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psnet.ahrq.gov/node/47590/psn-pdf
February 20, 2019 - Explaining organisational responses to a board-level
quality improvement intervention: findings from an
evaluation in six providers in the English National Health
Service.
February 20, 2019
Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quality
improvement intervention: …
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psnet.ahrq.gov/node/74751/psn-pdf
February 09, 2022 - A quality improvement initiative to improve patient safety
event reporting by residents.
February 9, 2022
Herchline D, Rojas C, Shah AA, et al. A quality improvement initiative to improve patient safety event
reporting by residents. Pediatr Qual Saf. 2022;7(1):e519. doi:10.1097/pq9.0000000000000519.
https://psnet.…
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psnet.ahrq.gov/node/72749/psn-pdf
February 17, 2021 - Multi-professional simulation-based team training in
obstetric emergencies for improving patient outcomes
and trainees' performance
February 17, 2021
Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team training in obstetric
emergencies for improving patient outcomes and trainees' pe…
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - ideation/behavior or 2) death by suicide in the six months after the index visit. 3 The composite measure improved
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psnet.ahrq.gov/issue/diagnostic-centers-excellence-partnerships-improve-diagnostic-safety-and-quality-r18
March 08, 2023 - Grant Announcement
Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18).
Citation Text:
Diagnostic Centers of Excellence: Partnerships to Improve Diagnostic Safety and Quality (R18). Rockville, MD: Agency for Healthcare Research and Quality; April…
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psnet.ahrq.gov/node/61057/psn-pdf
October 28, 2020 - Improving Diagnostic Quality and Safety/Reducing
Diagnostic Error: Measurement Considerations. Final
Report
October 28, 2020
Washington DC; National Quality Forum: October 6, 2020.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-
measurement-considerations
With input…
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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/838631/psn-pdf
October 19, 2022 - An asset-based quality improvement tool for health care
organizations: cultivating organization wide quality
improvement and health care professional engagement.
October 19, 2022
Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations:
cultivating organization wide quali…
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - The LifePoint National Quality Program Provides
Structured Framework for Reducing Inpatient Harm
January 5, 2021
https://psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-
reducing-inpatient-harm
Summary
Building on the company’s experience as a Hospital Engagement Network…
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psnet.ahrq.gov/node/43876/psn-pdf
September 09, 2015 - Improving medication administration safety in a
community hospital setting using Lean methodology.
September 9, 2015
Critchley S. Improving medication administration safety in a community hospital setting using Lean
methodology. J Nurs Care Qual. 2015;30(4):345-351. doi:10.1097/NCQ.0000000000000112.
https://psnet.…
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psnet.ahrq.gov/node/45066/psn-pdf
February 18, 2017 - Improving feedback on junior doctors' prescribing errors:
mixed-methods evaluation of a quality improvement
project.
February 18, 2017
Reynolds M, Jheeta S, Benn J, et al. Improving feedback on junior doctors' prescribing errors: mixed-
methods evaluation of a quality improvement project. BMJ Qual Saf. 2017;26(3):…
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psnet.ahrq.gov/issue/safe-site-invasive-procedure-non-operating-room
December 07, 2022 - Commentary
Safe Site Invasive Procedure—Non-Operating Room.
Citation Text:
Safe Site Invasive Procedure—Non-Operating Room. Institute for Clinical Systems Improvement.
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psnet.ahrq.gov/node/47562/psn-pdf
February 06, 2019 - Organizational conditions for engagement in quality and
safety improvement: a longitudinal qualitative study of
community pharmacies.
February 6, 2019
Phipps D, Jones CEL, Parker D, et al. Organizational conditions for engagement in quality and safety
improvement: a longitudinal qualitative study of community phar…
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psnet.ahrq.gov/node/44738/psn-pdf
May 21, 2016 - The Habits of an Improver. Thinking About Learning for
Improvement in Health Care.
May 21, 2016
Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676.
https://psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
Committed leadership is essential to enhan…
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psnet.ahrq.gov/node/37631/psn-pdf
May 18, 2015 - The science of improvement.
May 18, 2015
Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182.
https://psnet.ahrq.gov/issue/science-improvement
This commentary by Dr. Donald Berwick, president of the Institute for Healthcare Improvement, addresses
the growing tension betw…
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psnet.ahrq.gov/issue/improving-quality-care-and-patient-outcomes-during-care-transitions-r01
October 09, 2022 - Grant Announcement
Improving Quality of Care and Patient Outcomes During Care Transitions (R01).
Citation Text:
Improving Quality of Care and Patient Outcomes During Care Transitions (R01). Rockville, MD: Agency for Healthcare Research and Quality; December 6, 2019. PA-20-068.
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psnet.ahrq.gov/node/61041/psn-pdf
October 21, 2020 - Improving accuracy of handoff by implementing an
electronic health record-generated tool: an improvement
project in an academic neonatal intensive care unit.
October 21, 2020
Koo JK, Moyer L, Castello MA, et al. Improving accuracy of handoff by implementing an electronic health
record-generated tool: an improvemen…
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psnet.ahrq.gov/issue/hospitals-can-take-key-steps-improve-safe-use-digital-systems
April 01, 2020 - Book/Report
Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems.
Citation Text:
Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems. Philadelphia, PA: Pew Charitable Trusts; July 21, 2020.
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psnet.ahrq.gov/issue/tips-safer-surgery
December 22, 2021 - Fact Sheet/FAQs
Tips for Safer Surgery.
Citation Text:
Tips for Safer Surgery. Surgical Care Improvement Project. Oklahoma City, OK: Oklahoma Foundation for Medical Quality; 2006.
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psnet.ahrq.gov/node/867097/psn-pdf
November 06, 2024 - Recommendations but no Action: Improving the
Effectiveness of Quality and Safety Recommendations in
Healthcare.
November 6, 2024
Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations
In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024.
h…