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  1. psnet.ahrq.gov/issue/effect-lean-quality-improvement-implementation-program-surgical-pathology-specimen
    December 03, 2014 - Study The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. Citation Text: Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation program on surgical …
  2. psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-evidence-based-tips
    February 12, 2020 - Commentary Managing teamwork in the face of pandemic: evidence-based tips. Citation Text: Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence-based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447. Copy Citation Format…
  3. psnet.ahrq.gov/issue/human-factors-and-ergonomics-time-crises-italian-experience-coping-covid19
    December 09, 2020 - Commentary Human factors and ergonomics at time of crises: the Italian experience coping with COVID19. Citation Text: Albolino S, Dagliana G, Tanzini M, et al. Human factors and ergonomics at time of crises: the Italian experience coping with COVID-19. Int J Qual Health Care. 2021;33(1)…
  4. psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology
    August 25, 2021 - Study Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. Citation Text: Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory oncology practic…
  5. psnet.ahrq.gov/issue/planning-pandemic-mitigating-risk-radiation-therapy-service-delivery-covid-19-era
    November 11, 2020 - Commentary Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era. Citation Text: Anderson N, Thompson K, Andrews J, et al. Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID‐19 era. J Med Radiat Sci. 20…
  6. psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love
    January 02, 2017 - Commentary A piece of my mind. From shame to guilt to love. Citation Text: Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507-2508. doi:10.1001/jama.2015.11521. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …
  7. psnet.ahrq.gov/issue/patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch-exploratory
    March 02, 2022 - Study Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study? Citation Text: van Dulmen SA, Tacken MAJB, Staal B, et al. Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory coh…
  8. psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departments
    September 15, 2021 - Study Hospital inpatient falls across clinical departments. Citation Text: Mikos M, Banas T, Czerw A, et al. Hospital inpatient falls across clinical departments. Int J Environ Res Public Health. 2021;18(15):8167. doi:10.3390/ijerph18158167. Copy Citation Format: DOI Google…
  9. psnet.ahrq.gov/issue/surfacing-safety-hazards-using-standardized-operating-room-briefings-and-debriefings-large
    January 03, 2017 - Study Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Bandari J, Schumacher K, Simon M, et al. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional …
  10. psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-arrest
    August 01, 2018 - Study Safety events in pediatric out-of-hospital cardiac arrest. Citation Text: Hansen M, Eriksson C, Skarica B, et al. Safety events in pediatric out-of-hospital cardiac arrest. Am J Emerg Med. 2018;36(3):380-383. doi:10.1016/j.ajem.2017.08.028. Copy Citation Format: DOI G…
  11. psnet.ahrq.gov/issue/impact-national-multimodal-intervention-prevent-catheter-related-bloodstream-infection-icu
    September 13, 2023 - Study Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience. Citation Text: Palomar M, Álvarez-Lerma F, Riera A, et al. Impact of a national multimodal intervention to prevent catheter-related bloodstream infec…
  12. psnet.ahrq.gov/issue/increased-catheter-related-bloodstream-infection-rates-after-introduction-new-mechanical
    February 07, 2022 - Study Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. Citation Text: Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanic…
  13. psnet.ahrq.gov/issue/implementation-josie-king-care-journal-pediatric-intensive-care-unit-quality-improvement
    November 21, 2016 - Study Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. Citation Text: Turner K, Frush K, Hueckel RM, et al. Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project. J…
  14. psnet.ahrq.gov/issue/teamstepps-improving-diagnosis-team-assessment-tool-scale-development-and-psychometric
    January 22, 2025 - Study The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Citation Text: Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Jt Comm J …
  15. psnet.ahrq.gov/issue/how-physicians-think-case-based-diagnostic-simulation-exercise
    August 14, 2019 - Study How physicians think: a case-based diagnostic simulation exercise. Citation Text: Gupta A, Quinn M, Saint S, et al. The variability in how physicians think: a casebased diagnostic simulation exercise. Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010. Copy Citation …
  16. psnet.ahrq.gov/issue/decreasing-handoff-related-care-failures-childrens-hospitals
    April 24, 2018 - Study Decreasing handoff-related care failures in children's hospitals. Citation Text: Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844. Copy Citation Format: …
  17. psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study
    November 11, 2020 - Study Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. Citation Text: Turner K, Staggs V, Potter C, et al. Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. BMJ Qual Saf. 2020;29(12):10…
  18. psnet.ahrq.gov/issue/provider-provider-communication-during-transitions-care-outpatient-acute-care-systematic
    October 29, 2017 - Review Provider-to-provider communication during transitions of care from outpatient to acute care: a systematic review. Citation Text: Luu N-P, Pitts S, Petty BG, et al. Provider-to-Provider Communication during Transitions of Care from Outpatient to Acute Care: A Systematic Review. J G…
  19. psnet.ahrq.gov/issue/can-mindfulness-health-care-professionals-improve-patient-care-integrative-review-and
    September 21, 2022 - Review Emerging Classic Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. Citation Text: Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An integrativ…
  20. psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review
    August 14, 2019 - Review Classic Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies. Citation Text: Vaughn VM, Saint S, Krein SL, et al. Characteristics of healthcare organisations struggling to impro…

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