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psnet.ahrq.gov/node/843089/psn-pdf
May 01, 2020 - Direct observation of depression screening: identifying
diagnostic error and improving accuracy through
unannounced standardized patients.
May 1, 2020
Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic
error and improving accuracy through unannounced standardiz…
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psnet.ahrq.gov/node/60909/psn-pdf
September 16, 2020 - Improving patient handoffs and transitions through
adaptation and implementation of I-PASS across multiple
handoff settings.
September 16, 2020
Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation
and implementation of I-PASS across multiple handoff settings. …
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psnet.ahrq.gov/node/46941/psn-pdf
August 01, 2018 - Incident reporting to improve patient safety: the effects of
process variance on pediatric patient safety in the
emergency department.
August 1, 2018
O?Connell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of
Process Variance on Pediatric Patient Safety in the Emergency De…
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psnet.ahrq.gov/node/60583/psn-pdf
June 10, 2020 - Containing COVID-19 in the emergency department: the
role of improved case detection and segregation of
suspect cases.
June 10, 2020
Wee LE, Fua T?P, Chua YY, et al. Containing COVID-19 in the emergency department: the role of
improved case detection and segregation of suspect cases. Acad Emerg Med. 2020;27(5):379…
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psnet.ahrq.gov/node/48114/psn-pdf
July 17, 2019 - Opportunities for improvement in nursing homes:
variance of six patient safety climate factor scores across
nursing homes and wards—assessed by the Safety
Attitudes Questionnaire.
July 17, 2019
Deilkås ECT, Hofoss D, Husebo BS, et al. Opportunities for improvement in nursing homes: Variance of six
patient safety …
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psnet.ahrq.gov/node/46260/psn-pdf
July 26, 2017 - ACOG Committee opinion #680: the use and development
of checklists in obstetrics and gynecology.
July 26, 2017
American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality
Improvement. Obstet Gynecol. 2016;128:e237-e240.
https://psnet.ahrq.gov/issue/acog-committee-opinion-680-use-an…
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psnet.ahrq.gov/node/845302/psn-pdf
March 01, 2023 - Reducing preventable adverse events in obstetrics by
improving interprofessional communication skills--results
of an intervention study.
March 1, 2023
Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by
improving interprofessional communication skills – results of an int…
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psnet.ahrq.gov/node/838309/psn-pdf
October 12, 2022 - Duplicate medication order errors: safety gaps and
recommendations for improvement.
October 12, 2022
Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for
improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6.
https://psnet.ahrq.gov/issue/duplic…
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psnet.ahrq.gov/node/837334/psn-pdf
June 08, 2022 - Safety gaps in medical team communication: closing the
loop on quality improvement efforts in the cardiac
catheterization lab.
June 8, 2022
Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on
quality improvement efforts in the cardiac catheterization lab. Catheter …
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psnet.ahrq.gov/node/35361/psn-pdf
July 16, 2009 - Improving Patient Safety Through Informed Consent for
Patients with Limited Health Literacy.
July 16, 2009
Wu HW, Nishimi RY, Page-Lopez CM, et al. Washington DC: National Quality Forum; 2005.
https://psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health-
literacy
In the 2…
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psnet.ahrq.gov/node/45965/psn-pdf
April 19, 2017 - Measuring harm and informing quality improvement in the
Welsh NHS: the longitudinal Welsh national adverse
events study.
April 19, 2017
Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh
Nhs: The Longitudinal Welsh National Adverse Events Study. Southampton, UK: NIH…
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psnet.ahrq.gov/node/60532/psn-pdf
May 27, 2020 - Improving timely recognition and treatment of sepsis in
the pediatric ICU.
May 27, 2020
Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU.
Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005.
https://psnet.ahrq.gov/issue/improv…
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psnet.ahrq.gov/node/50555/psn-pdf
October 16, 2019 - Improving critical incident reporting in primary care
through education and involvement.
October 16, 2019
Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through
education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/bmjoq-2018-000556.
https://psnet…
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psnet.ahrq.gov/node/837853/psn-pdf
August 17, 2022 - RaDonda Vaught, medication safety, and the profession
of pharmacy: steps to improve safety and ensure justice.
August 17, 2022
Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to
improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja…
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psnet.ahrq.gov/node/45917/psn-pdf
March 29, 2017 - Improving our understanding of multi-tasking in
healthcare: drawing together the cognitive psychology
and healthcare literature.
March 29, 2017
Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare:
Drawing together the cognitive psychology and healthcare literature. Ap…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
November 01, 2019 - Making Effective Changes in Antibiotic Decision Making
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Making Effective Changes in Antibiotic Decision
Making
Acute Care
Slide Title and Commentary Slide Number and Slide
Making Effect…
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www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Part Two: Design of Physician Feedback Reporting Systems
Previous Page Next Page
Table of Contents
Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance
Foreword
Introduction
Par…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustainability-assesment-tool.xlsx
March 01, 2017 - Sheet1
The purpose of this tool is to support the maintenance of your AHRQ Safety Program for Long-Term Care: CAUTI program efforts and its benefits to the improvement of resident safety culture overtime. This tool will help your team identify their current state, including what’s working and what’s not working, outl…
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www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality Measures to Quality Care: Examples of Quality Improvement at Work
Previous Page Next Page
Table of Contents
The Challenge and Potential for Assuring Quality Health Care for the 21st Century
From Quality …
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
September 28, 2016 - Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration
Improving the Safety and Quality
of Health Care: The Impact of the
National Academy of Medicine on
Research and Collaboration
Victor J Dzau, MD
President, National Academy of Medicine
AH…