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psnet.ahrq.gov/node/41425/psn-pdf
June 19, 2012 - Mortality and morbidity meetings: an untapped resource
for improving the governance of patient safety?
June 19, 2012
Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving
the governance of patient safety? BMJ Qual Saf. 2012;21(7):576-585. doi:10.1136/bmjqs-2011-00060…
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psnet.ahrq.gov/node/41018/psn-pdf
December 21, 2011 - What stands in the way of technology-mediated patient
safety improvements? A study of facilitators and barriers
to physicians' use of electronic health records.
December 21, 2011
Holden RJ. What stands in the way of technology-mediated patient safety improvements?: a study of
facilitators and barriers to physician…
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psnet.ahrq.gov/node/37259/psn-pdf
March 23, 2011 - Using a survey of incident reporting and learning
practices to improve organisational learning at a cancer
care centre.
March 23, 2011
Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve
organisational learning at a cancer care centre. Qual Saf Health Care. 2007;16…
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psnet.ahrq.gov/node/39875/psn-pdf
January 22, 2017 - Mobile in situ obstetric emergency simulation and
teamwork training to improve maternal–fetal safety in
hospitals.
January 22, 2017
Guise J-M, Lowe NK, Deering S, et al. Mobile in situ obstetric emergency simulation and teamwork training
to improve maternal-fetal safety in hospitals. Jt Comm J Qual Patient Saf. 20…
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psnet.ahrq.gov/node/41873/psn-pdf
November 28, 2012 - A new tool to give hospitalists feedback to improve
interprofessional teamwork and advance patient care.
November 28, 2012
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 (Millwood). 2012;31(11):2485-2492.
do…
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psnet.ahrq.gov/node/41420/psn-pdf
September 26, 2012 - Improving healthcare quality through organisational peer-
to-peer assessment: lessons from the nuclear power
industry.
September 26, 2012
Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment:
lessons from the nuclear power industry. BMJ Qual Saf. 2012;21(10):872-5.
h…
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psnet.ahrq.gov/node/41633/psn-pdf
January 01, 2013 - Determinants of success of quality improvement
collaboratives: what does the literature show?
December 31, 2012
Hulscher M, Schouten LMT, Grol R, et al. Determinants of success of quality improvement collaboratives:
what does the literature show? BMJ Qual Saf. 2013;22(1):19-31. doi:10.1136/bmjqs-2011-000651.
https…
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psnet.ahrq.gov/node/35105/psn-pdf
June 22, 2009 - Evaluation of nationally mandated drug use reviews to
improve patient safety in nursing homes: a natural
experiment.
June 22, 2009
Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to
improve patient safety in nursing homes: a natural experiment. J Am Geriatr So…
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psnet.ahrq.gov/node/45019/psn-pdf
April 27, 2016 - Effectiveness of surgical safety checklists in improving
patient safety.
April 27, 2016
Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving
Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02.
https://psnet.ahrq.gov/issue/effectiveness-s…
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psnet.ahrq.gov/node/41336/psn-pdf
May 02, 2012 - Human factors–focused reporting system for improving
care quality and safety in hospital wards.
May 2, 2012
Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care
Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. doi:10.1177/0018720811434767.
https://…
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psnet.ahrq.gov/node/38565/psn-pdf
June 26, 2009 - Assessing organisational culture for quality and safety
improvement: a national survey of tools and tool use.
June 26, 2009
Mannion R, Konteh FH, Davies HTO. Assessing organisational culture for quality and safety improvement:
a national survey of tools and tool use. Qual Saf Health Care. 2009;18(2):153-6.
doi:10.…
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psnet.ahrq.gov/node/37734/psn-pdf
April 30, 2008 - Improving the quality of written prescriptions in a general
hospital: the influence of 10 years of serial audits and
targeted interventions.
April 30, 2008
Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital:
the influence of 10 years of serial audits and targe…
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psnet.ahrq.gov/node/48042/psn-pdf
June 12, 2019 - Analysis of medical malpractice claims to improve quality
of care: cautionary remarks.
June 12, 2019
Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J
Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178.
https://psnet.ahrq.gov/issue/analysis-medical-mal…
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psnet.ahrq.gov/node/46660/psn-pdf
October 18, 2018 - Using a network organisational architecture to support
the development of Learning Healthcare Systems.
October 18, 2018
Britto MT, Fuller SC, Kaplan HC, et al. Using a network organisational architecture to support the
development of Learning Healthcare Systems. BMJ Qual Saf. 2018;27(11). doi:10.1136/bmjqs-2017-
0…
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psnet.ahrq.gov/node/849595/psn-pdf
May 31, 2023 - Effect of an emergency department process improvement
package on suicide prevention: the ED-SAFE 2 cluster
randomized clinical trial.
May 31, 2023
Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement
package on suicide prevention: the ED-SAFE 2 cluster randomized c…
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psnet.ahrq.gov/node/39101/psn-pdf
March 05, 2010 - Interventions to improve team effectiveness: a systematic
review.
March 5, 2010
Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Interventions to improve team
effectiveness: a systematic review. Health Policy (New York). 2010;94(3):183-95.
doi:10.1016/j.healthpol.2009.09.015.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/41280/psn-pdf
December 31, 2014 - Intensive care unit nurses' information needs and
recommendations for integrated displays to improve
nurses' situation awareness.
December 31, 2014
Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for
integrated displays to improve nurses' situation awareness. J Am …
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psnet.ahrq.gov/node/867223/psn-pdf
December 04, 2024 - "It is not the fault of the health care team - it is the way the
system works": a mixed-methods quality improvement
study of patients with advanced cancer and family
members reveals challenges navigating a fragmented
healthcare system and the administrative and financial
burdens of care.
December 4, 2024
Dillon …
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psnet.ahrq.gov/node/73130/psn-pdf
January 01, 2022 - Improving peripherally inserted central catheter
appropriateness and reducing device-related
complications: a quasiexperimental study in 52 Michigan
hospitals.
April 14, 2021
Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness
and reducing device-related compl…
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psnet.ahrq.gov/node/43301/psn-pdf
May 01, 2015 - Walkrounds in practice: corrupting or enhancing a quality
improvement intervention? A qualitative study.
May 1, 2015
Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality
improvement intervention? A qualitative study. Jt Comm J Qual Patient Saf. 2014;40(7):303-310.
htt…