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psnet.ahrq.gov/node/73388/psn-pdf
June 16, 2021 - Reducing surgical specimen errors through
multidisciplinary quality improvement. … Reducing surgical specimen errors through multidisciplinary quality improvement. … https://psnet.ahrq.gov/issue/reducing-surgical-specimen-errors-through-multidisciplinary-quality-
improvement … This children’s
hospital implemented a quality improvement effort to reduce surgical specimen errors … https://psnet.ahrq.gov/issue/reducing-surgical-specimen-errors-through-multidisciplinary-quality-improvement
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psnet.ahrq.gov/node/836827/psn-pdf
March 30, 2022 - Economic evaluation of quality improvement
interventions to prevent catheter-associated urinary tract … Economic evaluation of quality improvement interventions to prevent
catheter-associated urinary tract … https://psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-prevent-catheter- … This
systematic review of economic evaluations of quality improvement (QI) interventions to reduce CAUTI … https://psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-prevent-catheter-associated-urinary
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psnet.ahrq.gov/node/50834/psn-pdf
January 29, 2020 - Medication reconciliation improvement utilizing process
redesign and clinical decision support. … Medication Reconciliation Improvement Utilizing Process
Redesign and Clinical Decision Support. … https://psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical … -
decision
This study describes a multi-disciplinary quality improvement project aimed at increasing … https://psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
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psnet.ahrq.gov/node/836775/psn-pdf
March 23, 2022 - Embracing multiple aims in healthcare improvement and
innovation. … Embracing multiple aims in healthcare improvement and innovation. … https://psnet.ahrq.gov/issue/embracing-multiple-aims-healthcare-improvement-and-innovation
Leadership … When it comes to improvement and
innovation, healthcare organizations must balance multiple, sometimes … This commentary outlines how healthcare organizations can manage
multiple complex aims in relation to improvement
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psnet.ahrq.gov/node/50399/psn-pdf
January 01, 2020 - Building the bridge to quality: an urgent call to integrate
quality improvement and patient safety education … Building the bridge to quality: an urgent call to integrate quality
improvement and patient safety education … https://psnet.ahrq.gov/issue/building-bridge-quality-urgent-call-integrate-quality-improvement-and-patient … https://psnet.ahrq.gov/issue/building-bridge-quality-urgent-call-integrate-quality-improvement-and-patient-safety … https://psnet.ahrq.gov/issue/building-bridge-quality-urgent-call-integrate-quality-improvement-and-patient-safety
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psnet.ahrq.gov/node/48059/psn-pdf
June 05, 2019 - Investigating for improvement? … Investigating for improvement? … https://psnet.ahrq.gov/issue/investigating-improvement-five-strategies-ensure-national-patient-safety … This
commentary recommends five strategies to ensure investigations inform patient safety improvement … https://psnet.ahrq.gov/issue/investigating-improvement-five-strategies-ensure-national-patient-safety-investigations
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psnet.ahrq.gov/node/851647/psn-pdf
July 26, 2023 - Statewide perinatal quality improvement, teamwork, and
communication activities in Oklahoma and Texas … Statewide perinatal quality improvement, teamwork, and
communication activities in Oklahoma and Texas … https://psnet.ahrq.gov/issue/statewide-perinatal-quality-improvement-teamwork-and-communication-
activities-oklahoma-and … This article describes
Texas and Oklahoma’s adoption of a perinatal quality improvement initiative, … https://psnet.ahrq.gov/issue/statewide-perinatal-quality-improvement-teamwork-and-communication-activities-oklahoma-and
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psnet.ahrq.gov/node/47392/psn-pdf
January 23, 2019 - Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety … Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety … https://psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-
intervention-patient … In this AHRQ-funded quality improvement study, five hospitals
implemented a standardized approach to … The study highlights the difficulty inherent in implementing quality
improvement interventions in real-world
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psnet.ahrq.gov/node/47654/psn-pdf
February 27, 2019 - The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient … The Swiss Cheese Conference: integrating and aligning
quality improvement education with hospital patient … https://psnet.ahrq.gov/issue/swiss-cheese-conference-integrating-and-aligning-quality-improvement-
education-hospital … model, this commentary describes the integration of monthly
educational opportunities into actual improvement … https://psnet.ahrq.gov/issue/swiss-cheese-conference-integrating-and-aligning-quality-improvement-education-hospital
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psnet.ahrq.gov/node/46126/psn-pdf
June 19, 2019 - A guide to evaluation of quality improvement and patient
safety educational programs: lessons from the … A Guide to Evaluation of Quality Improvement and Patient Safety
Educational Programs: Lessons From the … https://psnet.ahrq.gov/issue/guide-evaluation-quality-improvement-and-patient-safety-educational-
programs-lessons-va-chief … https://psnet.ahrq.gov/issue/guide-evaluation-quality-improvement-and-patient-safety-educational-programs-lessons-va-chief … https://psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/39978/psn-pdf
November 03, 2010 - Creating an improvement culture for enhanced patient
safety: service improvement learning in pre-registration … Creating an improvement culture for enhanced patient safety:
service improvement learning in pre-registration … https://psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement … https://psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement-learning-pre … https://psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement-learning-pre
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psnet.ahrq.gov/node/46347/psn-pdf
December 22, 2018 - Medication errors in pediatric anesthesia: a report from
the Wake Up Safe quality improvement initiative … Medication errors in pediatric anesthesia: a report from the
Wake Up Safe quality improvement initiative … https://psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement … describes serious adverse events in pediatric anesthesia, based on reporting to a national
quality improvement … https://psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative
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psnet.ahrq.gov/node/47361/psn-pdf
April 07, 2019 - Implementing bedside handoff in the emergency
department: a practice improvement project. … Implementing Bedside Handoff in the Emergency Department: A Practice
Improvement Project. … https://psnet.ahrq.gov/issue/implementing-bedside-handoff-emergency-department-practice-improvement- … This commentary describes an
improvement initiative that focused on structuring nurse shift change using … https://psnet.ahrq.gov/issue/implementing-bedside-handoff-emergency-department-practice-improvement-project
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psnet.ahrq.gov/node/836925/psn-pdf
April 13, 2022 - Strength of improvement recommendations from
injurious fall investigations: a retrospective multi-incident … Strength of improvement recommendations from injurious fall
investigations: a retrospective multi-incident … https://psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-
retrospective-multi … This study retrospectively
reviewed inpatient falls resulting in injury and the strength of the improvement … https://psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
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psnet.ahrq.gov/node/74098/psn-pdf
January 01, 2023 - Reducing failure to rescue rates in a paediatric in-patient
setting: a 9-year quality improvement study … year quality improvement study. Nurs Crit Care. 2023;28(1):72-79. doi:10.1111/nicc.12723. … https://psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-
improvement-study … https://psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-improvement-study … https://psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
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psnet.ahrq.gov/node/72475/psn-pdf
November 18, 2020 - Omissions of care in nursing homes: a uniform definition
for research and quality improvement. … Omissions of care in nursing homes: a uniform definition for
research and quality improvement. … https://psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-
improvement … proposed definition, provides examples of omissions of care, intended uses (e.g.,
to guide quality improvement … https://psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement
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psnet.ahrq.gov/node/73490/psn-pdf
July 14, 2021 - Use of prescribing safety quality improvement reports in
UK general practices: a qualitative assessment … Use of prescribing safety quality improvement reports in UK general
practices: a qualitative assessment … https://psnet.ahrq.gov/issue/use-prescribing-safety-quality-improvement-reports-uk-general-practices- … qualitative
This study assessed how and when quality improvement (QI) feedback reports on prescribing … https://psnet.ahrq.gov/issue/use-prescribing-safety-quality-improvement-reports-uk-general-practices-qualitative
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psnet.ahrq.gov/node/72719/psn-pdf
February 10, 2021 - The Diagnostic Error Index: a quality improvement
initiative to identify and measure diagnostic errors … The Diagnostic Error Index: a quality improvement initiative to
identify and measure diagnostic errors … https://psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure … The quality improvement (QI) project used five domains (autopsy reports, root
cause analyses (RCAs) … https://psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure-diagnostic-errors
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psnet.ahrq.gov/node/73513/psn-pdf
July 21, 2021 - Analysis of suicides reported as adverse events in
psychiatry resulted in nine quality improvement … Analysis of suicides reported as adverse events in
psychiatry resulted in nine quality improvement initiatives … //psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-
improvement … The authors outline quality
improvement recommendations focused on improving documentation, suicide … https://psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - Health created the National
Quality Program (NQP) based on a commitment to leadership, performance improvement … Performance Improvement: Incorporation of performance improvement methodologies and
practices that are … data-driven, transparent, inclusive, and multidisciplinary helps to drive
improvement. … Library of Resources: Maintaining a library of performance improvement and safety resources that
can … them to find an improvement strategy and
approach that aligns best with existing workflows.