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psnet.ahrq.gov/node/45601/psn-pdf
April 13, 2017 - Patient safety improvement interventions in children's
surgery: a systematic review.
April 13, 2017
Macdonald AL, Sevdalis N. Patient safety improvement interventions in children's surgery: A systematic
review. J Pediatr Surg. 2017;52(3):504-511. doi:10.1016/j.jpedsurg.2016.09.058.
https://psnet.ahrq.gov/issue/pat…
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psnet.ahrq.gov/node/35132/psn-pdf
June 22, 2009 - 2004 ASHP Leadership Conference on Pharmacy Practice
Management Executive Summary: Improving patient care
and medication safety.
June 22, 2009
2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: improving
patient care and medication safety.
https://psnet.ahrq.gov/issue/2004-ashp-lea…
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psnet.ahrq.gov/node/43120/psn-pdf
September 27, 2016 - How studying human factors improves patient safety.
September 27, 2016
Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9.
https://psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
Human factors engineering is being increasingly promoted as an…
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psnet.ahrq.gov/node/38472/psn-pdf
March 11, 2009 - Feedback from incident reporting: information and action
to improve patient safety.
March 11, 2009
Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve
patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2007.024166.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/40749/psn-pdf
September 07, 2011 - Improving the usability of intravenous medication labels
to support safe medication delivery.
September 7, 2011
Bauer DT, Guerlain S. Improving the usability of intravenous medication labels to support safe medication
delivery. International journal of industrial ergonomics. 2011;41(4):394-399.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/35861/psn-pdf
March 28, 2011 - How can the principles of complexity science be applied
to improve the coordination of care for complex pediatric
patients?
March 28, 2011
Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to
improve the coordination of care for complex pediatric patients? Qual Saf H…
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psnet.ahrq.gov/node/41036/psn-pdf
January 04, 2012 - Practically speaking: rethinking hand hygiene
improvement programs in health care settings.
January 4, 2012
Son C, Chuck T, Childers T, et al. Practically speaking: Rethinking hand hygiene improvement programs in
health care settings. Am J Infect Control. 2011;39(9). doi:10.1016/j.ajic.2010.12.008.
https://psnet.a…
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psnet.ahrq.gov/node/40058/psn-pdf
January 22, 2017 - Infection preventionist checklist to improve culture and
reduce central line–associated bloodstream infections.
January 22, 2017
Goeschel CA, Holzmueller CG, Cosgrove SE, et al. Infection preventionist checklist to improve culture and
reduce central line-associated bloodstream infections. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/node/41153/psn-pdf
January 01, 2013 - Quality improvement for patient safety: project-level
versus program-level learning.
December 12, 2012
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.0b013e318245019f.
https://psnet.ahrq…
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psnet.ahrq.gov/node/42750/psn-pdf
November 20, 2013 - Serious hazards of transfusion (SHOT) haemovigilance
and progress is improving transfusion safety.
November 20, 2013
Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is
improving transfusion safety. Br J Haematol. 2013;163(3):303-14. doi:10.1111/bjh.12547.
https://psnet.…
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psnet.ahrq.gov/node/40503/psn-pdf
June 08, 2011 - The science of safety improvement: learning while doing.
June 8, 2011
Clancy CM, Berwick DM. The science of safety improvement: learning while doing. Ann Intern Med.
2011;154(10):699-701. doi:10.7326/0003-4819-154-10-201105170-00013.
https://psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
Acco…
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psnet.ahrq.gov/node/36087/psn-pdf
September 28, 2010 - Improving patient safety in hospitals: contributions of
high-reliability theory and normal accident theory.
September 28, 2010
Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and
normal accident theory. Health Serv Res. 2006;41(4 Pt 2):1654-76.
https://psnet.ah…
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psnet.ahrq.gov/node/40440/psn-pdf
July 02, 2014 - Residents' reflections on quality improvement: temporal
stability and associations with preventability of adverse
patient events.
July 2, 2014
Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability
and associations with preventability of adverse patient events. Ac…
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psnet.ahrq.gov/node/40248/psn-pdf
June 20, 2011 - Achieving quality improvement in the nursing home:
influence of nursing leadership on communication and
teamwork.
June 20, 2011
Vogelsmeier A, Scott-Cawiezell J. Achieving quality improvement in the nursing home: influence of nursing
leadership on communication and teamwork. J Nurs Care Qual. 2011;26(3):236-42.
d…
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psnet.ahrq.gov/node/41183/psn-pdf
February 29, 2012 - Increasing the use of 'smart' pump drug libraries by
nurses: a continuous quality improvement project.
February 29, 2012
Harding AD. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement
project. Am J Nurs. 2012;112(1):26-37. doi:10.1097/01.NAJ.0000410360.20567.55.
https://p…
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psnet.ahrq.gov/node/866641/psn-pdf
September 04, 2024 - Quality and patient safety improvement is never finished.
September 4, 2024
Kachalia A, Vanhaecht K. Quality and patient safety improvement is never finished. NEJM Catalyst.
2024;5(9). doi:10.1056/cat.24.0316.
https://psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
Safety and quality imp…
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psnet.ahrq.gov/node/35760/psn-pdf
July 19, 2010 - Achieving rapid door-to-balloon times: how top hospitals
improve complex clinical systems.
July 19, 2010
Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times: how top hospitals improve
complex clinical systems. Circulation. 2006;113(8):1079-85.
https://psnet.ahrq.gov/issue/achieving-rapid…
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psnet.ahrq.gov/node/40242/psn-pdf
February 23, 2011 - An anesthesiology department leads culture change at a
hospital system level to improve quality and patient
safety.
February 23, 2011
Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a
hospital system level to improve quality and patient safety. Anesthesiol Clin. 201…
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psnet.ahrq.gov/node/50729/psn-pdf
December 11, 2019 - Improving Diagnostic Quality & Safety/Reducing
Diagnostic Error: Measurement Considerations.
December 11, 2019
Washington DC; National Quality Forum: October 28, 2019.
https://psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-
considerations
Efforts to track, understand…
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psnet.ahrq.gov/node/42562/psn-pdf
June 09, 2015 - Sustaining quality improvement and patient safety
training in graduate medical education: lessons from
social theory.
June 9, 2015
Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in
graduate medical education: lessons from social theory. Acad Med. 2013;88(8):1149-5…