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psnet.ahrq.gov/issue/patient-safety-improvement-interventions-childrens-surgery-systematic-review
March 14, 2012 - Review
Patient safety improvement interventions in children's surgery: a systematic review.
Citation Text:
Macdonald AL, Sevdalis N. Patient safety improvement interventions in children's surgery: A systematic review. J Pediatr Surg. 2017;52(3):504-511. doi:10.1016/j.jpedsurg.2016.09.058…
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psnet.ahrq.gov/node/46030/psn-pdf
March 29, 2017 - Improving surgical complications and patient safety at the
nation's largest military hospital: an analysis of National
Surgical Quality Improvement Program data.
March 29, 2017
Maturo S, Hughes C, Kallingal G, et al. Improving Surgical Complications and Patient Safety at the Nation's
Largest Military Hospital: An …
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psnet.ahrq.gov/node/44723/psn-pdf
December 16, 2015 - Situation, background, assessment, and
recommendation–guided huddles improve
communication and teamwork in the emergency
department.
December 16, 2015
Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles
Improve Communication and Teamwork in the Emergency Department. Jour…
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psnet.ahrq.gov/node/43730/psn-pdf
December 03, 2014 - A qualitative study of senior hospital managers' views on
current and innovative strategies to improve hand
hygiene.
December 3, 2014
McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current
and innovative strategies to improve hand hygiene. BMC Infect Dis. 2014;…
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psnet.ahrq.gov/node/48059/psn-pdf
June 05, 2019 - Investigating for improvement? Five strategies to ensure
national patient safety investigations improve patient
safety.
June 5, 2019
Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations
improve patient safety. J R Soc Med. 2019;112(9):365-369. doi:10.1177/014107…
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psnet.ahrq.gov/node/45138/psn-pdf
May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover
(WOOSH).
May 25, 2016
Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ
Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190.
https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
…
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psnet.ahrq.gov/issue/healthcare-worker-serious-safety-events-applying-concepts-patient-safety-improve-healthcare
July 06, 2022 - Study
Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety.
Citation Text:
Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety…
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psnet.ahrq.gov/issue/contextual-factors-influencing-implementation-multifaceted-intervention-improve-teamwork-and
November 15, 2023 - Study
Contextual factors influencing the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case study.
Citation Text:
Terwilliger IA, Johnson JK, Manojlovich M, et al. Contextual Factors Influenci…
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psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-awareness-pediatric
January 19, 2022 - Study
Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit.
Citation Text:
Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive c…
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psnet.ahrq.gov/node/41052/psn-pdf
February 20, 2012 - Health professional networks as a vector for improving
healthcare quality and safety: a systematic review.
February 20, 2012
Cunningham FC, Ranmuthugala G, Plumb J, et al. Health professional networks as a vector for improving
healthcare quality and safety: a systematic review. BMJ Qual Saf. 2012;21(3):239-49. doi:…
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psnet.ahrq.gov/node/851053/psn-pdf
June 28, 2023 - In situ simulation as a quality improvement tool to identify
and mitigate latent safety threats for emergency
department SARS-CoV-2 airway management: a multi-
institutional initiative.
June 28, 2023
Yang CJ, Saggar V, Seneviratne N, et al. In situ simulation as a quality improvement tool to identify and
mitigate…
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psnet.ahrq.gov/node/43064/psn-pdf
January 01, 2015 - Leadership, safety climate, and continuous quality
improvement: impact on process quality and patient
safety.
December 12, 2014
McFadden KL, Stock GN, Gowen CR. Leadership, safety climate, and continuous quality improvement:
impact on process quality and patient safety. Health Care Manage Rev. 2015;40(1):24-34.
d…
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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 in surgery: the Safer Delivery of Surgical
Services (S3) program.
February 15, 2017
McCulloch P, Morgan L, New S, et al. Combining Systems and Teamwork Approaches to Enhance the
Effectiveness of Safety Impro…
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Value and Patient Safety
Curated Library
Foundations
Safety is the preservation of value.
Vandeskog B. J Safety Res. 2024;89:105-115.
Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among safety
resea…
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psnet.ahrq.gov/node/45436/psn-pdf
August 31, 2016 - Improving the communication between teams managing
boarded patients on a surgical specialty ward.
August 31, 2016
Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients
on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:10.1136/bmjquality.u209186.w3750.
http…
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psnet.ahrq.gov/node/843411/psn-pdf
February 01, 2023 - Sustaining improvement of hospital-wide initiative for
patient safety and quality: a systematic scoping review.
February 1, 2023
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and
quality: a systematic scoping review. BMJ Open Qual. 2022;11(4):e002057. doi:10.1136…
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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.
May 31, 2017
Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and
Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1).
doi:10.1136/bmjquality.u222156.w8291.
https:…
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psnet.ahrq.gov/node/50535/psn-pdf
October 16, 2019 - Improving the quality of insulin prescribing for people
with diabetes being discharged from hospital
October 16, 2019
Bain A, Silcock J, Kavanagh S, et al. Improving the quality of insulin prescribing for people with diabetes
being discharged from hospital. BMJ Open Qual. 2019;8(3):e000655. doi:10.1136/bmjoq-2019-0…
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psnet.ahrq.gov/node/44218/psn-pdf
July 01, 2016 - The Armstrong Institute: an academic institute for patient
safety and quality improvement, research, training, and
practice.
July 1, 2016
Pronovost P, Holzmueller CG, Molello NE, et al. The Armstrong Institute: An Academic Institute for Patient
Safety and Quality Improvement, Research, Training, and Practice. Acad…
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psnet.ahrq.gov/node/73924/psn-pdf
October 06, 2021 - Publication of inspection frameworks: a qualitative study
exploring the impact on quality improvement and
regulation in three healthcare settings.
October 6, 2021
Weenink J-W, Wallenburg I, Leistikow I, et al. Publication of inspection frameworks: a qualitative study
exploring the impact on quality improvement and…