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Campbell SM, Bell BG, Marsden K, et al. J Patient Saf. 2018 Feb 15; [Epub ahead of print].
Campbell SM ; Bell BG ; Marsden K; et al. A patient safety toolkit for family practices. J Patient Saf. 2018 Feb 15; [Epub ahead of print]
Improving patient safety in the ambulatory setting is an increasing area of focus. In this study, investigators described the use of a patient safety toolkit across 46 outpatient family practices in England.
IHI National Forum on Quality Improvement in Health Care.
Institute for Healthcare Improvement. December 10–13, 2018; World Center Marriott, Orlando, FL.
Evaluating Quality Improvement and Patient Safety Projects.
Johns Hopkins Medicine, Armstrong Institute for Patient Safety. October 29-31, 2018. Constellation Energy Building, Baltimore, MD.
International Forum on Quality & Safety in Healthcare: Melbourne.
British Medical Journal, Institute for Healthcare Improvement. September 10–12, 2018; Melbourne, Australia.
Risky Business London 2018.
June 7–8, 2018. King's Place Conference Centre, London, UK.
Quality Improvement Series.
British Medical Journal.
Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care.
Bethesda, MD: Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health. May 21, 2018. PA-18-790; PA-18-791.
A target to achieve zero preventable trauma deaths through quality improvement.
Hashmi ZG, Haut ER, Efron DT, Salim A, Cornwell EE III, Haider AH. JAMA Surg. 2018 Apr 11; [Epub ahead of print].
Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.
Ban KA, Gibbons MM, Ko CY, et al. Anesth Analg. 2018 Apr 11; [Epub ahead of print].
Latent risk assessment tool for health care leaders.
Paine LA, Holzmueller CG, Elliott R, et al. J Healthc Risk Manag. 2018 Apr 6; [Epub ahead of print].
Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research.
Armstrong N. BMJ Qual Saf. 2018;27:571-575.
Injectable Opioid Shortages: Suggestions for Management and Conservation.
Bethesda MD: American Society of Health-System Pharmacists and the University of Utah Drug Information Service; 2018.
Impact of a national QI programme on reducing electronic health record notifications to clinicians.
Shah T, Patel-Teague S, Kroupa L, Meyer AND, Singh H. BMJ Qual Saf. 2018 Mar 5; [Epub ahead of print].
Eliminating Harm, Improving Patient Care: A Trustee Guide. 2018 Update.
Chicago. IL: AHA Trustee Services, Health Research and Education Trust; February 2018.
Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project.
Hansen JE, Lazow M, Hagedorn PA. Pediatr Qual Saf. 2018;3:e053.
Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement.
Rockville, MD: Agency for Healthcare Research and Quality; January 2018.
Emerging trends in perinatal quality and risk with recommendations for patient safety.
Simpson KR. J Perinat Neonatal Nurs. 2018;32:15-20.
Randomized controlled evaluation of an insulin pen storage policy.
Gibbs HG, McLernon T, Call R, et al. Am J Health Syst Pharm. 2017;74:2054-2059.
Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning.
Lucier D, Folcarelli P, Totte C, Carbo AR, Sokol-Hessner L. Jt Comm J Qual Patient Saf. 2018;44:84-93.
Are quality improvement collaboratives effective? A systematic review.
Wells S, Tamir O, Gray J, Naidoo D, Bekhit M, Goldmann D. BMJ Qual Saf. 2018;27:226-240.
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017.
Oakbrook Terrace; IL: Joint Commission; 2017.
Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study.
Curry LA, Brault MA, Linnander EL, et al. BMJ Qual Saf. 2018;27:207-217.
A review of best practices for intravenous push medication administration.
Lenz JR, Degnan DD, Hertig JB, Stevenson JG. J Infus Nurs. 2017;40:354-358.
Individual Clinician Performance Issues
Toolkit to Promote Safe Surgery.
Rockville, MD: Agency for Healthcare Research and Quality; November 2017.
Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors.
Ross PT, Abdoler E, Flygt L, Mangrulkar RS, Santen SA. Acad Med. 2018;93:606-611.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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