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psnet.ahrq.gov/node/44688/psn-pdf
February 23, 2018 - Improving diagnosis in health care—the next imperative
for patient safety.
February 23, 2018
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New
Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp1512241.
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care…
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psnet.ahrq.gov/node/863749/psn-pdf
March 06, 2024 - Improving situation awareness to advance patient
outcomes: a systematic literature review.
March 6, 2024
Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a
systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.
doi:10.1097/cin.0000000000001112.
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psnet.ahrq.gov/node/851362/psn-pdf
July 12, 2023 - Health system resilience, accreditation, high-quality care,
and continuous quality improvement: what is the
destination and how do we get there?
July 12, 2023
Nicklin W, Greenfield D. Health system resilience, accreditation, high-quality care, and continuous quality
improvement: what is the destination and how do …
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psnet.ahrq.gov/node/47399/psn-pdf
November 14, 2018 - Leveraging the continuum: a novel approach to meeting
quality improvement and patient safety competency
requirements across a large department of medicine.
November 14, 2018
Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and
Patient Safety Competency Requirements Ac…
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psnet.ahrq.gov/node/61115/psn-pdf
November 11, 2020 - Education initiatives in cognitive debiasing to improve
diagnostic accuracy in student providers: a scoping
review.
November 11, 2020
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic
accuracy in student providers: a scoping review. J Am Assoc Nurse Prac…
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psnet.ahrq.gov/node/866962/psn-pdf
October 16, 2024 - Diagnostic Excellence– Age-Friendly Health Systems
(DxEx–AFHS) Seed Grant Program Improving Diagnosis
for Older Adults.
October 16, 2024
Boston, MA: Institute for Healthcare Improvement; September 23, 2024.
https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant-
progra…
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psnet.ahrq.gov/node/45445/psn-pdf
September 27, 2016 - Using Kotter's change model for implementing bedside
handoff: a quality improvement project.
September 27, 2016
Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality
Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.1097/NCQ.0000000000000212.
https:/…
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psnet.ahrq.gov/node/44754/psn-pdf
March 23, 2016 - Use of failure mode and effects analysis to improve
emergency department handoff processes.
March 23, 2016
Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff
Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000169.
https://psnet.ahrq.gov/issue/use-…
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psnet.ahrq.gov/node/46347/psn-pdf
December 22, 2018 - Medication errors in pediatric anesthesia: a report from
the Wake Up Safe quality improvement initiative.
December 22, 2018
M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the
Wake Up Safe quality improvement initiative. Anesth Analg. 2017;125(3):936-942.
do…
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psnet.ahrq.gov/node/47027/psn-pdf
June 19, 2018 - Overdiagnosis and overtreatment as a quality problem:
insights from healthcare improvement research.
June 19, 2018
Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement
research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/bmjqs-2017-007571.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/43666/psn-pdf
March 14, 2016 - Interdisciplinary Quality Improvement Conference: using
a revised morbidity and mortality format to focus on
systems-based patient safety issues in a VA hospital:
design and outcomes.
March 14, 2016
Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conference: using a revised
morbidit…
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psnet.ahrq.gov/node/36262/psn-pdf
August 04, 2009 - Safety in the academic medical center: transforming
challenges into ingredients for improvement.
August 4, 2009
Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for
improvement. Acad Med. 2006;81(9):817-22.
https://psnet.ahrq.gov/issue/safety-academic-medical-…
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psnet.ahrq.gov/node/44884/psn-pdf
February 17, 2016 - Changes in default alarm settings and standard in-service
are insufficient to improve alarm fatigue in an intensive
care unit: a pilot project.
February 17, 2016
Sowan AK, Gomez TM, Tarriela AF, et al. Changes in Default Alarm Settings and Standard In-Service are
Insufficient to Improve Alarm Fatigue in an Intensi…
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psnet.ahrq.gov/node/73492/psn-pdf
July 14, 2021 - How can regulatory authorities improve safety in
organizations by influencing safety culture? A conceptual
model of the relationships and a discussion of
implications.
July 14, 2021
Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in
organizations by influencing safety c…
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psnet.ahrq.gov/node/44122/psn-pdf
January 01, 2016 - Best practices: an electronic drug alert program to
improve safety in an accountable care environment.
November 16, 2015
Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety
in an Accountable Care Environment. J Manag Care Spec Pharm. 2016;21(4):330-336.
doi:10…
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psnet.ahrq.gov/node/43710/psn-pdf
October 06, 2016 - Improving medication administration safety: using naïve
observation to assess practice and guide improvements
in process and outcomes.
October 6, 2016
Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve
observation to assess practice and guide improvements in process and…
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psnet.ahrq.gov/node/866936/psn-pdf
October 30, 2024 - Improving Hospital Handoffs Using AHRQ's Surveys on
Patient Safety Culture Hospital Survey.
October 30, 2024
Agency for Healthcare Research and Quality. Improving Hospital Handoffs Using AHRQ's Surveys on
Patient Safety Culture Hospital Survey. October 30, 2024.
https://psnet.ahrq.gov/issue/improving-hospital-hand…
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psnet.ahrq.gov/node/43141/psn-pdf
April 30, 2014 - Engaging residents and fellows to improve institution-
wide quality: the first six years of a novel financial
incentive program.
April 30, 2014
Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide
quality: the first six years of a novel financial incentive program.…
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psnet.ahrq.gov/node/44033/psn-pdf
April 22, 2015 - Quality improvements in decreasing medication
administration errors made by nursing staff in an
academic medical center hospital: a trend analysis during
the journey to Joint Commission International
accreditation and in the post-accreditation era.
April 22, 2015
Wang H-F, Jin J-F, Feng X-Q, et al. Quality improv…
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psnet.ahrq.gov/node/73955/psn-pdf
October 13, 2021 - The efficacy of mindful practice in improving diagnosis in
healthcare: a systematic review and evidence synthesis.
October 13, 2021
Pinnock R, Ritchie D, Gallagher S, et al. The efficacy of mindful practice in improving diagnosis in
healthcare: a systematic review and evidence synthesis. Adv Health Sci Educ Theory …