024
Helwig A, Sousane Z, Mossburg S. Health Plan Patient Safety Initiatives. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
When we think of improving patient safety, we often think of strategies that can be implemen…
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www.ahrq.gov/news/newsletters/e-newsletter/959.html
May 01, 2025 - Lab Results Improve Accuracy of AI-Generated Diagnoses
Issue Number
959
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
May 28, 2025
AHRQ Stats: Insurance Types Among High Spenders Medicare and private insurance paid for over three-quarters of expenses among …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3b_pdi_resultspresentation.pdf
June 02, 2025 - The Pediatric Toolkit for Using the AHRQ Pediatric Quality Indicators
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool B.3b Slide 1
• Use this PowerPoint presentation as a
template for your presentation.
• Replace the charts with charts that you create
with…