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psnet.ahrq.gov/node/40257/psn-pdf
March 02, 2011 - Interventions to improve teamwork and communications
among healthcare staff.
March 2, 2011
McCulloch P, Rathbone J, Catchpole K. Interventions to improve teamwork and communications among
healthcare staff. Br J Surg. 2011;98(4):469-79. doi:10.1002/bjs.7434.
https://psnet.ahrq.gov/issue/interventions-improve-teamwo…
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psnet.ahrq.gov/node/33874/psn-pdf
February 01, 2019 - Building Systems Citizenship in Health Professions
Education: The Continued Call for Health Systems
Science Curricula
February 1, 2019
Gonzalo JD, Singh MK. Building Systems Citizenship in Health Professions Education: The Continued Call
for Health Systems Science Curricula. PSNet [internet]. 2019.
https://psnet.…
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - The University of Texas System Clinical Safety and
Effectiveness Course
February 1, 2011
Thomas EJ, Patterson JE, Martin S, et al. The University of Texas System Clinical Safety and
Effectiveness Course. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiv…
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psnet.ahrq.gov/node/37087/psn-pdf
October 03, 2011 - Improving patient safety in the ED waiting room.
October 3, 2011
Blank FSJ, Santoro J, Maynard AM, et al. Improving patient safety in the ED waiting room. Journal of
emergency nursing: JEN : official publication of the Emergency Department Nurses Association.
2007;33(4):331-5.
https://psnet.ahrq.gov/issue/improvin…
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psnet.ahrq.gov/node/42185/psn-pdf
April 10, 2013 - Improving patient safety in medicine: is the model of
anaesthesia care enough?
April 10, 2013
Haller G. Improving patient safety in medicine: is the model of anaesthesia care enough? Swiss Med Wkly.
2013;143:w13770. doi:10.4414/smw.2013.13770.
https://psnet.ahrq.gov/issue/improving-patient-safety-medicine-model-an…
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psnet.ahrq.gov/node/40391/psn-pdf
April 20, 2011 - The ongoing quality improvement journey: next stop, high
reliability.
April 20, 2011
Chassin MR, Loeb JM. The ongoing quality improvement journey: next stop, high reliability. Health Aff
(Millwood). 2011;30(4):559-68. doi:10.1377/hlthaff.2011.0076.
https://psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-n…
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psnet.ahrq.gov/node/39509/psn-pdf
August 08, 2010 - Bad stars or guiding lights? Learning from disasters to
improve patient safety.
August 8, 2010
Hughes C, Travaglia JF, Braithwaite J. Bad stars or guiding lights? Learning from disasters to improve
patient safety. Qual Saf Health Care. 2010;19(4):332-6. doi:10.1136/qshc.2008.030148.
https://psnet.ahrq.gov/issue/ba…
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psnet.ahrq.gov/node/35730/psn-pdf
July 14, 2010 - Patient Safety and Quality Improvement Act of 2005: what
you need to know.
July 14, 2010
Rohrich RJ. Patient Safety and Quality Improvement Act of 2005: what you need to know. Plast Reconstr
Surg. 2006;117(2):671-2.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-what-you-need-know
Th…
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psnet.ahrq.gov/node/45075/psn-pdf
May 18, 2019 - NHS Improvement.
May 18, 2019
NHS England.
https://psnet.ahrq.gov/issue/nhs-improvement
The National Health Service (NHS) has been a global leader in patient safety improvement since the
publication of An Organization With a Memory in 2000. This government resource combines several NHS
initiatives—such as the Nat…
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psnet.ahrq.gov/node/42550/psn-pdf
June 27, 2018 - Using Six Sigma to improve patient safety in the
perioperative process.
June 27, 2018
Galli BJ, Riebling N, Paraso C, Lehmann G, Yule M. Patient Saf Qual Healthc. July/August 2013;10:36-41.
https://psnet.ahrq.gov/issue/using-six-sigma-improve-patient-safety-perioperative-process
This magazine article describes how…
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psnet.ahrq.gov/node/42045/psn-pdf
February 13, 2013 - Improving patient safety through the systematic
evaluation of patient outcomes.
February 13, 2013
Forster AJ, Dervin G, Martin C, et al. Improving patient safety through the systematic evaluation of patient
outcomes. Can J Surg. 2012;55(6):418-25. doi:10.1503/cjs.007811.
https://psnet.ahrq.gov/issue/improving-pati…
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psnet.ahrq.gov/node/33900/psn-pdf
December 06, 2011 - Patient Safety: Supporting a Culture of Continuous
Quality Improvement in Hospitals and Other Health Care
Organizations.
December 6, 2011
Clancy CM, Agency for Health Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/patient-safety-supporting-culture-continuous-quality-improvement-hospitals-
and-other-heal…
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psnet.ahrq.gov/node/35701/psn-pdf
July 12, 2010 - Improving the accuracy of patient identification in the
medication-use process.
July 12, 2010
Trapskin PJ, White L, Armitstead JA. Improving the accuracy of patient identification in the medication-use
process. Am J Health Syst Pharm. 2006;63(3):218, 220-2.
https://psnet.ahrq.gov/issue/improving-accuracy-patient-i…
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psnet.ahrq.gov/node/42297/psn-pdf
August 01, 2024 - Society to Improve Diagnosis in Medicine.
August 1, 2024
https://psnet.ahrq.gov/issue/society-improve-diagnosis-medicine
The Society to Improve Diagnosis in Medicine (SIDM) was a not-for-profit organization founded in 2011 that
promoted reducing diagnostic errors through collaboration, research, and education. SIDM…
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psnet.ahrq.gov/node/37024/psn-pdf
January 02, 2017 - Every error a treasure: improving medication use with a
nonpunitive reporting system.
January 2, 2017
Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a
Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.1016/s1553-
7250(07)33046-8.
ht…
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psnet.ahrq.gov/node/40212/psn-pdf
April 04, 2011 - Creating effective quality-improvement collaboratives: a
multiple case study.
April 4, 2011
Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives:
a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159.
https://psnet.ahrq.gov/issue/creatin…
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psnet.ahrq.gov/node/36388/psn-pdf
June 12, 2013 - Using patient safety science to explore strategies for
improving safety in intravenous medication
administration.
June 12, 2013
Franklin M. Journal of the Association for Vascular Access. 2006. 11(3):157–160.
https://psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-…
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psnet.ahrq.gov/node/44071/psn-pdf
November 16, 2015 - Quality Improvement in Neurosurgery.
November 16, 2015
Rolston JD, Han SJ, Parsa AT, eds. Neurosurg Clin N Am. 2015;26(2):143-322.
https://psnet.ahrq.gov/issue/quality-improvement-neurosurgery
This special issue covers elements of safe care delivery in neurosurgery and features articles exploring the
use of simula…
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psnet.ahrq.gov/node/36816/psn-pdf
August 26, 2011 - Embedding quality improvement and patient safety - the
UCLA value analysis experience.
August 26, 2011
Gambone JC, Broder MS. Embedding quality improvement and patient safety: the UCLA value analysis
experience. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):581-92.
https://psnet.ahrq.gov/issue/embedding-quality-…
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - into our post-event discussion and stress these points
before talking about what can be improved.