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psnet.ahrq.gov/node/44871/psn-pdf
April 22, 2016 - Making checklists work: South Carolina's statewide
experiment.
April 22, 2016
Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6.
https://psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment
Although checklist implementation as a safety strategy has achieved some success…
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psnet.ahrq.gov/node/40872/psn-pdf
January 23, 2012 - Hospital performance trends on national quality measures
and the association with Joint Commission accreditation.
January 23, 2012
Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures
and the association with joint commission accreditation. J Hosp Med. 2011;6(8). doi…
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psnet.ahrq.gov/node/42556/psn-pdf
August 28, 2013 - Findings and Lessons From the Improving Quality
Through Clinician Use of Health IT Grant Initiative.
August 28, 2013
Rockville, MD: Agency for Healthcare Research and Quality. May 2013. AHRQ Publication No 13-0042-EF.
https://psnet.ahrq.gov/issue/findings-and-lessons-improving-quality-through-clinician-use-health-i…
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psnet.ahrq.gov/node/43611/psn-pdf
December 19, 2014 - The Helsinki Declaration on Patient Safety in
Anaesthesiology: the past, present and future.
December 19, 2014
Mellin-Olsen J, Staender S. The Helsinki Declaration on Patient Safety in Anaesthesiology: the past,
present and future. Curr Opin Anaesthesiol. 2014;27(6):630-634. doi:10.1097/ACO.0000000000000131.
https…
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psnet.ahrq.gov/node/45196/psn-pdf
June 01, 2016 - Transforming Health Care: A Compendium of Reports
From the National Patient Safety Foundation's Lucian
Leape Institute.
June 1, 2016
Boston, MA: National Patient Safety Foundation; 2016.
https://psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-
foundations-lucian-leape
Sin…
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psnet.ahrq.gov/node/35809/psn-pdf
February 25, 2015 - Stories from the sharp end: case studies in safety
improvement.
February 25, 2015
McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200
https://psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement
This study shares the efforts of six different health care organizations in implementing intervent…
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psnet.ahrq.gov/node/45923/psn-pdf
April 19, 2017 - Huddles and debriefings: improving communication on
labor and delivery.
April 19, 2017
McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and
Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006.
https://psnet.ahrq.gov/issue/huddles-and-debriefings…
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psnet.ahrq.gov/node/47135/psn-pdf
July 25, 2018 - Structured patient handoff on an internal medicine ward:
a cluster randomized control trial.
July 25, 2018
Tam P, Nijjar AP, Fok M, et al. Structured patient handoff on an internal medicine ward: A cluster
randomized control trial. PLoS One. 2018;13(4):e0195216. doi:10.1371/journal.pone.0195216.
https://psnet.ahrq…
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psnet.ahrq.gov/node/45364/psn-pdf
September 04, 2016 - A piece of my mind. Changing the narrative.
September 4, 2016
Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029.
https://psnet.ahrq.gov/issue/piece-my-mind-changing-narrative
Storytelling can share knowledge and build community among physicians. However, if clinicians
communicat…
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psnet.ahrq.gov/node/46682/psn-pdf
January 24, 2018 - AHRQ Safety Program for Surgery.
January 24, 2018
Rockville, MD: Agency for Healthcare Research and Quality. December 2017. AHRQ Publication No.
16(18)-0004-1-EF.
https://psnet.ahrq.gov/issue/ahrq-safety-program-surgery
Large-scale collaboratives have achieved success in implementing patient safety improvements. T…
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psnet.ahrq.gov/node/43390/psn-pdf
July 30, 2014 - Hazards tied to medical records rush.
July 30, 2014
Rowland C.
https://psnet.ahrq.gov/issue/hazards-tied-medical-records-rush
Government incentives have led to rapid development and adoption of electronic health records (EHRs).
This newspaper article examines some of the unintended consequences of implementing ele…
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psnet.ahrq.gov/node/46380/psn-pdf
September 06, 2017 - What defines a high-performing health system: a
systematic review.
September 6, 2017
Ahluwalia SC, Damberg CL, Silverman M, et al. What Defines a High-Performing Health Care Delivery
System: A Systematic Review. Jt Comm J Qual Patient Saf. 2017;43(9):450-459.
doi:10.1016/j.jcjq.2017.03.010.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/44032/psn-pdf
April 01, 2015 - ACOG Committee Opinion #621: patient safety and health
information technology.
April 1, 2015
Improvement C on PS and Q, Management C on P. Committee opinion no. 621: Patient safety and health
information technology. Obstet Gynecol. 2015;125(1):282-3. doi:10.1097/01.AOG.0000459867.14114.7a.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/43456/psn-pdf
October 03, 2017 - Veterans' Access to Care through Choice, Accountability,
and Transparency Act of 2014.
October 3, 2017
HR 3230, 113th Congress: 2014.
https://psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act-
2014
The Veterans Affairs (VA) health system has both achieved success and str…
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psnet.ahrq.gov/node/36511/psn-pdf
January 07, 2011 - Facing ambiguous threats.
January 7, 2011
Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13,
157.
https://psnet.ahrq.gov/issue/facing-ambiguous-threats
This study describes how organizations respond to signs that may or may not portend future
catastrophes. The authors…
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psnet.ahrq.gov/node/45178/psn-pdf
December 04, 2016 - Do physicians clean their hands? Insights from a covert
observational study.
December 4, 2016
Kovacs-Litman A, Wong K, Shojania KG, et al. Do physicians clean their hands? Insights from a covert
observational study. J Hosp Med. 2016;11(12):862-864. doi:10.1002/jhm.2632.
https://psnet.ahrq.gov/issue/do-physicians-c…
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psnet.ahrq.gov/node/45232/psn-pdf
August 10, 2016 - Promoting patient safety with perioperative hand-off
communication.
August 10, 2016
Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs.
2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144.
https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-commun…
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psnet.ahrq.gov/node/46551/psn-pdf
October 25, 2017 - Inpatient notes: diagnostic excellence starts with an
incessant watch.
October 25, 2017
Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch.
Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447.
https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…
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psnet.ahrq.gov/node/34715/psn-pdf
February 18, 2011 - Continuous improvement as an ideal in health care.
February 18, 2011
Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56.
https://psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
Two approaches to improving quality in health care are illustrated in this artic…
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psnet.ahrq.gov/node/43943/psn-pdf
December 04, 2015 - Culture Change in the NHS: Applying the Lessons of the
Francis Inquiries.
December 4, 2015
Department of Health. London, England: Crown Publishing; February 2015. ISBN: 9781474112116.
https://psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries
The Francis inquiry uncovered numerous problems …