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psnet.ahrq.gov/node/859343/psn-pdf
December 20, 2023 - Reducing retained foreign objects in the operating room:
a quality improvement initiative. … Reducing retained foreign objects in the operating room: a
quality improvement initiative. … https://psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-
initiative … Following a
decrease in days between RFO, this healthcare system implemented a quality improvement initiative … https://psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
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psnet.ahrq.gov/node/850160/psn-pdf
June 07, 2023 - The Ohio Maternal Safety Quality Improvement Project:
initial results of a statewide perinatal hypertension … quality
improvement initiative implemented during the COVID-19
pandemic. … The Ohio Maternal Safety Quality Improvement Project: initial
results of a statewide perinatal hypertension … quality improvement initiative implemented during the COVID-
19 pandemic. … https://psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide
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psnet.ahrq.gov/node/50932/psn-pdf
February 26, 2020 - Clinician-directed performance improvement: moving
beyond externally mandated metrics. … Clinician-directed performance improvement: moving beyond externally mandated metrics. … https://psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-
mandated-metrics … This article describes the implementation of the Clinician-Directed Performance Improvement (CDPI) … https://psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
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psnet.ahrq.gov/node/858172/psn-pdf
January 01, 2024 - Quality and reporting of large-scale improvement
programmes: a review of maternity initiatives in the … Quality and reporting of large-scale improvement programmes: a
review of maternity initiatives in the … https://psnet.ahrq.gov/issue/quality-and-reporting-large-scale-improvement-programmes-review-maternity … This scoping review evaluated 15
large-scale quality improvement programs focused on intrapartum care … https://psnet.ahrq.gov/issue/quality-and-reporting-large-scale-improvement-programmes-review-maternity-initiatives-english
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psnet.ahrq.gov/node/837305/psn-pdf
June 01, 2022 - Simulating for quality: a centralized quality improvement
and patient safety simulation curriculum for … Simulating for quality: a centralized quality improvement and patient
safety simulation curriculum for … https://psnet.ahrq.gov/issue/simulating-quality-centralized-quality-improvement-and-patient-safety- … simulation-curriculum
Improving student and resident education and involvement in quality improvement … https://psnet.ahrq.gov/issue/simulating-quality-centralized-quality-improvement-and-patient-safety-simulation-curriculum
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psnet.ahrq.gov/node/842428/psn-pdf
January 11, 2023 - The development of the concept of return-on-investment
from large-scale quality improvement programmes … The development of the concept of return-on-
investment from large-scale quality improvement programmes … https://psnet.ahrq.gov/issue/development-concept-return-investment-large-scale-quality-improvement- … Health systems often consider return on investment (ROI) when considering implementation of quality
improvement … systematic review explored how ROI concepts have been used in studies assessing
large-scale quality improvement
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psnet.ahrq.gov/node/50801/psn-pdf
January 15, 2020 - Demonstrating the value of postgraduate fellowships for
physicians in quality improvement and patient … Demonstrating the value of postgraduate fellowships for
physicians in quality improvement and patient … https://psnet.ahrq.gov/issue/demonstrating-value-postgraduate-fellowships-physicians-quality-
improvement-and-patient … study used a mixed-methods approach to characterize the impact of two academic fellowships in
Quality Improvement … https://psnet.ahrq.gov/issue/building-bridge-quality-urgent-call-integrate-quality-improvement-and-patient-safety
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psnet.ahrq.gov/node/866641/psn-pdf
September 04, 2024 - Quality and patient safety improvement is never finished. … Quality and patient safety improvement is never finished. … https://psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
Safety and quality … improvement initiatives face many implementation challenges. … https://psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
https://psnet.ahrq.gov
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - Institute for Healthcare Improvement, National Patient Safety Foundation. … Cambridge, MA: Institute for
Healthcare Improvement; 2017. … Value-based health care is still evolving as a safety improvement strategy. … Institute for Healthcare Improvement, National Patient Safety Foundation. … Cambridge, MA: Institute for
Healthcare Improvement; 2017.
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psnet.ahrq.gov/node/837023/psn-pdf
May 04, 2022 - Examining the effect of quality improvement initiatives on
decreasing racial disparities in maternal … Examining the effect of quality improvement initiatives on
decreasing racial disparities in maternal … https://psnet.ahrq.gov/issue/examining-effect-quality-improvement-initiatives-decreasing-racial-disparities … As part of a
larger quality improvement and patient safety initiative to reduce severe maternal morbidity … Review of this data was integrated with the overall
improvement bundle.
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psnet.ahrq.gov/node/47590/psn-pdf
February 20, 2019 - Explaining organisational responses to a board-level
quality improvement intervention: findings from … Explaining organisational responses to a board-level quality
improvement intervention: findings from … https://psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-
intervention-findings … The authors highlight the importance of focusing on these
contextual factors when seeking improvement … https://psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
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psnet.ahrq.gov/node/836748/psn-pdf
March 16, 2022 - Analysis of the interprofessional clinical learning
environment for quality improvement and patient … Analysis of the interprofessional clinical learning environment for
quality improvement and patient … https://psnet.ahrq.gov/issue/analysis-interprofessional-clinical-learning-environment-quality-improvement … Environment Review (CLER) program identified that resident involvement in
interprofessional (IP) quality improvement … and patient safety (QIPS) efforts was lacking and called for
improvement.
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psnet.ahrq.gov/node/866318/psn-pdf
July 17, 2024 - Methods to increase reliability in quality improvement
projects. … Methods to increase reliability in quality improvement projects. … https://psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
For quality improvement … https://psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/836916/psn-pdf
April 13, 2022 - Implementing a robust process improvement program in
the neonatal intensive care unit to reduce harm … Implementing a robust process improvement program in the
neonatal intensive care unit to reduce harm … https://psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care- … This children’s hospital
implemented a robust process improvement program (RPI, which refers to widespread … dissemination of
process improvement tools to support staff skill development and identify sustainable
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psnet.ahrq.gov/node/844543/psn-pdf
February 15, 2023 - The evolving curriculum in quality improvement and
patient safety in undergraduate and graduate medical … The evolving curriculum in quality improvement and patient safety in undergraduate and
graduate medical … https://psnet.ahrq.gov/issue/evolving-curriculum-quality-improvement-and-patient-safety-undergraduate … Education (ACGME) encourages graduate and
undergraduate medical education programs to include the Quality Improvement … https://psnet.ahrq.gov/issue/evolving-curriculum-quality-improvement-and-patient-safety-undergraduate-and-graduate-medical
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psnet.ahrq.gov/node/47930/psn-pdf
May 01, 2019 - Evolving quality improvement support strategies to
improve Plan–Do–Study–Act cycle fidelity: a retrospective … Evolving quality improvement support strategies to improve
Plan-Do-Study-Act cycle fidelity: a retrospective … https://psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act … determine whether plan–do–study–act
(PDSA) cycles were implemented as planned in a series of quality improvement … https://psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity
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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 … Quality Improvement in Ambulatory Surgery Centers: A Major
National Effort Aimed at Reducing Infections … https://psnet.ahrq.gov/issue/quality-improvement-ambulatory-surgery-centers-major-national-effort-aimed … Quality
improvement approaches utilized in the inpatient setting may need to be modified or adapted … unique aspects of ambulatory surgery centers
must be taken into account when implementing quality improvement
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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. … What every health lawyer should know about the Patient Safety and Quality Improvement Act of
2005. … https://psnet.ahrq.gov/issue/what-every-health-lawyer-should-know-about-patient-safety-and-quality-
improvement-act … -2005
Patient safety organizations (PSO) are a primary product of the Patient Safety and Quality Improvement … psnet.ahrq.gov/issue/new-legal-protections-reporting-patient-errors-under-patient-safety-and-quality-improvement
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psnet.ahrq.gov/node/842435/psn-pdf
January 26, 2023 - Driving Learning and Improvement After RCA2 Event
Reviews. … January 11, 2023
Collaborative for Accountability and Improvement. January 26, 2023. … https://psnet.ahrq.gov/issue/driving-learning-and-improvement-after-rca2-event-reviews
Root cause analysis … (RCA) is a recognized approach to examining failures by identifying causal factors to
define improvement … https://psnet.ahrq.gov/issue/driving-learning-and-improvement-after-rca2-event-reviews
https://psnet.ahrq.gov
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
July 21, 2025 - Read More
Classic
Continuous improvement as an ideal … Implementation of large-scale safety improvement programs requires learning organizations—organizations … Improvement activities are complex initiatives that require synergistic actions by organizations to be … Patient safety improvement initiatives are often chosen in the context of an existing tension between … Improvement efforts often face challenges associated with implementation and adherence, for example,