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psnet.ahrq.gov/node/43120/psn-pdf
September 27, 2016 - How studying human factors improves patient safety.
September 27, 2016
Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9.
https://psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
Human factors engineering is being increasingly promoted as an…
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psnet.ahrq.gov/node/40503/psn-pdf
June 08, 2011 - The science of safety improvement: learning while doing.
June 8, 2011
Clancy CM, Berwick DM. The science of safety improvement: learning while doing. Ann Intern Med.
2011;154(10):699-701. doi:10.7326/0003-4819-154-10-201105170-00013.
https://psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
Acco…
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psnet.ahrq.gov/node/41036/psn-pdf
January 04, 2012 - Practically speaking: rethinking hand hygiene
improvement programs in health care settings.
January 4, 2012
Son C, Chuck T, Childers T, et al. Practically speaking: Rethinking hand hygiene improvement programs in
health care settings. Am J Infect Control. 2011;39(9). doi:10.1016/j.ajic.2010.12.008.
https://psnet.a…
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psnet.ahrq.gov/node/40749/psn-pdf
September 07, 2011 - Improving the usability of intravenous medication labels
to support safe medication delivery.
September 7, 2011
Bauer DT, Guerlain S. Improving the usability of intravenous medication labels to support safe medication
delivery. International journal of industrial ergonomics. 2011;41(4):394-399.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/40242/psn-pdf
February 23, 2011 - An anesthesiology department leads culture change at a
hospital system level to improve quality and patient
safety.
February 23, 2011
Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a
hospital system level to improve quality and patient safety. Anesthesiol Clin. 201…
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psnet.ahrq.gov/node/41183/psn-pdf
February 29, 2012 - Increasing the use of 'smart' pump drug libraries by
nurses: a continuous quality improvement project.
February 29, 2012
Harding AD. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement
project. Am J Nurs. 2012;112(1):26-37. doi:10.1097/01.NAJ.0000410360.20567.55.
https://p…
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psnet.ahrq.gov/node/40058/psn-pdf
January 22, 2017 - Infection preventionist checklist to improve culture and
reduce central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Cosgrove SE, et al. Infection preventionist checklist to improve culture and
reduce central line-associated bloodstream infections. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/node/35760/psn-pdf
July 19, 2010 - Achieving rapid door-to-balloon times: how top hospitals
improve complex clinical systems.
July 19, 2010
Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times: how top hospitals improve
complex clinical systems. Circulation. 2006;113(8):1079-85.
https://psnet.ahrq.gov/issue/achieving-rapid…
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psnet.ahrq.gov/node/40440/psn-pdf
July 02, 2014 - Residents' reflections on quality improvement: temporal
stability and associations with preventability of adverse
patient events.
July 2, 2014
Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability
and associations with preventability of adverse patient events. Ac…
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psnet.ahrq.gov/node/38472/psn-pdf
March 11, 2009 - Feedback from incident reporting: information and action
to improve patient safety.
March 11, 2009
Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve
patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2007.024166.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide-perinatal
September 23, 2020 - Study
The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic.
Citation Text:
Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvemen…
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psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
January 23, 2019 - Study
Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach.
Citation Text:
Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. BMJ Open. 2016;6(9):e0…
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psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during
November 16, 2022 - Commentary
Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach.
Citation Text:
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…
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psnet.ahrq.gov/issue/sustaining-reliability-accountability-measures-johns-hopkins-hospital
January 19, 2014 - Study
Sustaining reliability on accountability measures at the Johns Hopkins Hospital.
Citation Text:
Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531-544.
Cop…
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psnet.ahrq.gov/issue/medical-engagement-organisation-wide-safety-and-quality-improvement-programmes-experience-uk
February 01, 2011 - Study
Medical engagement in organisation-wide safety and quality-improvement programmes: experience in the UK Safer Patients Initiative.
Citation Text:
Parand A, Burnett S, Benn J, et al. Medical engagement in organisation-wide safety and quality-improvement programmes: experience in t…
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psnet.ahrq.gov/issue/large-scale-organisational-intervention-improve-patient-safety-four-uk-hospitals-mixed-method
February 23, 2011 - Study
Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation.
Citation Text:
Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. B…
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psnet.ahrq.gov/issue/sustaining-improvement-hospital-wide-initiative-patient-safety-and-quality-systematic-scoping
September 01, 2021 - Review
Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review.
Citation Text:
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. BMJ Open Qual…
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psnet.ahrq.gov/node/33852/psn-pdf
January 01, 2017 - Patient Engagement in Safety
January 1, 2017
Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/patient-engagement-safety
Annual Perspective 2017
Background
In the past 2 decades, patient engagement in safety has evolved from obscurity to maturity. The Ins…
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psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
October 06, 2021 - Commentary
Using performance improvement to enhance time-out compliance and prevent wrong-site surgery.
Citation Text:
Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…
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psnet.ahrq.gov/issue/optimizing-graduate-medical-trainee-resident-hours-and-work-schedules-improve-patient-safety
July 05, 2008 - Book/Report
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety.
Citation Text:
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Gra…