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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/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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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/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/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/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/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/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/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/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
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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/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/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/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/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/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
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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/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
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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
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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