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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42562/psn-pdf
    June 09, 2015 - Sustaining quality improvement and patient safety training in graduate medical education: lessons from … Sustaining quality improvement and patient safety training in graduate medical education: lessons from … https://psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical … study used interviews with academic faculty—who had developed curricula in patient safety and quality improvement—to … https://psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40440/psn-pdf
    July 02, 2014 - Residents' reflections on quality improvement: temporal stability and associations with preventability … Residents' reflections on quality improvement: temporal stability and associations with preventability … https://psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations … - preventability This study found that residents’ reflections on improvement opportunities were stable … https://psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36838/psn-pdf
    April 19, 2011 - A very public failure: lessons for quality improvement in healthcare organisations from the Bristol … A very public failure: lessons for quality improvement in healthcare organisations from the Bristol … https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations … Bristol Royal Infirmary inquiry and explain what should be applied from that incident to inform quality improvement … https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43529/psn-pdf
    October 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. … National pediatric anesthesia safety quality improvement program in the United States. … https://psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united- … https://psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states … https://psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44714/psn-pdf
    November 25, 2015 - Continuous Improvement of Patient Safety: The Case for Change in the NHS. … https://psnet.ahrq.gov/issue/continuous-improvement-patient-safety-case-change-nhs The Francis inquiry … past decade, challenges to sustainable progress, and how policymakers can work toward system-wide improvement … https://psnet.ahrq.gov/issue/continuous-improvement-patient-safety-case-change-nhs https://psnet.ahrq.gov … https://psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement https
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45875/psn-pdf
    May 10, 2017 - An improvement approach to integrate teaching teams in the reporting of safety events. … An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. … https://psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events Despite … This quality improvement study increased the proportion of incident reports submitted by physicians … https://psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events https
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34747/psn-pdf
    August 04, 2009 - The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. … https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance … - 2nd-ed Effective integration of improvement initiatives are required for these efforts to succeed … The authors take Deming’s "Plan Do Study Act" premise and provide demonstrations of rapid improvement … https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance
  8. Psn-Pdf (pdf file)

    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 … Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide … https://psnet.ahrq.gov/issue/examination-how-survey-can-spur-culture-changes-using-quality-improvement … provides an example of how formal assessment of safety culture may be used to inform specific quality improvement … https://psnet.ahrq.gov/issue/examination-how-survey-can-spur-culture-changes-using-quality-improvement-approach-region
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37709/psn-pdf
    April 23, 2008 - Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary … Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary … https://psnet.ahrq.gov/issue/inappropriate-medication-use-elderly-results-quality-improvement-project … -99- primary-care A quality improvement intervention involving academic detailing, site visits, and … https://psnet.ahrq.gov/issue/inappropriate-medication-use-elderly-results-quality-improvement-project
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43333/psn-pdf
    January 15, 2017 - A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens … A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens … https://psnet.ahrq.gov/issue/multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled … - laboratory This quality improvement initiative used human factors approaches including failure mode … https://psnet.ahrq.gov/issue/multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled-laboratory
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44812/psn-pdf
    February 15, 2017 - Combining systems and teamwork approaches to enhance the effectiveness of safety improvement interventions … Combining Systems and Teamwork Approaches to Enhance the Effectiveness of Safety Improvement Interventions … https://psnet.ahrq.gov/issue/combining-systems-and-teamwork-approaches-enhance-effectiveness-safety- improvement … Safety culture and work systems influence safety, but it is unclear whether safety improvement efforts … Although both team training and system redesign individually demonstrated improvement, the combined
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37945/psn-pdf
    July 26, 2010 - A survey of hospital quality improvement activities. … A survey of hospital quality improvement activities. … https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities The Institute of Medicine's … improving health care quality in the United States and provided an important stimulus for ongoing quality improvement … https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities https://psnet.ahrq.gov/issue
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41546/psn-pdf
    December 29, 2014 - Using a logic model to design and evaluate quality and patient safety improvement programs. … Using a logic model to design and evaluate quality and patient safety improvement programs. … https://psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety- improvement-programs … an approach can be applied to plan, implement, and evaluate large-scale quality and patient safety improvement … https://psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety-improvement-programs
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43797/psn-pdf
    January 07, 2015 - Building a community engagement approach for patient safety improvement. … Building a community engagement approach for patient safety improvement. … https://psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement This … initiative utilized a seven-component model to bring together community leaders and hospitals to drive improvement … https://psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement https:
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47165/psn-pdf
    June 13, 2018 - Changing how we think about healthcare improvement. June 13, 2018 Braithwaite J. … Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. … https://psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement In learning organizations … Published in a series of quality improvement articles, this commentary suggests that a commitment to … /issue/building-learning-organization https://psnet.ahrq.gov/issue/quality-improvement-series https:/
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37791/psn-pdf
    September 29, 2017 - Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety … Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety … https://psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics- oversight-and-patient … concerns around the need for consent from patients and clinicians involved in the statewide quality improvement … from those in the safety community), but it raised several discussions about differentiating quality improvement
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39641/psn-pdf
    September 20, 2011 - Adherence to Surgical Care Improvement Project measures and the association with postoperative infections … Adherence to surgical care improvement project measures and the association with postoperative infections … https://psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association- postoperative-infections … measures is now widely used as a means of spurring hospitals to invest in patient safety and quality improvement … https://psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association-postoperative-infections
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41678/psn-pdf
    June 03, 2013 - Improving resident engagement in quality improvement and patient safety initiatives at the bedside: … Improving resident engagement in quality improvement and patient safety initiatives at the bedside: … https://psnet.ahrq.gov/issue/improving-resident-engagement-quality-improvement-and-patient-safety- initiatives-bedside … The feedback was well received by physicians and was associated with some improvement in hand hygiene … https://psnet.ahrq.gov/issue/improving-resident-engagement-quality-improvement-and-patient-safety-initiatives-bedside
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44952/psn-pdf
    March 02, 2016 - Engaging pediatric resident physicians in quality improvement through resident-led morbidity and mortality … Engaging Pediatric Resident Physicians in Quality Improvement Through Resident-Led Morbidity and Mortality … https://psnet.ahrq.gov/issue/engaging-pediatric-resident-physicians-quality-improvement-through-resident … structured tool to facilitate systems-based learning resulted in increased resident engagement in quality improvement … https://psnet.ahrq.gov/issue/engaging-pediatric-resident-physicians-quality-improvement-through-resident-led-morbidity-and

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