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psnet.ahrq.gov/issue/systems-approach-evaluating-ionizing-radiation-six-focus-areas-improve-quality-efficiency-and
March 14, 2016 - Commentary
A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety.
Citation Text:
Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient…
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psnet.ahrq.gov/issue/recognizing-quality-improvement-and-patient-safety-activities-academic-promotion-departments
April 20, 2011 - Study
Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria.
Citation Text:
Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in Academic …
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital-assessment-units
November 11, 2020 - Study
Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement.
Citation Text:
Urquhart A, Yardley S, Thomas E, et al. Learning from patient safety incidents involving acutely …
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psnet.ahrq.gov/issue/well-defined-pediatric-icu-active-surveillance-using-nonmedical-personnel-capture-less
July 13, 2010 - Study
The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events.
Citation Text:
White WA, Kennedy K, Belgum HS, et al. The Well-Defined Pediatric ICU: Active Surveillance Using Nonmedical Personnel to Capture Less Serious Safety …
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psnet.ahrq.gov/node/45863/psn-pdf
August 28, 2017 - Large-scale implementation of the I-PASS handover
system at an academic medical centre.
August 28, 2017
Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at
an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjqs-2016-006195.
https://psnet.ahr…
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psnet.ahrq.gov/node/43803/psn-pdf
January 29, 2015 - Creating a high-reliability health care system: improving
performance on core processes of care at Johns Hopkins
Medicine.
January 29, 2015
Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving
performance on core processes of care at Johns Hopkins Medicine. Acad Med.…
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psnet.ahrq.gov/node/43690/psn-pdf
March 26, 2015 - Improving healthcare systems' disclosures of large-scale
adverse events: a Department of Veterans Affairs
leadership, policymaker, research and stakeholder
partnership.
March 26, 2015
Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale adverse
events: a Department of Ve…
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psnet.ahrq.gov/node/46504/psn-pdf
February 22, 2018 - How guiding coalitions promote positive culture change
in hospitals: a longitudinal mixed methods interventional
study.
February 22, 2018
Bradley EH, Brewster AL, McNatt Z, et al. How guiding coalitions promote positive culture change in
hospitals: a longitudinal mixed methods interventional study. BMJ Qual Saf. 2…
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psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - TeamSTEPPS has led to changes in clinical practice, a reduction of preventable medical errors, and improved
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psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - TeamSTEPPS has led to changes in clinical practice, a reduction of preventable medical errors, and improved
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psnet.ahrq.gov/node/40012/psn-pdf
May 28, 2014 - Improving Communication During Transitions of Care.
May 28, 2014
Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404097.
https://psnet.ahrq.gov/issue/improving-communication-during-transitions-care
This guide discusses the impact of poor communication on care transitions and describes tactics f…
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psnet.ahrq.gov/node/35714/psn-pdf
February 15, 2006 - ACOG Committee Opinion #320: partnering with patients
to improve safety.
February 15, 2006
ACOG Committee on Quality Improvement and Patient Safety.
https://psnet.ahrq.gov/issue/acog-committee-opinion-320-partnering-patients-improve-safety
This committee opinion provides several recommendations for enhancing patie…
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psnet.ahrq.gov/node/36471/psn-pdf
February 10, 2015 - Improving Patient Safety Through Simulation Research.
February 10, 2015
https://psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-research
This announcement describes the 19 projects funded by the Agency for Healthcare Research and Quality
in 2006 that studies the potential of simulation to improve p…
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psnet.ahrq.gov/node/41527/psn-pdf
July 18, 2012 - Improving Transitions of Care: Hand-off Communications.
July 18, 2012
Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; June 2012.
https://psnet.ahrq.gov/issue/improving-transitions-care-hand-communications
This tool describes factors that contribute to incomplete handoffs and recommends ta…
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psnet.ahrq.gov/node/41330/psn-pdf
July 15, 2019 - Improving Safety in Maternity Services: a Toolkit for
Teams.
July 15, 2019
Thomas V, Dixon A. London, UK: The King's Fund; March 2012. ISBN: 9781857176384.
https://psnet.ahrq.gov/issue/improving-safety-maternity-services-toolkit-teams
This publication discusses how to improve teamwork, communication, training, gui…
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psnet.ahrq.gov/node/37372/psn-pdf
August 06, 2008 - Hospitals look to improve informed consent process.
August 6, 2008
O'Reilly KB.
https://psnet.ahrq.gov/issue/hospitals-look-improve-informed-consent-process
This article discusses the impact of health literacy on patient care and describes initiatives to improve
patients' comprehension of informed consent for proc…
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psnet.ahrq.gov/node/47215/psn-pdf
September 19, 2018 - The application of system dynamics modelling to system
safety improvement: present use and future potential.
September 19, 2018
Ibrahim M; Gyuchan S; Jun GT; Robinson S. Safety Sci. 2018;106:104-120.
https://psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-
use-and-futur…
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psnet.ahrq.gov/node/46453/psn-pdf
October 04, 2017 - Evaluation of patient and family outpatient complaints as
a strategy to prioritize efforts to improve cancer care
delivery.
October 4, 2017
Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a
Strategy to Prioritize Efforts to Improve Cancer Care Delivery. Jt Comm J Qual…
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psnet.ahrq.gov/node/35648/psn-pdf
February 03, 2011 - The 100,000 Lives Campaign: setting a goal and a
deadline for improving health care quality.
February 3, 2011
Berwick DM, Calkins DR, McCannon CJ, et al. The 100 000 Lives Campaign. JAMA. 2006;295(3).
doi:10.1001/jama.295.3.324.
https://psnet.ahrq.gov/issue/100000-lives-campaign-setting-goal-and-deadline-improving…
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psnet.ahrq.gov/node/60629/psn-pdf
June 24, 2020 - Implementing, Studying, and Reporting Health System
Improvement in the Era of Electronic Health Records.
June 24, 2020
Auerbach AD, Bates DW, Rao JK, et al, eds. Ann Intern Med. 2020;172(11_Supp):S69-S144.
https://psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era-
electronic-he…