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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - Teach-back is a strategy that involves the health care provider asking patients or family members to … In this run chart, the external standard is the National Healthcare Safety Network (NHSN) mean CLABSI … Resources From the Same Author(s)
Patient Safety Primers
National … Safety
March 27, 2024
Patient Safety Primers
National … Professionals
Latent Errors
Continuous Quality Improvement
Error Analysis
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psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high
October 03, 2011 - This review found high-quality evidence that simulation training is an effective strategy to improve … A checklist to address implicit bias in healthcare settings during the COVID-19 pandemic: The PLACE Strategy … July 24, 2013
Simulation exercises as a patient safety strategy: a systematic review. … Using an objective structured clinical examination to test adherence to Joint Commission National … September 30, 2012
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Hospitals
Quality
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psnet.ahrq.gov/issue/evidence-based-tool-pe-ps-healthcare-managers-assess-patient-engagement-patient-safety
June 08, 2010 - Patient engagement is an important strategy to improve quality and safety of care. … 4, 2021
Development and usability testing of the Agency for Healthcare Research and Quality … November 1, 2017
Pediatric airway management and prehospital patient safety: results of a national … An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national … and Safety Professionals
Quality Improvement Strategies
Benchmarking
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psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
December 16, 2015 - National Institute for Health Research; 2016:1-76. doi:10.3310/hsdr04270. … National Institute for Health Research ; 2016 :1-76 . … prioritize system improvements needed to optimize incident reporting as a patient safety improvement strategy … February 1, 2017
Measuring harm and informing quality improvement in the Welsh NHS: the … longitudinal Welsh national adverse events study.
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psnet.ahrq.gov/issue/call-application-patient-safety-culture-medical-humanitarian-action-literature-review
February 10, 2021 - staff involved in care provision or management, (2) medical institutions or organizations, and (3) national … March 6, 2005
French national survey of inpatient adverse events prospectively assessed … Equity in Patient Safety
March 27, 2024
In situ simulation: a strategy … January 25, 2023
Health care quality and safety in a correctional system: creating goals … May 13, 2020
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Hospitals
Quality and
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psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
September 23, 2020 - Commentary
Using Kotter's change model for implementing bedside handoff: a quality … Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. … Change management has been described as a critical strategy to ensure safety improvements are sustained … January 19, 2014
Bedside handover: quality improvement strategy to "transform care at … October 19, 2011
2009 National Patient Safety Goals.
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psnet.ahrq.gov/issue/communication-and-transparency-means-strengthening-workplace-culture-during-covid-19
January 16, 2019 - National Academy of Medicine; 2021. doi:10.31478/202103a. … National Academy of Medicine ; 2021.
View more articles from the same authors. … report shares the experience of one hospital that used technology to enhance information-sharing as a strategy … National Academy of Medicine; 2021. doi:10.31478/202103a. … A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care.
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psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-foundations-lucian-leape
November 23, 2016 - Boston, MA: National Patient Safety Foundation; 2016. … Boston, MA: National Patient Safety Foundation; 2016. … November 2, 2012
Improving America's Hospitals: The Joint Commission's Annual Report on Quality … October 12, 2011
Improving America's Hospitals: The Joint Commission's Annual Report on Quality … Hospitals
Health Care Providers
Health Care Executives and Administrators
Hospital Medicine
Quality
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psnet.ahrq.gov/issue/hospital-quality-review-spending-and-patient-safety-longitudinal-analysis-using-instrumental
December 21, 2022 - Study
Hospital quality-review spending and patient safety: a longitudinal analysis … Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables … Peer review is one strategy for assessing clinical performance and uncovering potential safety issues … September 28, 2022
Patient safety monitoring in acute care in a decentralized national … January 19, 2014
The Orthopaedic Error Index: development and application of a novel national
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psnet.ahrq.gov/issue/publication-inspection-frameworks-qualitative-study-exploring-impact-quality-improvement-and
August 10, 2022 - Publication of inspection frameworks: a qualitative study exploring the impact on quality … Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement … This qualitative study explored the impact of published inspection frameworks on quality and safety in … to 20 hospitals in England during implementation of the 7-day services national health policy. … July 1, 2020
Preventing a parallel pandemic - a national strategy to protect clinicians
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psnet.ahrq.gov/issue/are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade
February 24, 2011 - Medicine that explores a range of quality issues and medical errors. … and patients in a national sample. … to 20 hospitals in England during implementation of the 7-day services national health policy. … July 3, 2014
Preventing hospital-acquired infections: a national survey of practices … A high-reliability organization framework for health care: a multiyear implementation strategy
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psnet.ahrq.gov/issue/safety-academic-medical-center-transforming-challenges-ingredients-improvement
February 17, 2011 - Related Resources From the Same Author(s)
Electronic health records in ambulatory care- a national … February 17, 2011
Professionalism in medicine: results of a national survey of physicians … February 17, 2011
Overarching goals: a strategy for improving healthcare quality and … quality and patient safety infrastructure. … and Safety Professionals
Educators
Quality Improvement Strategies
View More
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psnet.ahrq.gov/issue/teamstepps-master-training-course-0
April 17, 2025 - Armstrong Institute for Patient Safety and Quality. January 28 and 30, 2025. … Armstrong Institute for Patient Safety and Quality. January 28 and 30, 2025. … October 11, 2017
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to … June 21, 2023
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to Blueprint … September 29, 2017
A National Web Conference on Improving Health IT Safety Through the
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psnet.ahrq.gov/issue/cusp-implementation-training
July 09, 2019 - Armstrong Institute for Patient Safety and Quality. … October 11, 2017
Diagnostic Strategy for the COVID-19 Pandemic – Bench to Bedside to … November 7, 2018
Simulating for quality: a centralized quality improvement and patient … September 29, 2017
Eliminating CAUTI: Interim Data Report: A National Patient Safety … May 19, 2013
Eliminating CLABSI: A National Patient Safety Imperative.
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psnet.ahrq.gov/issue/compendium-2000-2005
September 06, 2011 - Washington DC: National Quality Forum. … Quality Forum. … This website is the complete collection to date of standards, measures and reports endorsed by the National … Quality Forum . … Washington DC: National Quality Forum.
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psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation-strategy-and
November 17, 2021 - A high-reliability organization framework for health care: a multiyear implementation strategy … A high-reliability organization framework for health care: a multiyear implementation strategy and associated … A high-reliability organization framework for health care: a multiyear implementation strategy and associated … November 16, 2022
Patient safety monitoring in acute care in a decentralized national … November 21, 2011
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Hospitals
Quality
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psnet.ahrq.gov/issue/patients-diagnostic-collaborators-sharing-visit-notes-promote-accuracy-and-safety
April 15, 2020 - Despite growing support for patient involvement in safety and quality improvement, little is known … The authors discuss challenges to the successful implementation of this strategy and areas of focus needed … Adolescents identifying errors and omissions in their electronic health records: a national … Resources
Adolescents identifying errors and omissions in their electronic health records: a national … March 9, 2022
Considering the safety and quality of artificial intelligence in health
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psnet.ahrq.gov/node/33575/psn-pdf
March 15, 2025 - health care
organizations "encourage patients' active involvement in their own care as a patient safety strategy … " as a
National Patient Safety Goal in 2007, catalyzing research into how patients may partner with … -21st-century
https://psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
https … Although patient engagement is a promising strategy for error reduction, there is reason for caution … In addition to its prioritization of patient engagement through the National Patient
Safety Goal, The
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - The only nationally representative survey of health literacy, conducted by National Center for Educational … A National Academy of Medicine discussion paper 9 identifies and describes essential attributes of a … resources to help organizations improve safety and quality. … The health literacy of America’s adults: Results from the 2003 National Assessment of Adult Literacy. … Washington, DC: National Center for Education Statistics; September 2006. [ Free full text ] Singer
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psnet.ahrq.gov/issue/triangulating-case-finding-tools-patient-safety-surveillance-cross-sectional-case-study
February 08, 2012 - Similar to a past study , the authors advocate for a strategy combining detection methods rather than … 2010
Relationship between performance measurement and accreditation: implications for quality … September 21, 2008
Characteristics of pediatric chemotherapy medication errors in a national … September 9, 2011
Pediatric antidepressant medication errors in a national error reporting … 2010
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Hospitals
Risk Managers
Quality