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psnet.ahrq.gov/node/859355/psn-pdf
December 20, 2023 - Systems-Based Approaches to Improve Patient Safety by
Improving Healthcare Worker Safety and Well-Being (R01
Clinical Trial Optional).
December 20, 2023
PA-24-093. Rockville, MD: Agency for Healthcare Research and Quality. December 5, 2023.
https://psnet.ahrq.gov/issue/systems-based-approaches-improve-patient-safe…
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psnet.ahrq.gov/node/43634/psn-pdf
November 05, 2014 - Safety in numbers: lack of evidence to indicate the
number of physicians needed to provide safe acute
medical care.
November 5, 2014
Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of
physicians needed to provide safe acute medical care. Clin Med (Lond). 2014;14(5):4…
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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/867396/psn-pdf
December 18, 2024 - Mental Health Inpatient Settings: Creating Conditions for
the Delivery of Safe and Therapeutic Care to Adults.
December 18, 2024
Mental Health Inpatient Settings: Creating Conditions For The Delivery Of Safe And Therapeutic Care To
Adults. Health Services Safety Investigations Body; October 2024.
https://psnet.ahr…
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digital.ahrq.gov/organization/thomson-reuters-healthcare-inc
January 01, 2023 - Thomson Reuters Healthcare, Inc.
Structuring Care Recommendations for Clinical Decision Support - 2011
Principal Investigator
Osheroff, Jerry
Project Name
Structuring Care Recommendations for Clinical Decision Support
Design of a Toolkit t…
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www.ahrq.gov/patient-safety/settings/hospital/resource/index.html
February 01, 2025 - Hospitals and Health Systems
Tools and resources for Hospitals, Long-term Care Facilities, and Primary Care Facilities
Hospital Resources Toolkits, recommendations, and other resources for hospitals and hospital administrators to improve quality, reduce errors, and increase patient safety. Communication and O…
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psnet.ahrq.gov/node/854988/psn-pdf
November 01, 2023 - Use of design thinking and human factors approach to
improve situation awareness in the pediatric intensive
care unit.
November 1, 2023
Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve
situation awareness in the pediatric intensive care unit. J Hosp Med. 2023;18(1…
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psnet.ahrq.gov/node/47015/psn-pdf
May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal
error.
May 9, 2018
Porter S. HealthLeaders Media. April 26, 2018.
https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…
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psnet.ahrq.gov/node/843411/psn-pdf
February 01, 2023 - Sustaining improvement of hospital-wide initiative for
patient safety and quality: a systematic scoping review.
February 1, 2023
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and
quality: a systematic scoping review. BMJ Open Qual. 2022;11(4):e002057. doi:10.1136…
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psnet.ahrq.gov/node/46107/psn-pdf
August 16, 2017 - The relationship between patient safety climate and
occupational safety climate in healthcare—a multi-level
investigation.
August 16, 2017
Pousette A, Larsman P, Eklöf M, et al. The relationship between patient safety climate and occupational
safety climate in healthcare – A multi-level investigation. J Safety Res…
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psnet.ahrq.gov/node/46544/psn-pdf
September 12, 2018 - Interventions to improve follow-up of laboratory test
results pending at discharge: a systematic review.
September 12, 2018
Whitehead NS, Williams L, Meleth S, et al. Interventions to Improve Follow-Up of Laboratory Test Results
Pending at Discharge: A Systematic Review. J Hosp Med. 2018. doi:10.12788/jhm.2944.
ht…
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psnet.ahrq.gov/node/44874/psn-pdf
July 11, 2017 - Establishing an ambulatory medicine quality and safety
oversight structure: leveraging the fractal model.
July 11, 2017
Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight
Structure: Leveraging the Fractal Model. Acad Med. 2016;91(7):962-6.
doi:10.1097/ACM.0000000…
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psnet.ahrq.gov/node/46412/psn-pdf
October 11, 2017 - Team-based care: the changing face of cardiothoracic
surgery.
October 11, 2017
Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery.
Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003.
https://psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothor…
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psnet.ahrq.gov/node/867137/psn-pdf
November 13, 2024 - Enteral nutrition: an underappreciated source of patient
safety events.
November 13, 2024
Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events.
Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153.
https://psnet.ahrq.gov/issue/enteral-nutrition-underapprec…
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psnet.ahrq.gov/node/45436/psn-pdf
August 31, 2016 - Improving the communication between teams managing
boarded patients on a surgical specialty ward.
August 31, 2016
Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients
on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:10.1136/bmjquality.u209186.w3750.
http…
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psnet.ahrq.gov/node/72775/psn-pdf
February 24, 2021 - Improving medication appropriateness in nursing homes
via structured interprofessional medication-review
supported by health information technology: a non-
randomized controlled study.
February 24, 2021
Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriateness in nursing homes
via s…
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psnet.ahrq.gov/node/72644/psn-pdf
February 01, 2021 - Best Practices in Developing Proprietary Names for
Human Nonprescription Drug Products.
January 13, 2021
Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for
Drug Evaluation and Research; December 7, 2020.
https://psnet.ahrq.gov/issue/best-practices-developing-p…
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pso.ahrq.gov/resources/rulemaking
October 01, 2020 - SHARE:
More topics in this section
Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Resources for Improving Patient Safety and Healthcare Quality
Resources for Artificial Intelligence (AI) in …
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www.ahrq.gov/ncepcr/about/impact-primary-care-webinar-series/health-risks-older-adults.html
March 01, 2025 - NCEPCR Webinar: Approaches To Address Health Risks in Older Adults
Value and Impact of Primary Care Webinar Series YouTube embedded video: https://www.youtube-nocookie.com/embed/_8ZAA0yE8Rg NCEPCR Webinar: Approaches To Address Health Risks in Older Adults (1:12:56) This webinar highlights the value and impor…
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www.ahrq.gov/evidencenow/projects/state/meeting-summary-cooperatives/index.html
October 01, 2024 - Building State Cooperatives for Healthcare Improvement: Meeting Summary
Next Page
Table of Contents
Building State Cooperatives for Healthcare Improvement: Meeting Summary
Introduction
Meeting Sessions and Takeaways
Appendix A: Meeting Agenda
Appendix B: Meeting Attendees’ Biographical Sketche…