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psnet.ahrq.gov/node/41586/psn-pdf
January 01, 2013 - Strategies for improving patient safety culture in
hospitals: a systematic review.
December 31, 2012
Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a
systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-000582.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/853618/psn-pdf
September 20, 2023 - Improving patients' intensive care admission through
multidisciplinary simulation-based crisis resource
management: a qualitative study.
September 20, 2023
Jensen JF, Ramos J, Ørom M?L, et al. Improving patients' intensive care admission through
multidisciplinary simulation?based crisis resource management: a qual…
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psnet.ahrq.gov/node/72627/psn-pdf
January 13, 2021 - Creating a framework to integrate residency program and
medical center approaches to quality improvement and
patient safety training
January 13, 2021
Chen A, Wolpaw BJ, Vande Vusse LK, et al. Creating a framework to integrate residency program and
medical center approaches to quality improvement and patient safety…
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psnet.ahrq.gov/node/46569/psn-pdf
November 15, 2017 - Identifying patient-centred recommendations for
improving patient safety in General Practices in England:
a qualitative content analysis of free-text responses using
the Patient Reported Experiences and Outcomes of Safety
in Primary Care (PREOS-PC) questionnaire.
November 15, 2017
Ricci-Cabello I, Saletti-Cuesta …
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psnet.ahrq.gov/node/44680/psn-pdf
February 24, 2018 - Measurement is essential for improving diagnosis and
reducing diagnostic error: a report from the Institute of
Medicine.
February 24, 2018
McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing
Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2…
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psnet.ahrq.gov/node/50883/psn-pdf
February 12, 2020 - Time series evaluation of improvement interventions to
reduce alarm notifications in a paediatric hospital.
February 12, 2020
Pater CM, Sosa TK, Boyer J, et al. Time series evaluation of improvement interventions to reduce alarm
notifications in a paediatric hospital. BMJ Qual Saf. 2020;29(9):717-726. doi:10.1136/b…
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psnet.ahrq.gov/node/50935/psn-pdf
February 26, 2020 - Moving from knowledge to action: improving safety and
quality of care for patients with limited English
proficiency.
February 26, 2020
Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care
for patients with limited English proficiency. Clin Pediatr (Phila). 2020;59…
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psnet.ahrq.gov/node/42682/psn-pdf
January 01, 2015 - Review article: improving the hospital clinical handover
between paramedics and emergency department staff in
the deteriorating patient.
November 13, 2013
Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between
paramedics and emergency department staff in the deteriorating pa…
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psnet.ahrq.gov/node/44577/psn-pdf
October 21, 2015 - Improving patient safety in clinical oncology: applying
lessons from Normal Accident Theory.
October 21, 2015
Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons
From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1001/jamaoncol.2015.0891.
https://psn…
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psnet.ahrq.gov/node/60195/psn-pdf
April 01, 2020 - What every health lawyer should know about the Patient
Safety and Quality Improvement Act of 2005.
April 1, 2020
Hanzal M. What every health lawyer should know about the Patient Safety and Quality Improvement Act of
2005. J Health Life Sci Law. 2020;13(2):71-88.
https://psnet.ahrq.gov/issue/what-every-health-lawye…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-2-brady-2018.pdf
January 01, 2018 - Understanding SOPS Surveys: A Primer for New Users - Brady
6
Overview of AHRQ’s Patient Safety
Priorities and Programs
Jeff Brady, MD, MPH
Director, Center for Quality Improvement and Patient Safety,
Agency for Healthcare Research and Quality (AHRQ)
Rear Admiral, Assistant Surgeon General, U.S. Public Health Ser…
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psnet.ahrq.gov/node/45175/psn-pdf
February 22, 2017 - Improving physician's hand over among oncology staff
using standardized communication tool.
February 22, 2017
Alolayan A, Alkaiyat M, Ali Y, et al. Improving physician's hand over among oncology staff using
standardized communication tool. BMJ Qual Improv Rep. 2017;6(1).
doi:10.1136/bmjquality.u211844.w6141.
http…
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psnet.ahrq.gov/node/37091/psn-pdf
March 02, 2016 - The tension between needing to improve care and
knowing how to do it.
March 2, 2016
Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how
to do it. N Engl J Med. 2007;357(6):608-13.
https://psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
…
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psnet.ahrq.gov/node/73346/psn-pdf
June 02, 2021 - Human factors and ergonomics to improve performance
in intensive care units during the COVID-19 pandemic.
June 2, 2021
Della Torre V, E. Nacul F, Rosseel P, et al. Human factors and ergonomics to improve performance in
intensive care units during the COVID-19 pandemic. Anaesthesiol Intensive Ther. 2021;53(3):265-27…
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psnet.ahrq.gov/node/72803/psn-pdf
March 03, 2021 - First do no harm: practitioners' ability to 'diagnose'
system weaknesses and improve safety is a critical initial
step in improving care quality.
March 3, 2021
English M, Ogola M, Aluvaala J, et al. First do no harm: practitioners’ ability to ‘diagnose’ system
weaknesses and improve safety is a critical initial st…
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psnet.ahrq.gov/node/47714/psn-pdf
March 27, 2019 - Quality improvement in ambulatory surgery centers: a
major national effort aimed at reducing infections and
other surgical complications.
March 27, 2019
Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major
National Effort Aimed at Reducing Infections and Other Surgical C…
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psnet.ahrq.gov/node/73676/psn-pdf
September 08, 2021 - Organizational readiness to change as a leverage point
for improving safety: a national nursing home survey.
September 8, 2021
Quach ED, Kazis LE, Zhao S, et al. Organizational readiness to change as a leverage point for improving
safety: a national nursing home survey. BMC Health Serv Res. 2021;21(1):842. doi:10.1…
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www.ahrq.gov/cahps/news-and-events/events/webinar-041316.html
February 01, 2017 - Strategies for Improving CAHPS Health Plan Survey Scores (Webcast)
April 13, 2016 Summary Speakers and PowerPoint Slides Recording Transcript Related Material Summary This free Webcast from the Agency for Healthcare Research and Quality (AHRQ) featured innovative strategies used by two Medicaid health plans to …
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www.ahrq.gov/evidencenow/index.html
EvidenceNOW
EvidenceNOW Model
A model for providing external support to primary care practices to improve care delivery
Practice Facilitation
A key c…
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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…