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psnet.ahrq.gov/node/839330/psn-pdf
November 02, 2022 - Diagnosis: Reducing Errors and Improving Quality.
November 2, 2022
Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine,
21e. New York, NY: McGraw Hill; 2022
https://psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality
The task of performing a …
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psnet.ahrq.gov/node/38885/psn-pdf
August 19, 2009 - Patient safety: Part II. Opportunities for improvement in
patient safety.
August 19, 2009
Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in
patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.jaad.2009.04.055.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/38824/psn-pdf
March 04, 2011 - Evaluation of a physician informatics tool to improve
patient handoffs.
March 4, 2011
Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient
handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892.
https://psnet.ahrq.gov/issue/evaluation-phys…
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psnet.ahrq.gov/node/38361/psn-pdf
January 31, 2011 - IOM: shorten residents' work shifts to reduce fatigue,
improve patient safety.
January 31, 2011
Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA.
2009;301(3):259-61. doi:10.1001/jama.2008.940.
https://psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue…
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psnet.ahrq.gov/node/38507/psn-pdf
February 10, 2015 - From tasks to processes: the case for changing health
information technology to improve health care.
February 10, 2015
Walker JM, Carayon P. From tasks to processes: the case for changing health information technology to
improve health care. Health Aff (Millwood). 2009;28(2):467-477. doi:10.1377/hlthaff.28.2.467.
…
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psnet.ahrq.gov/node/38592/psn-pdf
April 29, 2009 - The teaching of a structured tool improves the clarity and
content of interprofessional clinical communication.
April 29, 2009
Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of
interprofessional clinical communication. Qual Saf Health Care. 2009;18(2):137-40.
…
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psnet.ahrq.gov/node/40943/psn-pdf
September 26, 2012 - Getting the message: a quality improvement initiative to
reduce pages sent to the wrong physician.
September 26, 2012
Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce
pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):855-62.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/36811/psn-pdf
August 26, 2011 - Expanded surgical time out: a key to real-time data
collection and quality improvement.
August 26, 2011
Altpeter T, Luckhardt K, Lewis JN, et al. Expanded surgical time out: a key to real-time data collection and
quality improvement. J Am Coll Surg. 2007;204(4):527-32.
https://psnet.ahrq.gov/issue/expanded-surgica…
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psnet.ahrq.gov/node/37497/psn-pdf
February 15, 2011 - Reporting medical errors to improve patient safety: a
survey of physicians in teaching hospitals.
February 15, 2011
Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of
physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-6. doi:10.1001/archinternmed.2007…
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psnet.ahrq.gov/node/36331/psn-pdf
October 26, 2010 - Using system analysis to build a safety culture: improving
the reliability of epidural analgesia.
October 26, 2010
Garnerin P, Huchet-Belouard A, Diby M, et al. Using system analysis to build a safety culture: improving
the reliability of epidural analgesia. Acta Anaesthesiol Scand. 2006;50(9):1114-9.
https://psne…
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psnet.ahrq.gov/node/38913/psn-pdf
May 24, 2015 - Thinking Outside the Pillbox: A System-wide Approach to
Improving Patient Medication Adherence for Chronic
Disease.
May 24, 2015
Cambridge, MA: New England Healthcare Institute; August 12, 2009.
https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-
adherence-chro…
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psnet.ahrq.gov/node/44016/psn-pdf
November 21, 2016 - Partnering to Improve Quality and Safety: A Framework
for Working With Patient and Family Advisors.
November 21, 2016
Chicago, IL: Health Research & Educational Trust; 2015.
https://psnet.ahrq.gov/issue/partnering-improve-quality-and-safety-framework-working-patient-and-family-
advisors
Patient and family advisor…
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psnet.ahrq.gov/node/36785/psn-pdf
March 04, 2011 - Do professional interpreters improve clinical care for
patients with limited English proficiency? A systematic
review of the literature.
March 4, 2011
Karliner LS, Jacobs EA, Chen AH, et al. Do professional interpreters improve clinical care for patients with
limited English proficiency? A systematic review of the…
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psnet.ahrq.gov/node/37594/psn-pdf
September 24, 2010 - Improving sepsis care through systems change: the
impact of a medical emergency team.
September 24, 2010
Sarani B, Brenner SR, Gabel B, et al. Improving sepsis care through systems change: the impact of a
medical emergency team. Jt Comm J Qual Patient Saf. 2008;34(3):179-182, 125.
https://psnet.ahrq.gov/issue/impr…
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psnet.ahrq.gov/node/35391/psn-pdf
April 06, 2011 - Effectiveness of a graduate medical education program
for improving medical event reporting attitude and
behavior.
April 6, 2011
Coyle YM, Mercer SQ, Murphy-Cullen CL, et al. Effectiveness of a graduate medical education program for
improving medical event reporting attitude and behavior. Qual Saf Health Care. 2…
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psnet.ahrq.gov/node/40377/psn-pdf
April 20, 2011 - Lessons learned: use of event reporting by nurses to
improve patient safety and quality.
April 20, 2011
Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety
and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010.12.005.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/35913/psn-pdf
February 16, 2011 - Improving oversight of the graduate medical education
enterprise: one institution's strategies and tools.
February 16, 2011
Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise:
One Institution???s Strategies and Tools. Academic Medicine. 2006;81(5).
doi:10.1097/01.…
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psnet.ahrq.gov/node/43621/psn-pdf
October 22, 2014 - Multidisciplinary in-hospital teams improve patient
outcomes: a review.
October 22, 2014
Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int.
2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612.
https://psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve…
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psnet.ahrq.gov/node/46305/psn-pdf
September 27, 2017 - Using simulation to improve systems.
September 27, 2017
Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am.
2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011.
https://psnet.ahrq.gov/issue/using-simulation-improve-systems-0
Simulations in health care can help uncover technical …
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psnet.ahrq.gov/node/40747/psn-pdf
September 07, 2011 - Misdiagnosis: analysis based on case record review with
proposals aimed to improve diagnostic processes.
September 7, 2011
Neale G, Hogan H, Sevdalis N. Misdiagnosis: analysis based on case record review with proposals aimed
to improve diagnostic processes. Clin Med (Lond). 2011;11(4):317-321.
https://psnet.ahrq.g…