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psnet.ahrq.gov/node/46303/psn-pdf
November 21, 2017 - How do hospital boards govern for quality improvement?
A mixed methods study of 15 organisations in England.
November 21, 2017
Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed
methods study of 15 organisations in England. BMJ Qual Saf. 2017;26(12):978-986. doi:10.1…
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psnet.ahrq.gov/node/45023/psn-pdf
April 17, 2018 - Lean Hospitals: Improving Quality, Patient Safety, and
Employee Engagement, Third Edition.
April 17, 2018
Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259.
https://psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement-
third-edition
Lean methodology fo…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
January 01, 2020 - The study determined that improved data systems, especially for contracts, could help track
projects
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-cusp.html
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
The Comprehensive Unit-based Safety Program (CUSP)
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Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensiv…
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www.ahrq.gov/patient-safety/settings/ambulatory/tools.html
February 01, 2018 - Ambulatory Care
AHRQ is committed to improving the safety and quality of ambulatory care in the United States. Ambulatory care is care provided by health care professionals in outpatient settings. These settings include medical offices and clinics, ambulatory surgery centers, hospital outpatient departments, an…
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psnet.ahrq.gov/issue/characteristics-morbidity-and-mortality-conferences-associated-implementation-patient-safety
March 18, 2020 - Study
Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study.
Citation Text:
François P, Prate F, Vidal-Trecan G, et al. Characteristics of morbidity and mortality conferences associated …
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psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
April 01, 2010 - Study
Quality improvement for patient safety: project-level versus program-level learning.
Citation Text:
Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013…
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psnet.ahrq.gov/issue/responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff
April 27, 2010 - Review
Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.
Citation Text:
Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…
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psnet.ahrq.gov/issue/electronic-checklist-improves-transfer-and-retention-critical-information-intraoperative
July 21, 2021 - Study
An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care.
Citation Text:
Agarwala A, Firth PG, Albrecht MA, et al. An electronic checklist improves transfer and retention of critical information at intraoperative handoff of c…
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psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
December 06, 2017 - Commentary
What happens when healthcare innovations collide?
Citation Text:
Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441.
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Format:
DOI Google S…
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digital.ahrq.gov/ahrq-funded-projects/improving-uptake-and-use-personal-health-records
January 01, 2023 - Improving Uptake and Use of Personal Health Records
Project Final Report ( PDF , 65.72 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No…
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psnet.ahrq.gov/issue/clinical-communities-johns-hopkins-medicine-emerging-approach-quality-improvement
November 16, 2022 - Commentary
Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement.
Citation Text:
Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;…
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psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here
January 23, 2012 - Study
Classic
High-reliability health care: getting there from here.
Citation Text:
Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023.
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Format:
DOI Go…
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psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
July 12, 2016 - Book/Report
Classic
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.
Citation Text:
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
May 01, 2024 - Investments in Primary Care Research for 2021 and 2022
Patient Safety
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Table of Contents
Investments in Primary Care Research for 2021 and 2022
Acknowledgments and Authors
Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Research
…
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psnet.ahrq.gov/node/38122/psn-pdf
September 05, 2009 - Implementation of a preoperative briefing protocol
improves accuracy of teamwork assessment in the
operating room.
September 5, 2009
Paige JT, Aaron DL, Yang T, et al. Implementation of a preoperative briefing protocol improves accuracy of
teamwork assessment in the operating room. Am Surg. 2008;74(9):817-823.
ht…
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psnet.ahrq.gov/node/41683/psn-pdf
September 19, 2012 - Techniques to improve patient safety in hospitals: what
nurse administrators need to know.
September 19, 2012
Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J
Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5.
https://psnet.ahrq.gov/issue/technique…
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psnet.ahrq.gov/node/47354/psn-pdf
November 21, 2018 - Improving Diagnosis in Medicine Change Package.
November 21, 2018
Chicago, IL: Health Research & Educational Trust; 2018.
https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
Proactive identification of conditions that degrade the diagnostic process can drive improvement. This
toolkit provides …
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psnet.ahrq.gov/node/37038/psn-pdf
September 16, 2011 - Does simulation improve patient safety?: self-efficacy,
competence, operational performance, and patient safety.
September 16, 2011
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence,
operational performance, and patient safety. Anesthesiol Clin. 2007;25(2):225-36.
…
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psnet.ahrq.gov/node/40677/psn-pdf
August 10, 2011 - Board quality scorecards: measuring improvement.
August 10, 2011
Goeschel CA, Berenholtz SM, Culbertson R, et al. Board quality scorecards: measuring improvement. Am
J Med Qual. 2011;26(4):254-60. doi:10.1177/1062860610389324.
https://psnet.ahrq.gov/issue/board-quality-scorecards-measuring-improvement
Hospital boa…