-
psnet.ahrq.gov/node/45710/psn-pdf
December 22, 2017 - Our current approach to root cause analysis: is it
contributing to our failure to improve patient safety?
December 22, 2017
Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our
failure to improve patient safety? BMJ Qual Saf. 2017;26(5):381-387. doi:10.1136/…
-
psnet.ahrq.gov/node/45575/psn-pdf
November 09, 2016 - Developing a high value care programme from the bottom
up: a programme of faculty-resident improvement
projects targeting harmful or unnecessary care.
November 9, 2016
Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up:
a programme of faculty-resident improvement p…
-
psnet.ahrq.gov/node/43191/psn-pdf
December 12, 2018 - Harnessing implementation science to improve care
quality and patient safety: a systematic review of targeted
literature.
December 12, 2018
Braithwaite J, Marks D, Taylor N. Harnessing implementation science to improve care quality and patient
safety: a systematic review of targeted literature. Int J Qual Health C…
-
psnet.ahrq.gov/node/45907/psn-pdf
December 22, 2017 - Primary care collaboration to improve diagnosis and
screening for colorectal cancer.
December 22, 2017
Schiff G, Bearden T, Hunt LS, et al. Primary Care Collaboration to Improve Diagnosis and Screening for
Colorectal Cancer. Jt Comm J Qual Patient Saf. 2017;43(7):338-350. doi:10.1016/j.jcjq.2017.03.004.
https://ps…
-
psnet.ahrq.gov/node/847716/psn-pdf
April 19, 2023 - Barriers and facilitators to improving patient safety
learning systems: a systematic review of qualitative
studies and meta-synthesis.
April 19, 2023
Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning
systems: a systematic review of qualitative studies and meta-…
-
psnet.ahrq.gov/node/34685/psn-pdf
September 29, 2017 - The urgent need to improve health care quality. Institute
of Medicine National Roundtable on Health Care Quality.
September 29, 2017
Chassin MR, Galvin RW. The urgent need to improve health care quality. Institute of Medicine National
Roundtable on Health Care Quality. JAMA. 1998;280(11):1000-1005.
https://psnet.a…
-
psnet.ahrq.gov/node/866349/psn-pdf
July 24, 2024 - A multifaceted risk management program to improve the
reporting rate of patient safety incidents in primary care:
a cluster-randomised controlled trial.
July 24, 2024
Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to
improve the reporting rate of patient safety inciden…
-
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…
-
psnet.ahrq.gov/node/43967/psn-pdf
November 16, 2015 - Equipped: overcoming barriers to change to improve
quality of care (theories of change).
November 16, 2015
Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of
care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):13-8. doi:10.1136/archdischild-2013-
…
-
psnet.ahrq.gov/node/41852/psn-pdf
June 03, 2013 - Implementation of the Josie King Care Journal in a
pediatric intensive care unit: a quality improvement
project.
June 3, 2013
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 Nurs Care Qual. 2013;28(3):257-64.
…
-
psnet.ahrq.gov/node/43285/psn-pdf
July 16, 2014 - Outcomes of a quality improvement project for educating
nurses on medication administration and errors in
nursing homes.
July 16, 2014
Tenhunen ML, Tanner EK, Dahlen R. Outcomes of a quality improvement project for educating nurses on
medication administration and errors in nursing homes. J Contin Educ Nurs. 2014;…
-
psnet.ahrq.gov/node/39972/psn-pdf
January 22, 2017 - Executive/senior leader checklist to improve culture and
reduce central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture
and reduce central line-associated bloodstream infections. Jt Comm J Qual Patient S…
-
psnet.ahrq.gov/issue/how-patients-can-improve-accuracy-their-medical-records
July 20, 2022 - Study
How patients can improve the accuracy of their medical records.
Citation Text:
Dullabh P, Sondheimer N, Katsh E, et al. How Patients Can Improve the Accuracy of their Medical Records. eGEMs (Generating Evidence & Methods to improve patient outcomes). 2014;2(3). doi:10.13063/2327-92…
-
psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan
February 17, 2011 - Study
Classic
Improving patient safety in intensive care units in Michigan.
Citation Text:
Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…
-
psnet.ahrq.gov/issue/interventions-improve-timely-cancer-diagnosis-integrative-review
May 25, 2022 - Study
Interventions to improve timely cancer diagnosis: an integrative review.
Citation Text:
Graber ML, Winters BD, Matin R, et al. Interventions to improve timely cancer diagnosis: an integrative review. Diagnosis (Berl). 2024;Epub Oct 18. doi:10.1515/dx-2024-0113.
Copy Citation
…
-
psnet.ahrq.gov/issue/improving-patient-understanding-prescription-drug-label-instructions
April 16, 2010 - Study
Improving patient understanding of prescription drug label instructions.
Citation Text:
Davis TC, Federman AD, Bass PF, et al. Improving patient understanding of prescription drug label instructions. J Gen Intern Med. 2009;24(1):57-62. doi:10.1007/s11606-008-0833-4.
Copy Citati…
-
psnet.ahrq.gov/issue/addressing-medical-gaslighting-improve-maternal-health-together
August 17, 2022 - Toolkit
Addressing Medical Gaslighting to Improve Maternal Health—Together.
Citation Text:
Addressing Medical Gaslighting to Improve Maternal Health—Together. Oregon Patient Safety Commission: 2023.
Copy Citation
Save
Save to your library
Print
Downloa…
-
psnet.ahrq.gov/issue/utilising-improvement-science-methods-optimise-medication-reconciliation
July 24, 2017 - Study
Utilising improvement science methods to optimise medication reconciliation.
Citation Text:
White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845.
Co…
-
psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care
October 23, 2019 - Government Resource
AHRQ Research Summit on Improving Diagnosis in Health Care.
Citation Text:
AHRQ Research Summit on Improving Diagnosis in Health Care. Rockville, MD; Agency for Healthcare Research and Quality: September 28, 2016.
Copy Citation
Save
Save to you…
-
psnet.ahrq.gov/issue/maximizing-ability-health-it-and-ai-improve-patient-safety
May 22, 2015 - Commentary
Maximizing the ability of health IT and AI to improve patient safety.
Citation Text:
Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343.
Copy Citation
…