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psnet.ahrq.gov/issue/perioperative-issues-surgeons-improving-patient-safety-and-outcomes
September 19, 2018 - Special or Theme Issue
Perioperative Issues for Surgeons: Improving Patient Safety and Outcomes.
Citation Text:
Perioperative Issues for Surgeons: Improving Patient Safety and Outcomes. Napolitano LM, ed. Surg Clin North Am. 2005;85(6):1061-1380.
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psnet.ahrq.gov/issue/quality-improvement-decrease-specimen-mislabeling-transfusion-medicine
September 11, 2024 - Study
Quality improvement to decrease specimen mislabeling in transfusion medicine.
Citation Text:
Quillen K, Murphy K. Quality improvement to decrease specimen mislabeling in transfusion medicine. Arch Pathol Lab Med. 2006;130(8):1196-1198.
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psnet.ahrq.gov/issue/improvement-pennsylvania-healthcare-consumers-awareness-patient-safety
March 30, 2016 - Newspaper/Magazine Article
Improvement of Pennsylvania healthcare consumers' awareness of patient safety.
Citation Text:
Improvement of Pennsylvania healthcare consumers' awareness of patient safety. Munn J. PA-PSRS Patient Saf Advis. March 2014;11:23-29.
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psnet.ahrq.gov/issue/recommendations-quality-assurance-and-improvement-surgical-and-autopsy-pathology
September 29, 2010 - Commentary
Recommendations for quality assurance and improvement in surgical and autopsy pathology.
Citation Text:
Pathology A of D of A and S, Nakhleh RE, Coffin C, et al. Recommendations for quality assurance and improvement in surgical and autopsy pathology. Hum Pathol. 2006;37(8):9…
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psnet.ahrq.gov/issue/fewer-better-auditory-alarms-will-improve-patient-safety
August 11, 2021 - Commentary
Fewer but better auditory alarms will improve patient safety.
Citation Text:
Edworthy J. Fewer but better auditory alarms will improve patient safety. Qual Saf Health Care. 2005;14(3):212-215. doi:10.1136/qshc.2004.013052.
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psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
January 28, 2009 - Study
Anaesthetists' management of oxygen pipeline failure: room for improvement.
Citation Text:
Weller JM, Merry AF, Warman GR, et al. Anaesthetists' management of oxygen pipeline failure: room for improvement. Anaesthesia. 2007;62(2):122-6.
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psnet.ahrq.gov/issue/quality-performance-improvement-teamwork-information-technology-and-protocols
November 03, 2015 - Commentary
Quality: performance improvement, teamwork, information technology and protocols.
Citation Text:
Coleman NE, Pon S. Quality: performance improvement, teamwork, information technology and protocols. Crit Care Clin. 2013;29(2):129-51. doi:10.1016/j.ccc.2012.11.002.
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psnet.ahrq.gov/issue/using-situ-simulation-improve-hospital-cardiopulmonary-resuscitation
January 02, 2017 - Study
Using in situ simulation to improve in-hospital cardiopulmonary resuscitation.
Citation Text:
Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16.
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psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-reality
May 07, 2014 - Study
Hospital leadership and quality improvement: rhetoric versus reality.
Citation Text:
Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e3180311256.
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psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
May 27, 2011 - Commentary
Improving Weekend Out Of Hours Surgical Handover (WOOSH).
Citation Text:
Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190.
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psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
March 28, 2011 - Commentary
A theoretical framework and competency-based approach to improving handoffs.
Citation Text:
Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.0189…
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psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-patient-care
September 09, 2020 - Review
Interventions to improve hand hygiene compliance in patient care.
Citation Text:
Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4.
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psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis
December 17, 2008 - Grant Recipient
Request for proposals for clinical quality measures to improve diagnosis.
Citation Text:
Request for proposals for clinical quality measures to improve diagnosis. Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.
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psnet.ahrq.gov/issue/peer-review-report-strategies-improve-patient-safety
May 19, 2021 - Book/Report
Peer Review of a Report on Strategies to Improve Patient Safety.
Citation Text:
Peer Review of a Report on Strategies to Improve Patient Safety. Washington DC: National Academies of Sciences, Engineering, and Medicine; 2021. ISBN: 9780309462808.
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psnet.ahrq.gov/issue/architecture-safety-emerging-priority-improving-patient-safety
June 09, 2011 - Review
The architecture of safety: an emerging priority for improving patient safety.
Citation Text:
Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643…
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www.ahrq.gov/nursing-home/materials/leadership/index.html
June 01, 2022 - Leadership, Management, and Quality Improvement
Nursing home administrators and others may benefit from the following specific resources that address leadership and quality improvement.
Leadership and Management
Leading By Example Learning Module
This learning module offers ideas to help boost mora…
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www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/asthmaqual/index.html
October 01, 2014 - Improving the Quality of Asthma Care
New Tools for States
The Agency for Healthcare Research and Quality (AHRQ) has developed Asthma Care Quality Improvement: A Resource Guide for State Action and its companion workbook, Asthma Care Quality Improvement: A Workbook for State Action. These materials were design…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dx-journey-presenter-notes.pdf
June 02, 2025 - TeamSTEPPS® Diagnosis Improvement: Diagnostic Journey of Mr. Kane
Slide 1
TeamSTEPPS® for Diagnosis
Improvement
The Diagnostic Journey of
Mr. Kane
Narrator: This story is about the diagnostic journey of Mr. Kane. The story
outlines several areas where communication failures led to missed and
delayed diag…
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psnet.ahrq.gov/issue/library-hospital-pairing-empowers-patients-improves-safety
June 27, 2018 - Newspaper/Magazine Article
Library-hospital pairing empowers patients, improves safety.
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March 7, 2016
This article describes the P…
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psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-education
September 20, 2012 - Commentary
Teaching the diagnostic process as a model to improve medical education.
Citation Text:
Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med. 2017;92(1):1-4. doi:10.1097/ACM.0000000000001481.
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