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psnet.ahrq.gov/issue/strategies-improving-communication-emergency-department-mediums-and-messages-noisy
November 17, 2010 - Commentary
Strategies for improving communication in the emergency department: mediums and messages in a noisy environment.
Citation Text:
Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environ…
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psnet.ahrq.gov/issue/improving-patient-safety-hospitals-contributions-high-reliability-theory-and-normal-accident
October 13, 2010 - Commentary
Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory.
Citation Text:
Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory. Health Serv Res. 2006;…
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psnet.ahrq.gov/issue/patient-safety-part-ii-opportunities-improvement-patient-safety
August 19, 2009 - Review
Patient safety: Part II. Opportunities for improvement in patient safety.
Citation Text:
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.ja…
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psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician
April 30, 2014 - Study
Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician.
Citation Text:
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):85…
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psnet.ahrq.gov/issue/patient-safety-learning-laboratories-advancing-patient-safety-through-design-systems
July 22, 2024 - Grant Announcement
Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional).
Citation Text:
Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Enginee…
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psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
February 03, 2011 - Commentary
Aiming higher to enhance professionalism: beyond accreditation and certification.
Citation Text:
Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818.
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psnet.ahrq.gov/issue/diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-call
September 13, 2023 - Book/Report
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action.
Citation Text:
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…
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psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia
February 03, 2021 - Commentary
Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia.
Citation Text:
Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.000…
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psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
June 26, 2019 - Commentary
The problem with Plan-Do-Study-Act cycles.
Citation Text:
Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52. doi:10.1136/bmjqs-2015-005076.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
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psnet.ahrq.gov/issue/infusion-medication-error-reduction-two-person-verification-quality-improvement-initiative
June 19, 2019 - Commentary
Infusion medication error reduction by two-person verification: a quality improvement initiative.
Citation Text:
Subramanyam R, Mahmoud M, Buck D, et al. Infusion Medication Error Reduction by Two-Person Verification: A Quality Improvement Initiative. Pediatrics. 2016;138(6). …
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psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-activities-academic-departments-medicine
July 02, 2014 - Study
Quality improvement and patient safety activities in academic departments of medicine.
Citation Text:
Neeman N, Sehgal NL, Davis RB, et al. Quality improvement and patient safety activities in academic departments of medicine. Am J Med. 2012;125(8):831-5. doi:10.1016/j.amjmed.201…
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psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-compliance-screening
September 28, 2010 - Government Resource
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor.
Citation Text:
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. W…
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psnet.ahrq.gov/issue/improving-communication-between-teams-managing-boarded-patients-surgical-specialty-ward
September 29, 2017 - Commentary
Improving the communication between teams managing boarded patients on a surgical specialty ward.
Citation Text:
Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:1…
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psnet.ahrq.gov/issue/new-tool-give-hospitalists-feedback-improve-interprofessional-teamwork-and-advance-patient
February 10, 2015 - Commentary
A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care.
Citation Text:
Chesluk BJ, Bernabeo E, Hess B, et al. A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. Health Aff…
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psnet.ahrq.gov/issue/opportunities-performance-improvement-relation-medication-administration-during-pediatric
June 28, 2023 - Study
Opportunities for performance improvement in relation to medication administration during pediatric stabilization.
Citation Text:
Morgan N. Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Quality and Safety in Hea…
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psnet.ahrq.gov/node/45367/psn-pdf
September 28, 2016 - How PSOs Help Health Care Organizations Improve
Patient Safety Culture.
September 28, 2016
Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. No. 16-0026-EF.
https://psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
Patient safety organization…
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psnet.ahrq.gov/node/41347/psn-pdf
May 02, 2012 - Mastering improvement science skills in the new era of
quality and safety: the Veterans Affairs National Quality
Scholars Program.
May 2, 2012
Estrada CA, Dolansky MA, Singh MK, et al. Mastering improvement science skills in the new era of quality
and safety: the Veterans Affairs National Quality Scholars Program.…
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psnet.ahrq.gov/node/41905/psn-pdf
December 05, 2012 - Introduction of checklists at daily progress notes
improves patient care among the gynecological oncology
service.
December 5, 2012
Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves
patient care among the gynecological oncology service. J Patient Saf. 2012;8(4):1…
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psnet.ahrq.gov/node/38640/psn-pdf
January 18, 2012 - Nurses' responses to medication errors: suggestions for
the development of organizational strategies to improve
reporting.
January 18, 2012
Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of
organizational strategies to improve reporting. J Nurs Care Qual. 2009;24(4):…
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psnet.ahrq.gov/node/40059/psn-pdf
April 24, 2011 - Use of the Safety Attitudes Questionnaire as a measure in
patient safety improvement.
April 24, 2011
Watts B, Percarpio KB, West P, et al. Use of the Safety Attitudes Questionnaire as a measure in patient
safety improvement. J Patient Saf. 2010;6(4):206-9.
https://psnet.ahrq.gov/issue/use-safety-attitudes-question…