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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/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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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/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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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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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/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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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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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/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/node/46306/psn-pdf
August 02, 2017 - Use of cascading A3s to drive systemwide improvement.
August 2, 2017
Winner LE, Burroughs TJ, Cady-Reh JA, et al. Use of Cascading A3s to Drive Systemwide Improvement. Jt
Comm J Qual Patient Saf. 2017;43(8):422-428. doi:10.1016/j.jcjq.2017.03.011.
https://psnet.ahrq.gov/issue/use-cascading-a3s-drive-systemwide-impr…
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psnet.ahrq.gov/node/34136/psn-pdf
January 29, 2018 - Institute for Healthcare Improvement.
January 29, 2018
53 State Street, 19th Floor, Boston, MA 02109. 617-301-4800, info@ihi.org.
https://psnet.ahrq.gov/issue/institute-healthcare-improvement
The Institute for Healthcare Improvement (IHI) is a not-for-profit organization promoting health improvement
by advancing t…
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psnet.ahrq.gov/node/40824/psn-pdf
October 05, 2011 - Quality improvement project to reduce perioperative
opioid oversedation events in a paediatric hospital.
October 5, 2011
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid
oversedation events in a paediatric hospital. BMJ Qual Saf. 2011;20(10):895-902.
doi:10.1136/bmj…
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psnet.ahrq.gov/node/37071/psn-pdf
September 30, 2011 - Improving patient safety in radiotherapy by learning from
near misses, incidents and errors.
September 30, 2011
Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br
J Radiol. 2007;80(953):297-301.
https://psnet.ahrq.gov/issue/improving-patient-safety-radiother…
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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/40262/psn-pdf
March 02, 2011 - Leading clinical handover improvement: a change
strategy to implement best practices in the acute care
setting.
March 2, 2011
Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18.
doi:10.1097/pts.0b013e31820c98a8.
https://psnet.ahrq.gov/issue/leading-clinical-handover-impro…
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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/36863/psn-pdf
August 29, 2011 - Embedding quality improvement and patient safety at
Liverpool Women's NHS Foundation Trust.
August 29, 2011
Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation
Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607.
https://psnet.ahrq.gov/issue/embedding-qual…
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psnet.ahrq.gov/node/36613/psn-pdf
January 14, 2011 - Patient safety rounds: description of an inexpensive but
important strategy to improve the safety culture.
January 14, 2011
Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to
improve the safety culture. Am J Med Qual. 2007;22(1):26-33.
https://psnet.ahrq.gov/issu…