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psnet.ahrq.gov/node/38747/psn-pdf
September 16, 2009 - Examination of how a survey can spur culture changes
using a quality improvement approach: a region-wide
approach to determining a patient safety culture.
September 16, 2009
Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality
improvement approach: a region-wide …
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psnet.ahrq.gov/node/44667/psn-pdf
March 15, 2016 - Incorporating metacognition into morbidity and mortality
rounds: the next frontier in quality improvement.
March 15, 2016
Katz D, Detsky AS. Incorporating metacognition into morbidity and mortality rounds: The next frontier in
quality improvement. J Hosp Med. 2016;11(2):120-2. doi:10.1002/jhm.2505.
https://psnet.a…
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psnet.ahrq.gov/node/50591/psn-pdf
January 01, 2020 - Secure text messaging in healthcare: latent threats and
opportunities to improve patient safety.
October 30, 2019
Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and
Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380. doi:10.12788/jhm.3305.
https://psnet…
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psnet.ahrq.gov/node/41546/psn-pdf
December 29, 2014 - Using a logic model to design and evaluate quality and
patient safety improvement programs.
December 29, 2014
Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient
safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. doi:10.1093/intqhc/mzs029.
https://…
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psnet.ahrq.gov/node/44463/psn-pdf
September 16, 2015 - The influence of context on the effectiveness of hospital
quality improvement strategies: a review of systematic
reviews.
September 16, 2015
Kringos DS, Suñol R, Wagner C, et al. The influence of context on the effectiveness of hospital quality
improvement strategies: a review of systematic reviews. BMC Health Ser…
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psnet.ahrq.gov/node/42658/psn-pdf
March 17, 2014 - Systematic review of the application of the plan-do-study-
act method to improve quality in healthcare.
March 17, 2014
Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act
method to improve quality in healthcare. BMJ Qual Saf. 2014;23(4):290-8. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/866411/psn-pdf
July 31, 2024 - Simulation to Improve Patient Safety: Getting Started.
July 31, 2024
Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for
Healthcare Research and Quality; July 2024. Publication No. 24-0055.
https://psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-start…
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psnet.ahrq.gov/node/39550/psn-pdf
July 05, 2013 - A novel method for reproducibly measuring the effects of
interventions to improve emotional climate, indices of
team skills and communication, and threat to patient
outcome in a high-volume thoracic surgery center.
July 5, 2013
Nurok M, Lipsitz S, Satwicz P, et al. A novel method for reproducibly measuring the eff…
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psnet.ahrq.gov/node/36769/psn-pdf
June 15, 2011 - Using incident reporting to improve patient safety: a
conceptual model.
June 15, 2011
Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J
Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05.
https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-s…
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psnet.ahrq.gov/node/40177/psn-pdf
June 08, 2011 - Learning from disasters to improve patient safety:
applying the generic disaster pathway to health system
errors.
June 8, 2011
Travaglia J, Hughes C, Braithwaite J. Learning from disasters to improve patient safety: applying the
generic disaster pathway to health system errors. BMJ Qual Saf. 2011;20(1):1-8.
doi:1…
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psnet.ahrq.gov/node/41358/psn-pdf
July 06, 2012 - Safety skills training for surgeons: a half-day intervention
improves knowledge, attitudes and awareness of patient
safety.
July 6, 2012
Arora S, Sevdalis N, Ahmed M, et al. Safety skills training for surgeons: A half-day intervention improves
knowledge, attitudes and awareness of patient safety. Surgery. 2012;152…
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psnet.ahrq.gov/node/44637/psn-pdf
January 22, 2016 - The morbidity and mortality conference in pediatric
intensive care as a means for improving patient safety.
January 22, 2016
Frey B, Doell C, Klauwer D, et al. The Morbidity and Mortality Conference in Pediatric Intensive Care as a
Means for Improving Patient Safety. Pediatr Crit Care Med. 2016;17(1):67-72.
doi:10…
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psnet.ahrq.gov/node/863757/psn-pdf
March 06, 2024 - Debriefing to improve interprofessional teamwork in the
operating room: a systematic review.
March 6, 2024
Skegg E, McElroy C, Mudgway M, et al. Debriefing to improve interprofessional teamwork in the operating
room: a systematic review. J Nurs Scholarsh. 2023;55(6):1179-1188. doi:10.1111/jnu.12924.
https://psnet.…
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digital.ahrq.gov/principal-investigator/hayden-avis
January 01, 2023 - Hayden, Avis
Improving Healthcare Quality via Information Technology - Final Report
Citation
Hayden A. Improving Healthcare Quality via Information Technology - Final Report. (Prepared by Southwest Vermont Health Care Corporation under Grant No. UC1 HS015270). Rockville, MD:…
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psnet.ahrq.gov/node/61070/psn-pdf
October 28, 2020 - Using radiofrequency technology to prevent retained
sponges and improve patient outcomes.
October 28, 2020
Primiano M, Sparks D, Murphy J, et al. Using radiofrequency technology to prevent retained sponges and
improve patient outcomes. AORN J. 2020;112(4):345-352. doi:10.1002/aorn.13171.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/34676/psn-pdf
December 23, 2008 - Driving improvement in patient care: lessons from
Toyota.
December 23, 2008
Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm.
2003;33(11):585-595.
https://psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
Representatives from University of Pit…
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psnet.ahrq.gov/node/50590/psn-pdf
January 01, 2020 - Patient and family engagement as a potential approach
for improving patient safety: a systematic review.
October 30, 2019
Park M, Giap T-T-T. Patient and family engagement as a potential approach for improving patient safety: A
systematic review. J Adv Nurs. 2020;76(1):62-80. doi:10.1111/jan.14227.
https://psnet.a…
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/index.html
March 01, 2023 - Section 6: Strategies for Improving Patient Experience with Ambulatory Care
Contents
6.A. Overview of Strategies
Appendix 6a. Crosswalk of Patient Experience Domains and Survey Measures
Appendix 6b. How Health Plans Can Drive Improvements at the Medical Group Level
References
Download Section 6: …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-fac-notes.html
June 01, 2017 - Module 4: Observation and Integration - Facilitator Notes
Slide 1: Management Practices for Sustainability Module 4: Observation and Integration
Say:
“The aim of supervision should be to help people and machines and gadgets to do a better job.” 1 This quote comes from W.E. Deming, one of the fathers of t…
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - Personal Health Literacy
August 30, 2023
Bakerjian D. Personal Health Literacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/personal-health-literacy
Originally published in July 2017 by researchers at the University of California, San Francisco. Updated in
August 2023 by Deb Bakerjian, PhD, RN, APRN, FAA…