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psnet.ahrq.gov/node/43285/psn-pdf
July 16, 2014 - Outcomes of a quality improvement project for educating
nurses on medication administration and errors in
nursing homes.
July 16, 2014
Tenhunen ML, Tanner EK, Dahlen R. Outcomes of a quality improvement project for educating nurses on
medication administration and errors in nursing homes. J Contin Educ Nurs. 2014;…
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psnet.ahrq.gov/node/47810/psn-pdf
March 13, 2019 - Debriefing in the OR: a quality improvement project.
March 13, 2019
Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J.
2019;109(3):336-344. doi:10.1002/aorn.12616.
https://psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project
Debriefing has emerged as a s…
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psnet.ahrq.gov/node/36758/psn-pdf
August 10, 2011 - Seven hundred and fifty-nine (759) chances to learn: a 3-
year pilot project to analyse transfusion-related near-miss
events in the Republic of Ireland.
August 10, 2011
Lundy D, Laspina S, Kaplan H, et al. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot
project to analyse transfusion-related ne…
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psnet.ahrq.gov/node/44422/psn-pdf
November 17, 2017 - Stop the noise: a quality improvement project to decrease
electrocardiographic nuisance alarms.
November 17, 2017
Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease
Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15-22; quiz 1p following 22.
doi:10.4…
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psnet.ahrq.gov/node/45726/psn-pdf
December 14, 2016 - National Cancer Institute–American Society of Clinical
Oncology Teams in Cancer Care Project.
December 14, 2016
J Oncol Pract. 2016;12(11):955-1194.
https://psnet.ahrq.gov/issue/national-cancer-institute-american-society-clinical-oncology-teams-cancer-
care-project
Team-based care has been adopted in various spec…
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psnet.ahrq.gov/node/45445/psn-pdf
September 27, 2016 - Using Kotter's change model for implementing bedside
handoff: a quality improvement project.
September 27, 2016
Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality
Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.1097/NCQ.0000000000000212.
https:/…
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psnet.ahrq.gov/node/47361/psn-pdf
April 07, 2019 - Implementing bedside handoff in the emergency
department: a practice improvement project.
April 7, 2019
Campbell D, Dontje K. Implementing Bedside Handoff in the Emergency Department: A Practice
Improvement Project. J Emerg Nurs. 2019;45(2):149-154. doi:10.1016/j.jen.2018.09.007.
https://psnet.ahrq.gov/issue/imple…
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psnet.ahrq.gov/node/37601/psn-pdf
March 19, 2008 - Patient Safety Education Project.
March 19, 2008
Buehler Center on Aging, Health & Society; Northwestern University.
https://psnet.ahrq.gov/issue/patient-safety-education-project
This Web site provides information on the Patient Safety Education Project (PSEP), an initiative to build a
core patient safety curricul…
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psnet.ahrq.gov/node/43975/psn-pdf
July 18, 2016 - Influence of the Comprehensive Unit-based Safety
Program in ICUs: evidence from the Keystone ICU project.
July 18, 2016
Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence
From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-357. doi:10.1177/1062860615571963.
…
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psnet.ahrq.gov/node/43627/psn-pdf
November 12, 2014 - The 5th National Audit Project (NAP5) on accidental
awareness during general anaesthesia: patient
experiences, human factors, sedation, consent and
medicolegal issues.
November 12, 2014
Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness
during general anaesthesia: p…
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psnet.ahrq.gov/node/60539/psn-pdf
July 10, 2017 - Understanding facilitators and barriers to care
transitions: insights from Project ACHIEVE Site Visits.
July 10, 2017
Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights
from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447.
doi:1…
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psnet.ahrq.gov/node/41673/psn-pdf
September 12, 2012 - A root cause analysis project in a medication safety
course.
September 12, 2012
Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ.
2012;76(6):116. doi:10.5688/ajpe766116.
https://psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
This commentary descri…
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psnet.ahrq.gov/node/41411/psn-pdf
October 19, 2012 - Minnesota Hospital Association Statewide Project: SAFE
from FALLS.
October 19, 2012
Apold J, Quigley PA. Minnesota Hospital Association Statewide Project: SAFE from FALLS. J Nurs Care
Qual. 2012;27(4):299-306. doi:10.1097/NCQ.0b013e3182599d1b.
https://psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-p…
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psnet.ahrq.gov/node/44820/psn-pdf
March 08, 2017 - Patient Safety Project 2015–2017.
March 8, 2017
National Quality Forum; NQF.
https://psnet.ahrq.gov/issue/patient-safety-project-2015-2017
The National Quality Forum (NQF) has been a leader in defining patient safety reporting measures. This
website provides information about the third cycle of an NQF patient safe…
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psnet.ahrq.gov/node/47547/psn-pdf
February 13, 2019 - Prevention of prescription opioid misuse and projected
overdose deaths in the United States.
February 13, 2019
Chen Q, Larochelle MR, Weaver DT, et al. Prevention of Prescription Opioid Misuse and Projected
Overdose Deaths in the United States. JAMA Netw Open. 2019;2(2):e187621.
doi:10.1001/jamanetworkopen.2018.76…
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psnet.ahrq.gov/node/44302/psn-pdf
August 04, 2015 - The Global Comparators project: international
comparison of 30-day in-hospital mortality by day of the
week.
August 4, 2015
Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital
mortality by day of the week. BMJ Qual Saf. 2015;24(8):492-504. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/node/42917/psn-pdf
February 05, 2014 - The PROMISES Project.
February 5, 2014
Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the
Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School;
Health Care for All; Massachusetts Medical Society; Massachusetts Departme…
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psnet.ahrq.gov/node/40931/psn-pdf
July 02, 2014 - Patient safety stories: a project utilizing narratives in
resident training.
July 2, 2014
Cox LAM, Logio LS. Patient safety stories: a project utilizing narratives in resident training. Acad Med.
2011;86(11):1473-8. doi:10.1097/ACM.0b013e318230efaa.
https://psnet.ahrq.gov/issue/patient-safety-stories-project-utili…
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psnet.ahrq.gov/node/38457/psn-pdf
December 31, 2014 - 10-State project to study methods to reduce central line-
associated bloodstream infections in hospital ICUs.
December 31, 2014
Rockville, MD: Agency for Healthcare Research and Quality; February 19, 2009.
https://psnet.ahrq.gov/issue/10-state-project-study-methods-reduce-central-line-associated-bloodstream-
infec…
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psnet.ahrq.gov/node/39641/psn-pdf
September 20, 2011 - Adherence to Surgical Care Improvement Project
measures and the association with postoperative
infections.
September 20, 2011
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures
and the association with postoperative infections. JAMA. 2010;303(24):2479-85.
doi:10.1…