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psnet.ahrq.gov/node/853975/psn-pdf
September 27, 2023 - Strategies for Improving Clinician Psychological Safety in
Reporting and Discussing Diagnostic Error.
September 27, 2023
Amin D, Cosby K. Rockville, MD: Agency for Healthcare Research and Quality; September 2023.
Publication No. 23-0040-6-EF.
https://psnet.ahrq.gov/issue/strategies-improving-clinician-psychologica…
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psnet.ahrq.gov/node/43744/psn-pdf
December 03, 2014 - Mobile physician reporting of clinically significant
events—a novel way to improve handoff communication
and supervision of resident on call activities.
December 3, 2014
Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel
way to improve handoff communication…
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psnet.ahrq.gov/node/838193/psn-pdf
September 28, 2022 - Economics of Medication Safety. Improving Medication
Safety Through Collective, Real-time Learning.
September 28, 2022
de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and
Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147.
…
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psnet.ahrq.gov/node/74271/psn-pdf
January 19, 2022 - Improving shared situation awareness for high-risk
therapies in hospitalized children.
January 19, 2022
Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in
hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.2021-006193.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/852802/psn-pdf
August 23, 2023 - Indian Health Service: Actions Needed to Improve Use of
Data on Adverse Events.
August 23, 2023
Washington, DC: United States Government Accounting Office; July 10, 2023. Publication GAO-23-
105722.
https://psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events
Health info…
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psnet.ahrq.gov/node/47923/psn-pdf
April 17, 2019 - Improving employee voice about transgressive or
disruptive behavior: a case study.
April 17, 2019
Dixon-Woods M, Campbell A, Martin G, et al. Improving Employee Voice About Transgressive or Disruptive
Behavior: A Case Study. Acad Med. 2019;94(4):579-585. doi:10.1097/ACM.0000000000002447.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/43783/psn-pdf
January 14, 2015 - Improving the quality and safety of care on the medical
ward: a review and synthesis of the evidence base.
January 14, 2015
Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A
review and synthesis of the evidence base. Eur J Intern Med. 2014;25(10):874-87.
doi:…
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psnet.ahrq.gov/node/42697/psn-pdf
December 05, 2013 - An initiative to improve the management of clinically
significant test results in a large health care network.
December 5, 2013
Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant
test results in a large health care network. Jt Comm J Qual Patient Saf. 2013;39(1…
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psnet.ahrq.gov/node/61032/psn-pdf
October 14, 2020 - System Governance Towards Improved Patient Safety:
Key Functions, Approaches and Pathways to
Implementation.
October 14, 2020
Auraaen A, Saar K, Klazinga N for the Organisation for Economic Co-operation and Development. OECD
Publishing, Paris, France; 2020. OECD Health Working Papers, No. 120.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/44384/psn-pdf
August 12, 2015 - Effective followership: a standardized algorithm to
resolve clinical conflicts and improve teamwork.
August 12, 2015
Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical
conflicts and improve teamwork. J Healthc Risk Manag. 2015;35(1):21-30. doi:10.1002/jhrm.21174…
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psnet.ahrq.gov/node/47622/psn-pdf
April 24, 2019 - Consumer-directed technologies to improve medication
management and safety.
April 24, 2019
Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and
safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029.
https://psnet.ahrq.gov/issue/consumer-directed-technologies-…
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psnet.ahrq.gov/node/39298/psn-pdf
June 11, 2010 - Medication error reporting in nursing homes: identifying
targets for patient safety improvement.
June 11, 2010
Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets
for patient safety improvement. Qual Saf Health Care. 2010;19(3):218-22. doi:10.1136/qshc.2008.031…
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psnet.ahrq.gov/node/46086/psn-pdf
August 30, 2017 - Quality and Safety in Nursing: a Competency Approach to
Improving Outcomes, Second Edition.
August 30, 2017
Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 9781119151678.
https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-
edition
The Cr…
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psnet.ahrq.gov/node/45811/psn-pdf
May 08, 2017 - A National Web Conference on Improving Health IT Safety
Through the Use of Natural Language Processing to
Improve Accuracy of EHR Documentation.
May 8, 2017
Agency for Healthcare Research and Quality. February 7, 2017.
https://psnet.ahrq.gov/issue/national-web-conference-improving-health-it-safety-through-use-natu…
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psnet.ahrq.gov/node/44737/psn-pdf
December 16, 2015 - How effective are incident-reporting systems for
improving patient safety? A systematic literature review.
December 16, 2015
Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;93(4):826-866.
https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-
systematic-literature
…
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psnet.ahrq.gov/node/45971/psn-pdf
April 21, 2018 - Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families.
April 21, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 2018.
https://psnet.ahrq.gov/issue/guide-improving-patient-safety-primary-care-settings-engaging-patients-and-
families
Patient engagement i…
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psnet.ahrq.gov/node/46528/psn-pdf
January 10, 2018 - Five Years of Experience Using Front-line Ownership to
Improve Healthcare Quality and Safety.
January 10, 2018
Healthc Pap. 2017;17:1-61.
https://psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality-
and-safety
Patient safety leaders have noted the need to recognize the…
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psnet.ahrq.gov/node/44665/psn-pdf
January 01, 2019 - Introduction to the STS National Database Series:
outcomes analysis, quality improvement, and patient
safety.
January 1, 2018
Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019
Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632. doi:10.1016/j.athoracsur.2019.09.03…
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psnet.ahrq.gov/node/40602/psn-pdf
December 31, 2014 - How to improve the delivery of medication alerts within
computerized physician order entry systems: an
international Delphi study.
December 31, 2014
Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within
computerized physician order entry systems: an international Delphi study…
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psnet.ahrq.gov/node/44572/psn-pdf
January 22, 2016 - Can social media be used as a hospital quality
improvement tool?
January 22, 2016
Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp
Med. 2016;11(1):52-5. doi:10.1002/jhm.2486.
https://psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-t…