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psnet.ahrq.gov/node/44444/psn-pdf
September 02, 2015 - Clinical communities at Johns Hopkins Medicine: an
emerging approach to quality improvement.
September 2, 2015
Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An
Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;41(9):387-395.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/46606/psn-pdf
July 10, 2019 - Implementation of a mock root cause analysis to provide
simulated patient safety training.
July 10, 2019
Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated
patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-2017-000096.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/47508/psn-pdf
October 24, 2018 - Root cause analysis of reported patient falls in ORs in the
Veterans Health Administration.
October 24, 2018
Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the
Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/73979/psn-pdf
January 01, 2022 - The work of nurses to provide good and safe services to
children receiving hospital-at-home: a qualitative
interview study from the perspectives of hospital nurses
and physicians.
October 20, 2021
Aasen L, Johannessen A?K, Ruud Knutsen I, et al. The work of nurses to provide good and safe services
to children rec…
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psnet.ahrq.gov/node/45484/psn-pdf
December 04, 2016 - High prevalence of medication discrepancies between
home health referrals and Centers for Medicare and
Medicaid Services home health certification and plan of
care and their potential to affect safety of vulnerable
elderly adults.
December 4, 2016
Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me…
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psnet.ahrq.gov/node/44616/psn-pdf
November 04, 2015 - Development of "SWARM" as a model for high reliability,
rapid problem solving, and institutional learning.
November 4, 2015
Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid
Problem Solving, and Institutional Learning. Jt Comm J Qual Patient Saf. 2015;41(11):508…
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psnet.ahrq.gov/node/45365/psn-pdf
August 03, 2016 - Workarounds and test results follow-up in electronic
health record–based primary care.
August 3, 2016
Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health
Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/73133/psn-pdf
April 14, 2021 - A human factors intervention in a hospital--evaluating the
outcome of a TeamSTEPPS program in a surgical ward.
April 14, 2021
Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the
outcome of a TeamSTEPPS program in a surgical ward. BMC Health Serv Res. 2021;21(1):11…
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psnet.ahrq.gov/node/43141/psn-pdf
April 30, 2014 - Engaging residents and fellows to improve institution-
wide quality: the first six years of a novel financial
incentive program.
April 30, 2014
Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide
quality: the first six years of a novel financial incentive program.…
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psnet.ahrq.gov/node/46065/psn-pdf
January 01, 2021 - Measurement as a performance driver: the case for a
national measurement system to improve patient safety.
April 26, 2017
Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National
Measurement System to Improve Patient Safety. J Patient Saf. 2021;17(3):e128-e134.
doi:10.10…
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psnet.ahrq.gov/node/47001/psn-pdf
August 17, 2018 - Realist synthesis of intentional rounding in hospital
wards: exploring the evidence of what works, for whom,
in what circumstances and why.
August 17, 2018
Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the
evidence of what works, for whom, in what circumst…
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psnet.ahrq.gov/node/45594/psn-pdf
December 19, 2017 - Teaching quality improvement and patient safety in
residency education: strategies for meaningful resident
quality and safety initiatives.
December 19, 2017
Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency
Education: Strategies for Meaningful Resident Quality and Safet…
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psnet.ahrq.gov/node/45145/psn-pdf
January 08, 2018 - The Ask Me to Explain campaign: a 90-day intervention to
promote patient and family involvement in care in a
pediatric emergency department.
January 8, 2018
Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote
Patient and Family Involvement in Care in a Pediatric…
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psnet.ahrq.gov/node/47388/psn-pdf
March 13, 2019 - Artificial intelligence systems for complex decision-
making in acute care medicine: a review.
March 13, 2019
Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review.
Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2.
https://psnet.ahrq.gov/issue/artificial-in…
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psnet.ahrq.gov/node/45340/psn-pdf
August 17, 2016 - To the point: integrating patient safety education Into the
obstetrics and gynecology undergraduate curriculum.
August 17, 2016
Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the
Obstetrics and Gynecology Undergraduate Curriculum. J Patient Saf. 2016;16(1):e39-e…
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psnet.ahrq.gov/node/48119/psn-pdf
August 07, 2019 - Improving perceptions of patient safety through
standardizing handoffs from the emergency department
to the inpatient setting: a systematic review.
August 7, 2019
Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing
handoffs from the emergency department to the inp…
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psnet.ahrq.gov/node/46142/psn-pdf
June 14, 2017 - Introducing a new junior doctor electronic weekend
handover on an orthopaedic ward.
June 14, 2017
Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward.
BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059.
https://psnet.ahrq.gov/issue/introducing-new-ju…
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psnet.ahrq.gov/node/44930/psn-pdf
June 01, 2016 - How well is quality improvement described in the
perioperative care literature? A systematic review.
June 1, 2016
Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care
Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2016;42(5):196-206.
https://psnet.ahr…
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psnet.ahrq.gov/node/47216/psn-pdf
July 11, 2018 - Progress Made Towards Improving Opioid Safety, But
Further Efforts to Assess Progress and Reduce Risk Are
Needed.
July 11, 2018
Washington, DC: United States Government Accountability Office; May 2018. Publication GAO-18-380.
https://psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-effort…
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psnet.ahrq.gov/node/45014/psn-pdf
July 18, 2016 - Improving patient safety through simulation training in
anesthesiology: where are we?
July 18, 2016
Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology:
Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.
https://psnet.ahrq.gov/issue/impro…