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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
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psnet.ahrq.gov/node/40962/psn-pdf
December 14, 2011 - American College of Surgeons' Committee on Trauma
performance improvement and patient safety program … American College of Surgeons' Committee on Trauma
Performance Improvement and Patient Safety program … https://psnet.ahrq.gov/issue/american-college-surgeons-committee-trauma-performance-improvement-and- … https://psnet.ahrq.gov/issue/american-college-surgeons-committee-trauma-performance-improvement-and-patient-safety-program … https://psnet.ahrq.gov/issue/american-college-surgeons-committee-trauma-performance-improvement-and-patient-safety-program
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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
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psnet.ahrq.gov/node/43804/psn-pdf
July 03, 2016 - Quality improvement, patient safety, and continuing
education: a qualitative study of the current boundaries … Quality improvement, patient safety, and continuing education: a
qualitative study of the current boundaries … https://psnet.ahrq.gov/issue/quality-improvement-patient-safety-and-continuing-education-qualitative-study … -
current
Leaders of quality improvement/patient safety and continuing education in Canada felt that … https://psnet.ahrq.gov/issue/quality-improvement-patient-safety-and-continuing-education-qualitative-study-current
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psnet.ahrq.gov/node/44463/psn-pdf
September 16, 2015 - The influence of context on the effectiveness of hospital
quality improvement strategies: a review of … The influence of context on the effectiveness of hospital quality
improvement strategies: a review of … https://psnet.ahrq.gov/issue/influence-context-effectiveness-hospital-quality-improvement-strategies- … https://psnet.ahrq.gov/issue/influence-context-effectiveness-hospital-quality-improvement-strategies-review-systematic … https://psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
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psnet.ahrq.gov/node/44667/psn-pdf
March 15, 2016 - Incorporating metacognition into morbidity and mortality
rounds: the next frontier in quality improvement … Incorporating metacognition into morbidity and mortality rounds: The next frontier in
quality improvement … psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-
quality-improvement … psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement … psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement
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psnet.ahrq.gov/node/47298/psn-pdf
September 24, 2018 - physician-engagement-malpractice-risk-reduction-uphs-case-study
Physician engagement in quality and safety improvement … This
commentary describes how an academic health system engaged physicians in leading improvement
efforts … of local malpractice claims to design interventions and motivate
physician involvement in quality improvement … https://psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement … https://psnet.ahrq.gov/issue/physician-motivation-listening-what-pay-performance-programs-and-quality-improvement
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psnet.ahrq.gov/node/43285/psn-pdf
July 16, 2014 - Outcomes of a quality improvement project for educating
nurses on medication administration and errors … Outcomes of a quality improvement project for educating nurses on
medication administration and errors … https://psnet.ahrq.gov/issue/outcomes-quality-improvement-project-educating-nurses-medication-
administration-and-errors … This quality improvement study found that an educational video designed to improve medication safety … https://psnet.ahrq.gov/issue/outcomes-quality-improvement-project-educating-nurses-medication-administration-and-errors
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psnet.ahrq.gov/node/38831/psn-pdf
August 05, 2009 - Rural hospital information technology implementation for
safety and quality improvement: lessons learned … Rural hospital information technology implementation for safety and
quality improvement: lessons learned … https://psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-
improvement-lessons … comprehensive efforts of 66 rural hospitals to incorporate information technology
(IT) into their quality improvement … https://psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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