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  1. Core principles of quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
    August 01, 2018 - as systems thinking , the role of leadership in a culture of safety , use of failure analysis tools … February 14, 2017 Developing tools to enhance the adaptive capacity (Safety II) of health

  2. Maximizing the Use of State Adverse Event Data to Improve Patient Safety. | PSNet

    psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
    November 29, 2009 - report, generated by the National Academy for State Health Policy, provides practical guidance and tools … Additional initiatives from the report include development of a central Web-based repository of tools

  3. Patient safety improvement interventions in children's surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-improvement-interventions-childrens-surgery-systematic-review
    March 14, 2012 - Although investigators found sound evidence to support the use of handoff tools, they suggest that … Surgical leadership in a culture of safety: an inter-professional study of metrics and tools

  4. Is hospital patient care becoming safer? A conversation with Lucian Leape. | PSNet

    psnet.ahrq.gov/issue/hospital-patient-care-becoming-safer-conversation-lucian-leape
    November 02, 2014 - Lives Campaign, Michigan’s efforts to eliminate central line infections , the development of trigger tools … April 26, 2012 Leadership Guide to Patient Safety: Resources and Tools for Establishing

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867632/psn-pdf
    February 26, 2025 - These tools evaluated 71 dimensions of patient safety, including teamwork, safety climate, and communication … The authors note that the diversity of measurement tools and dimensions may hinder benchmarking efforts

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854849/psn-pdf
    October 31, 2023 - EHRs are useful tools that often support efforts to improve safety. … Much EHR data is locked in free text notes, so analytic tools are unable to leverage it for quality … Another finding from the same research was that use of tools to generate specific snippets of text ( … However, inappropriate use of these tools may lead to patient harm. … Electronic population health tools enhance preventive care for older adults.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866815/psn-pdf
    September 25, 2024 - This article describes how one tool within the SEIPS 101 model— the People, Environment, Tools and Tasks … human-centered-design-patient-journey-patient-safety https://psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73300/psn-pdf
    July 01, 2022 - Patient-centered written discharge instructions: BOOST offers two tools (Patient PASS [Patient Preparation … fix the root causes of any deficiencies: Interventions should use the concepts of the Project BOOST tools … , if not the actual tools themselves. … Costs: Project BOOST tools are available free of charge (see Tools and Other Resources section below … Learn quality improvement techniques: Understanding the principles, strategies, and tools for quality

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866809/psn-pdf
    September 25, 2024 - retained-surgical-items-definition-and-epidemiology https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety … https://www.ahrq.gov/teamstepps-program/resources/tools/index.html#:~:text=TeamSTEPPS%20Teamwork%20Attitudes

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47966/psn-pdf
    May 29, 2019 - ://psnet.ahrq.gov/issue/patient-safety-essentials-toolkit This toolkit provides access to nine key tools … Featured tools include the Situation-Background-Assessment-Recommendation approach, huddle agendas,

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60923/psn-pdf
    September 16, 2020 - safety and quality issues in artificial intelligence (AI) development and use (such as biases in AI tools … ) and approaches to increase transparency and understanding of AI tools among health care providers.

  12. Diagnostic Safety Improvement | PSNet

    psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
    September 14, 2025 - Emerging Classic Application of electronic trigger tools … Tools/Toolkit Toolkit for Engaging Patients to Improve Diagnostic Safety. … Trigger tools are frequently used in health care to detect adverse events. … of electronic trigger tools that use electronic health record data to detect and measure diagnostic … They also suggest that, if used prospectively, such tools might enable clinicians to take preventive

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865972/psn-pdf
    May 29, 2024 - Participants stated they consulted published tools/toolkits which they customized for their specific … chip_title=Tools/Toolkit&f%5B0%5D=issues_and%3A1080& https://psnet.ahrq.gov/issue/patient-safety-trends

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867751/psn-pdf
    March 12, 2025 - epidemiology-diagnostic-errors-pediatric-emergency-departments-using- electronic-triggers Electronic triggers and trigger tools … epidemiology-diagnostic-errors-pediatric-emergency-departments-using-electronic-triggers https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867653/psn-pdf
    February 26, 2025 - People have started to think about root cause analysis and other patient safety tools along these lines … change and implement these new tools. … I encourage organizations to use the tools that their organization is ready for. … As they go through the process, they may be able to add additional tools.  … We can only achieve that if we have some organizational agreements and alignment around these tools.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73680/psn-pdf
    January 01, 2022 - Technique (e.g., changes in equipment) and technology-based (e.g. trigger tools) interventions were … patient-safety-strategies-targeted-diagnostic-errors-systematic-review https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848827/psn-pdf
    May 10, 2023 - series shares analysis of adverse events submitted to a trauma center-focused reporting program as tools … psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867017/psn-pdf
    October 23, 2024 - clinicians-use-health-information-exchange-technologies-medication- reconciliation-us Health information exchange (HIE) tools … This study explored the facilitators and barriers to effective use of HIE tools for medication reconciliation

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866564/psn-pdf
    August 21, 2024 - The authors concluded that existing tools are inconsistently applied and lack strong methodologic verification … ; additional research to develop standardized, validated tools is needed.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866200/psn-pdf
    June 26, 2024 - perceptions about integration in professional practice, can influence effective implementation of these tools … does-app-day-keep-doctor-away-ai-symptom-checker-applications-entrenched-bias-and https://psnet.ahrq.gov/issue/diagnostic-and-triage-accuracy-digital-and-online-symptom-checker-tools-systematic-review
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