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psnet.ahrq.gov/node/36164/psn-pdf
September 29, 2010 - Recommendations for quality assurance and
improvement in surgical and autopsy pathology.
September 29, 2010
Pathology A of D of A and S, Nakhleh RE, Coffin C, et al. Recommendations for quality assurance and
improvement in surgical and autopsy pathology. Hum Pathol. 2006;37(8):985-8.
https://psnet.ahrq.gov/issue/r…
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psnet.ahrq.gov/node/39202/psn-pdf
February 25, 2015 - Strengthening the core. Middle managers play a vital role
in improving safety.
February 25, 2015
Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety.
Healthcare executive. 2010;25(1):68-70.
https://psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-r…
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psnet.ahrq.gov/node/41620/psn-pdf
August 22, 2012 - Improving care transitions: optimizing medication
reconciliation.
August 22, 2012
Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication
reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527.
https://psnet.ahrq.gov/issue/improvin…
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psnet.ahrq.gov/node/38441/psn-pdf
January 31, 2011 - Clinicians in quality improvement: a new career pathway
in academic medicine.
January 31, 2011
Shojania KG, Levinson W. Clinicians in quality improvement: a new career pathway in academic medicine.
JAMA. 2009;301(7):766-8. doi:10.1001/jama.2009.140.
https://psnet.ahrq.gov/issue/clinicians-quality-improvement-new-c…
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - A system-level factor would be “the processes in the protocol are not clear enough and could be improved
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psnet.ahrq.gov/node/46980/psn-pdf
June 19, 2018 - Can first-year medical students acquire quality
improvement knowledge prior to substantial clinical
exposure? A mixed-methods evaluation of a pre-clerkship
curriculum that uses education as the context for
learning.
June 19, 2018
Brown A, Nidumolu A, Stanhope A, et al. Can first-year medical students acquire qual…
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psnet.ahrq.gov/node/837508/psn-pdf
June 22, 2022 - Creating a learning health system for improving
diagnostic safety: pragmatic insights from US health care
organizations.
June 22, 2022
Giardina TD, Shahid U, Mushtaq U, et al. Creating a learning health system for improving diagnostic safety:
pragmatic insights from US health care organizations. J Gen Intern Med. …
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psnet.ahrq.gov/node/865487/psn-pdf
April 03, 2024 - Evaluation of the design and structure of electronic
medication labels to improve patient health knowledge
and safety: a systematic review.
April 3, 2024
Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels
to improve patient health knowledge and safety: a sy…
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psnet.ahrq.gov/node/47902/psn-pdf
April 24, 2019 - Recommendations from a national panel on quality
improvement in obstetrics.
April 24, 2019
Lefebvre G, Calder LA, De Gorter R, et al. Recommendations From a National Panel on Quality
Improvement in Obstetrics. J Obstet Gynaecol Can. 2019;41(5):653-659. doi:10.1016/j.jogc.2019.02.011.
https://psnet.ahrq.gov/issue/r…
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psnet.ahrq.gov/node/849121/psn-pdf
May 17, 2023 - Thematic reviews of patient safety incidents as a tool for
systems thinking: a quality improvement report.
May 17, 2023
Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality
improvement report. BMJ Open Qual. 2023;12(2):e002020. doi:10.1136/bmjoq-2022-002020.
https://psne…
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psnet.ahrq.gov/node/44350/psn-pdf
July 29, 2015 - Reporting and using near-miss events to improve patient
safety in diverse primary care practices: a collaborative
approach to learning from our mistakes.
July 29, 2015
Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in
Diverse Primary Care Practices: A Collaborat…
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psnet.ahrq.gov/node/47223/psn-pdf
August 14, 2018 - Six Building Blocks: A Team-Based Approach to
Improving Opioid Management in Primary Care.
August 14, 2018
MacColl Center for Health Care Innovation at the Kaiser Permanente of Washington Research Institute,
University of Washington.
https://psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-op…
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psnet.ahrq.gov/node/47368/psn-pdf
September 12, 2018 - Using co-design to develop a collective leadership
intervention for healthcare teams to improve safety
culture.
September 12, 2018
Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for
Healthcare Teams to Improve Safety Culture. Int J Environ Res Public Health. 20…
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psnet.ahrq.gov/node/851458/psn-pdf
July 19, 2023 - Improving handoffs in the perioperative environment: a
conceptual framework of key theories, system factors,
methods, and core interventions to ensure success.
July 19, 2023
Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a
conceptual framework of key theories, syste…
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psnet.ahrq.gov/node/47993/psn-pdf
May 15, 2019 - Using near-miss events to improve MRI safety in a large
academic centre.
May 15, 2019
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic
centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
https://psnet.ahrq.gov/issue/using-near-miss-events-imp…
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psnet.ahrq.gov/node/853242/psn-pdf
September 06, 2023 - Protocolization of analgesia and sedation through smart
technology in intensive care: improving patient safety.
September 6, 2023
Ojeda IM, Sánchez-Cuervo M, Candela-Toha Á, et al. Protocolization of Analgesia and Sedation Through
Smart Technology in Intensive Care: Improving Patient Safety. Crit Care Nurs. 2023;43…
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psnet.ahrq.gov/node/840149/psn-pdf
November 16, 2022 - Developing strategic recommendations for implementing
smart pumps in advanced healthcare systems to improve
intravenous medication safety.
November 16, 2022
Sutherland A, Jones MD, Howlett M, et al. Developing strategic recommendations for implementing smart
pumps in advanced healthcare systems to improve intraven…
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psnet.ahrq.gov/node/837632/psn-pdf
July 06, 2022 - Serious experience events: applying patient safety
concepts to improve patient experience.
July 6, 2022
Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety
concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026.
doi:10.1177/23743735221102670.
…
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psnet.ahrq.gov/node/852454/psn-pdf
August 16, 2023 - Supporting carers to improve patient safety and maintain
their well-being in transitions from mental health
hospitals to the community: a prioritisation nominal
group technique.
August 16, 2023
McMullen S, Panagioti M, Planner C, et al. Supporting carers to improve patient safety and maintain their
well?being in …
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psnet.ahrq.gov/node/866818/psn-pdf
September 25, 2024 - Academic half day improves resident perception of
education without compromising patient safety.
September 25, 2024
Spence MC, Sugarman A, Uong A, et al. Academic half day improves resident perception of education
without compromising patient safety. Acad Pediatr. 2024;24(6):1010-1016. doi:10.1016/j.acap.2024.02.00…