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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
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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
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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
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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
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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
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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
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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
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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 … 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
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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
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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
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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
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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
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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. … 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
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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:
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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:/
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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
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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/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
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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
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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