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psnet.ahrq.gov/node/46303/psn-pdf
November 21, 2017 - How do hospital boards govern for quality improvement?
A mixed methods study of 15 organisations in England.
November 21, 2017
Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed
methods study of 15 organisations in England. BMJ Qual Saf. 2017;26(12):978-986. doi:10.1…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/strategic-planning
January 01, 2023 - Strategic Planning
Examples
Medical Group Management Association. Strategic planning self-assessment questionnaire. 2006 [cited 2009 July 10]; Available from: http://www.mgma.com/WorkArea/DownloadAsset.aspx?id=10364 .
Description
Strategic planning is a method for organizing, identifying,…
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psnet.ahrq.gov/node/36804/psn-pdf
August 26, 2011 - Patterns of communication breakdowns resulting in injury
to surgical patients.
August 26, 2011
Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in
injury to surgical patients. J Am Coll Surg. 2007;204(4):533-40.
https://psnet.ahrq.gov/issue/patterns-communication-brea…
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psnet.ahrq.gov/node/836916/psn-pdf
April 13, 2022 - Implementing a robust process improvement program in
the neonatal intensive care unit to reduce harm.
April 13, 2022
Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the
neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1):23-30.
doi:10.1097/jhq.000000000…
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psnet.ahrq.gov/node/842758/psn-pdf
January 18, 2023 - Paediatric family activated rapid response interventions;
qualitative systematic review.
January 18, 2023
Cresham Fox S, Taylor N, Marufu TC, et al. Paediatric family activated rapid response interventions;
qualitative systematic review. Intensive Crit Care Nurs. 2023;2023(75):103363.
doi:10.1016/j.iccn.2022.10336…
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psnet.ahrq.gov/node/42001/psn-pdf
August 02, 2015 - Diagnostic inaccuracy of smartphone applications for
melanoma detection.
August 2, 2015
Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma
detection. JAMA Dermatol. 2013;149(4):422-426. doi:10.1001/jamadermatol.2013.2382.
https://psnet.ahrq.gov/issue/diagnostic-inacc…
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www.ahrq.gov/prevention/guidelines/tobacco/index.html
February 01, 2020 - Treating Tobacco Use and Dependence: 2008 Update
This update will make an important contribution to the quality of care in the United States and to the health of the American people.
For Clinicians
All health care providers, especially those with direct patient contact, have a unique opportunity to he…
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psnet.ahrq.gov/node/60618/psn-pdf
June 24, 2020 - Differences between methods of detecting medication
errors: a secondary analysis of medication administration
errors using incident reports, the Global Trigger Tool
method, and observations.
June 24, 2020
Härkänen M, Turunen H, Vehviläinen-Julkunen K. Differences between methods of detecting medication
errors: a …
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psnet.ahrq.gov/node/37498/psn-pdf
April 30, 2014 - Evaluation of a preoperative checklist and team briefing
among surgeons, nurses, and anesthesiologists to
reduce failures in communication.
April 30, 2014
Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and
Anesthesiologists to Reduce Failures in Communication. Archives…
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psnet.ahrq.gov/node/35436/psn-pdf
September 15, 2009 - Hospital nurse staffing and patient mortality, emotional
exhaustion, and job dissatisfaction.
September 15, 2009
Halm M, Peterson M, Kandels M, et al. Hospital nurse staffing and patient mortality, emotional exhaustion,
and job dissatisfaction. Clin Nurse Spec. 2005;19(5):241-254.
https://psnet.ahrq.gov/issue/hosp…
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psnet.ahrq.gov/node/837804/psn-pdf
August 10, 2022 - Nurses' harm prevention practices during admission of an
older person to the hospital: a multi-method qualitative
study.
August 10, 2022
Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person
to the hospital: a multi?method qualitative study. J Adv Nurs. 2022;78(1…
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psnet.ahrq.gov/node/50832/psn-pdf
January 01, 2021 - Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A
quantitative descriptive study.
January 29, 2020
Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A quant…
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psnet.ahrq.gov/node/858162/psn-pdf
January 01, 2024 - Assessing the clinical, economic, and health resource
utilization impacts of prefilled syringes versus
conventional medication administration methods: results
from a systematic literature review.
December 13, 2023
Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic, and health resource utilizatio…
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psnet.ahrq.gov/node/73446/psn-pdf
June 30, 2021 - A comprehensive departmental care review model:
requirements, structure, and flow.
June 30, 2021
Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model:
requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509.
doi:10.1016/j.jcjq.2021.04.009.
https:/…
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psnet.ahrq.gov/node/41703/psn-pdf
November 08, 2012 - Anatomy of an incident disclosure: the importance of
dialogue.
November 8, 2012
Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient
Saf. 2012;38(10):435-42.
https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
Physician organizations who…
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psnet.ahrq.gov/node/43363/psn-pdf
September 12, 2016 - Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study.
September 12, 2016
Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter,
multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016.
https://ps…
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psnet.ahrq.gov/node/43787/psn-pdf
June 22, 2016 - Measuring variation in use of the WHO surgical safety
checklist in the operating room: a multicenter prospective
cross-sectional study.
June 22, 2016
Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the
operating room: a multicenter prospective cross-sectional stud…
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psnet.ahrq.gov/node/842429/psn-pdf
January 11, 2023 - How timely is diagnosis of lung cancer? Cohort study of
individuals with lung cancer presenting in ambulatory
care in the United States.
January 11, 2023
Zigman Suchsland M, Kowalski L, Burkhardt HA, et al. How timely is diagnosis of lung cancer? Cohort
study of individuals with lung cancer presenting in ambulator…
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psnet.ahrq.gov/node/36833/psn-pdf
March 03, 2011 - Achieving the National Quality Forum's "Never Events":
prevention of wrong site, wrong procedure, and wrong
patient operations.
March 3, 2011
Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events":
prevention of wrong site, wrong procedure, and wrong patient operations. Ann S…
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psnet.ahrq.gov/node/40102/psn-pdf
July 05, 2013 - Unplanned transfers to a medical intensive care unit:
causes and relationship to preventable errors in care.
July 5, 2013
Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes
and relationship to preventable errors in care. J Hosp Med. 2011;6(2):68-72. doi:10.1002/…