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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45032/psn-pdf
    July 21, 2016 - From tokenism to empowerment: progressing patient and public involvement in healthcare improvement. … From tokenism to empowerment: progressing patient and public involvement in healthcare improvement. … //psnet.ahrq.gov/issue/tokenism-empowerment-progressing-patient-and-public-involvement- healthcare-improvement … policies and determined that the current methods do not result in true public involvement in safety improvement … https://psnet.ahrq.gov/issue/tokenism-empowerment-progressing-patient-and-public-involvement-healthcare-improvement
  2. 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
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46147/psn-pdf
    August 08, 2018 - A Department of Medicine infrastructure for patient safety and clinical quality improvement. … A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement. … https://psnet.ahrq.gov/issue/department-medicine-infrastructure-patient-safety-and-clinical-quality- improvement … to build connections within the organization and throughout the community to facilitate success of improvement … https://psnet.ahrq.gov/issue/department-medicine-infrastructure-patient-safety-and-clinical-quality-improvement
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44422/psn-pdf
    November 17, 2017 - Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. … Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. … https://psnet.ahrq.gov/issue/stop-noise-quality-improvement-project-decrease-electrocardiographic- nuisance-alarms … This article describes an intervention that used baseline data and rapid process improvement design … https://psnet.ahrq.gov/issue/stop-noise-quality-improvement-project-decrease-electrocardiographic-nuisance-alarms
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46038/psn-pdf
    July 05, 2017 - Significant and sustained reduction in chemotherapy errors through improvement science. … Significant and sustained reduction in chemotherapy errors through improvement science. … https://psnet.ahrq.gov/issue/significant-and-sustained-reduction-chemotherapy-errors-through- improvement-science … This study discussed how improvement efforts, including standardization and minimizing interruptions … https://psnet.ahrq.gov/issue/significant-and-sustained-reduction-chemotherapy-errors-through-improvement-science
  6. 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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45787/psn-pdf
    February 01, 2017 - Infusion medication error reduction by two-person verification: a quality improvement initiative. … Infusion Medication Error Reduction by Two-Person Verification: A Quality Improvement Initiative. … https://psnet.ahrq.gov/issue/infusion-medication-error-reduction-two-person-verification-quality- improvement-initiative … This commentary describes how an improvement initiative tested a two-person verification strategy. … https://psnet.ahrq.gov/issue/infusion-medication-error-reduction-two-person-verification-quality-improvement-initiative
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44973/psn-pdf
    April 06, 2016 - Competencies for patient safety and quality improvement: a synthesis of recommendations in influential … Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential … https://psnet.ahrq.gov/issue/competencies-patient-safety-and-quality-improvement-synthesis- recommendations-influential … Standard competencies of knowledge, skills, and attitudes for patient safety and quality improvement … https://psnet.ahrq.gov/issue/competencies-patient-safety-and-quality-improvement-synthesis-recommendations-influential
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44156/psn-pdf
    November 10, 2015 - Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign … Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign … https://psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives- … campaign-nhs-wales This study examined how a quality improvement effort was communicated to frontline … https://psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43631/psn-pdf
    December 19, 2014 - An internal quality improvement collaborative significantly reduces hospital-wide medication error … An internal quality improvement collaborative significantly reduces hospital-wide medication error related … https://psnet.ahrq.gov/issue/internal-quality-improvement-collaborative-significantly-reduces-hospital-wide … multicomponent intervention including voluntary reporting, trigger tool review, and pharmacy process improvement … https://psnet.ahrq.gov/issue/internal-quality-improvement-collaborative-significantly-reduces-hospital-wide-medication
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46428/psn-pdf
    November 01, 2017 - Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled … Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled … https://psnet.ahrq.gov/issue/translating-staff-experience-organisational-improvement-heads-stepped- … https://psnet.ahrq.gov/issue/translating-staff-experience-organisational-improvement-heads-stepped-wedge-cluster … https://psnet.ahrq.gov/issue/translating-staff-experience-organisational-improvement-heads-stepped-wedge-cluster
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44334/psn-pdf
    November 20, 2015 - Improvement in detection of wrong-patient errors when radiologists include patient photographs in their … Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient Photographs in Their … https://psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient … - photographs This innovative pilot study found significant improvement in radiologists' ability to … https://psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43982/psn-pdf
    April 01, 2015 - Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare … Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare … https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-and-quality-improvement-science-integrating … - approaches-safety Human factors engineering and quality improvement each offer promising strategies … https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-and-quality-improvement-science-integrating-approaches-safety
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46099/psn-pdf
    May 31, 2017 - A quality improvement approach to standardization and sustainability of the hand-off process. … A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. … https://psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand- process … This quality improvement report reviews the results of an initiative that used plan-do-study-act cycles … https://psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43137/psn-pdf
    May 28, 2015 - Weaving quality improvement and patient safety skills into all levels of medical training: an annotated … Weaving quality improvement and patient safety skills into all levels of medical training: an annotated … https://psnet.ahrq.gov/issue/weaving-quality-improvement-and-patient-safety-skills-all-levels-medical … annotated list of articles that reflect multidisciplinary efforts to integrate patient safety and quality improvement … https://psnet.ahrq.gov/issue/weaving-quality-improvement-and-patient-safety-skills-all-levels-medical-training-annotated
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34715/psn-pdf
    February 18, 2011 - Continuous improvement as an ideal in health care. February 18, 2011 Berwick D. … Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56. … https://psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care Two approaches to improving quality … The second, based on the theory of continuous improvement, calls for understanding and revision of the … https://psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39869/psn-pdf
    September 22, 2010 - Teaching quality improvement. September 22, 2010 Murray ME, Douglas S, Girdley D, et al. … Teaching quality improvement. J Nurs Educ. 2010;49(8):466-9. doi:10.3928/01484834-20100430-09. … https://psnet.ahrq.gov/issue/teaching-quality-improvement This commentary outlines an educational program … for nursing students designed to prepare them for involvement in quality improvement work. … https://psnet.ahrq.gov/issue/teaching-quality-improvement
  19. psnet.ahrq.gov/issue/increased-mortality-associated-weekend-hospital-admission-case-expanded-seven-day-services
    March 02, 2012 - January 19, 2022 The Diagnostic Error Index: a quality improvement initiative to identify … July 31, 2019 What we know about designing an effective improvement intervention (but … From tokenism to empowerment: progressing patient and public involvement in healthcare improvement … March 2, 2016 Continuous Improvement of Patient Safety: The Case for Change in the NHS … November 25, 2015 Exploring the role of communications in quality improvement: a case
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46291/psn-pdf
    July 26, 2017 - Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration … Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration … https://psnet.ahrq.gov/issue/experiences-lean-six-sigma-improvement-strategy-reduce-parenteral- medication-administration … This commentary describes the results of a Six Sigma improvement project to reduce risks of parenteral … https://psnet.ahrq.gov/issue/experiences-lean-six-sigma-improvement-strategy-reduce-parenteral-medication-administration

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