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The University of Texas System Clinical Safety and Effectiveness Course | PSNet

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February 01, 2011 - The University of Texas System Clinical Safety and Effectiveness Course Eric J. Thomas, MD, MPH; Jan Patterson, MD, MS; Sherry Martin, MEd; Doris Quinn, PhD; Gary Reed, MD; Ken Shine, MD | February 1, 2011 View more articles from the same authors. Citation Text: T…

Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. | PSNet

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August 04, 2021 - Study Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Citation Text: Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…

Improving alarm performance in the medical intensive care unit using delays and clinical context. | PSNet

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December 31, 2014 - Study Improving alarm performance in the medical intensive care unit using delays and clinical context. Citation Text: Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546…

The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of care. | PSNet

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November 21, 2018 - Commentary The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of care. Citation Text: Wohlauer M, Arora V, Horwitz LI, et al. The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of car…

An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. | PSNet

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March 20, 2014 - Study An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. Citation Text: McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces hospital-wide medication error rela…

Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers. | PSNet

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March 31, 2022 - Review Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers. Citation Text: Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential Position P…

Measuring and improving patient safety through health information technology: the Health IT Safety Framework. | PSNet

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December 06, 2023 - Commentary Measuring and improving patient safety through health information technology: the Health IT Safety Framework. Citation Text: Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Qual Saf. 2016;25(…

Bedside shift report improves patient safety and nurse accountability. | PSNet

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April 16, 2010 - Commentary Bedside shift report improves patient safety and nurse accountability. Citation Text: Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…

Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. | PSNet

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May 31, 2017 - Commentary Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. Citation Text: Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. Copy C…

Predictors of the perceived impact of a patient safety collaborative: an exploratory study. | PSNet

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February 01, 2011 - Study Predictors of the perceived impact of a patient safety collaborative: an exploratory study. Citation Text: Pinto A, Benn J, Burnett S, et al. Predictors of the perceived impact of a patient safety collaborative: an exploratory study. Int J Qual Health Care. 2011;23(2):173-81. doi:1…

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. | PSNet

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March 30, 2011 - Commentary An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. Citation Text: Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a hospital system level to improve quality and …

Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. | PSNet

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June 14, 2011 - Study Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. Citation Text: Braithwaite J, Westbrook MT, Mallock NA, et al. Experiences of health professionals who conducted root cause analyses after undergoing a safety im…

Blending evidence and innovation: improving intershift handoffs in a multihospital setting. | PSNet

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September 23, 2017 - Commentary Blending evidence and innovation: improving intershift handoffs in a multihospital setting. Citation Text: Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097…

Medical improv: a novel approach to teaching communication and professionalism skills. | PSNet

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November 25, 2020 - Commentary Medical improv: a novel approach to teaching communication and professionalism skills. Citation Text: Watson K, Fu B. Medical Improv: A Novel Approach to Teaching Communication and Professionalism Skills. Ann Intern Med. 2016;165(8):591-592. doi:10.7326/M15-2239. Copy Citati…

Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture. | PSNet

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September 29, 2010 - Study Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture. Citation Text: Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality impro…

Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. | PSNet

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May 01, 2019 - Review Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. Citation Text: Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Saf. 2…

Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

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July 10, 2008 - Commentary Clinician-directed performance improvement: moving beyond externally mandated metrics. Citation Text: Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. Copy Cit…

Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards. | PSNet

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March 06, 2013 - Study Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards. Citation Text: Edbrooke-Childs J, Hayes J, Sharples E, et al. Development of the Huddle Observation Tool for structured case management …

S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. | PSNet

psnet.ahrq.gov/issue/s-teams-truly-multiprofessional-course-focusing-nontechnical-skills-improve-patient-safety

November 30, 2022 - Commentary S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. Citation Text: Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety…

Leveraging trainees to improve quality and safety at the point of care: three models for engagement. | PSNet

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September 20, 2017 - Commentary Leveraging trainees to improve quality and safety at the point of care: three models for engagement. Citation Text: Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…

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