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psnet.ahrq.gov/node/47302/psn-pdf
January 01, 2019 - Characteristics of healthcare organisations struggling to
improve quality: results from a systematic review of
qualitative studies.
December 31, 2018
Vaughn VM, Saint S, Krein SL, et al. Characteristics of healthcare organisations struggling to improve
quality: results from a systematic review of qualitative studi…
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psnet.ahrq.gov/node/46132/psn-pdf
September 24, 2017 - The "Quality Minute"—a new, brief, and structured
technique for quality improvement education during the
morbidity and mortality conference.
September 24, 2017
Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality
Improvement Education During the Morbidity and Mort…
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psnet.ahrq.gov/node/39638/psn-pdf
July 02, 2014 - Teaching quality improvement and patient safety to
trainees: a systematic review.
July 2, 2014
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a
systematic review. Acad Med. 2010;85(9):1425-39. doi:10.1097/ACM.0b013e3181e2d0c6.
https://psnet.ahrq.gov/issue/teaching…
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psnet.ahrq.gov/node/43382/psn-pdf
September 17, 2014 - Using improvement science methods to increase
accuracy of surgical consents.
September 17, 2014
Mercurio P, Ellis AS, Schoettker PJ, et al. Using improvement science methods to increase accuracy of
surgical consents. AORN J. 2014;100(1):42-53. doi:10.1016/j.aorn.2013.07.023.
https://psnet.ahrq.gov/issue/using-impr…
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psnet.ahrq.gov/node/842435/psn-pdf
January 26, 2023 - Driving Learning and Improvement After RCA2 Event
Reviews.
January 11, 2023
Collaborative for Accountability and Improvement. January 26, 2023.
https://psnet.ahrq.gov/issue/driving-learning-and-improvement-after-rca2-event-reviews
Root cause analysis (RCA) is a recognized approach to examining failures by identify…
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psnet.ahrq.gov/node/867699/psn-pdf
June 01, 2023 - Toolkit for Improving Surgical Care and Recovery.
June 1, 2023
Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June
2023.
https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
Improving patient experience fosters better communication, trust, and col…
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psnet.ahrq.gov/node/39783/psn-pdf
August 25, 2010 - Ethics, oversight and quality improvement initiatives.
August 25, 2010
Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight and quality improvement initiatives. Quality and
Safety in Health Care. 2010;19(4). doi:10.1136/qshc.2009.038034.
https://psnet.ahrq.gov/issue/ethics-oversight-and-quality-improvement-initia…
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psnet.ahrq.gov/node/41523/psn-pdf
July 18, 2012 - Long-term reduction in adverse drug events: an evidence-
based improvement model.
July 18, 2012
Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement
model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902.
https://psnet.ahrq.gov/issue/long-term-reduction-ad…
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psnet.ahrq.gov/node/40694/psn-pdf
October 31, 2011 - Improving RCA performance: the Cornerstone Award and
the power of positive reinforcement.
October 31, 2011
Bagian JP, King BJ, Mills PD, et al. Improving RCA performance: the Cornerstone Award and the power of
positive reinforcement. BMJ Qual Saf. 2011;20(11):974-82. doi:10.1136/bmjqs.2010.049585.
https://psnet.ah…
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psnet.ahrq.gov/node/41419/psn-pdf
September 26, 2012 - Ten challenges in improving quality in healthcare:
lessons from the Health Foundation's programme
evaluations and relevant literature.
September 26, 2012
Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the
Health Foundation's programme evaluations and relevant li…
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psnet.ahrq.gov/node/45638/psn-pdf
January 01, 2019 - Measures to improve diagnostic safety in clinical practice.
November 2, 2016
Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf.
2019;15(4):311-316. doi:10.1097/PTS.0000000000000338.
https://psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practic…
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psnet.ahrq.gov/node/34916/psn-pdf
March 09, 2009 - Using a claims data-based sentinel system to improve
compliance with clinical guidelines: results of a
randomized prospective study.
March 9, 2009
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance
with clinical guidelines: results of a randomized prospective st…
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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
errors and associated potential risk of harm.
July 26, 2017
van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to
reduce parenteral medication administration erro…
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psnet.ahrq.gov/node/842428/psn-pdf
January 11, 2023 - The development of the concept of return-on-investment
from large-scale quality improvement programmes in
healthcare: an integrative systematic literature review.
January 11, 2023
Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-
investment from large-scale quality i…
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psnet.ahrq.gov/node/74720/psn-pdf
February 02, 2022 - Improving medical residents’ self-assessment of their
diagnostic accuracy: does feedback help?
February 2, 2022
Kuhn J, van den Berg P, Mamede S, et al. Improving medical residents’ self-assessment of their diagnostic
accuracy: does feedback help? Adv Health Sci Edu. 2022;27(1):189-200. doi:10.1007/s10459-021-10080…
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psnet.ahrq.gov/node/35670/psn-pdf
June 28, 2010 - Quality improvement implementation and hospital
performance on patient safety indicators.
June 28, 2010
Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance
on patient safety indicators. Med Care Res Rev. 2006;63(1):29-57.
https://psnet.ahrq.gov/issue/quality-improv…
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psnet.ahrq.gov/node/45214/psn-pdf
July 13, 2016 - Recognizing quality improvement and patient safety
activities in academic promotion in departments of
medicine: innovative language in promotion criteria.
July 13, 2016
Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in
Academic Promotion in Departments of Medici…
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psnet.ahrq.gov/node/41920/psn-pdf
October 08, 2013 - Review of computerized physician handoff tools for
improving the quality of patient care.
October 8, 2013
Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of
patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988.
https://psnet.ahrq.gov/issue/review-com…
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psnet.ahrq.gov/node/44092/psn-pdf
November 16, 2015 - Does lean management improve patient safety culture?
An extensive evaluation of safety culture in a
radiotherapy institute.
November 16, 2015
Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive
evaluation of safety culture in a radiotherapy institute. Eur J Oncol …
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psnet.ahrq.gov/node/44444/psn-pdf
September 02, 2015 - Clinical communities at Johns Hopkins Medicine: an
emerging approach to quality improvement.
September 2, 2015
Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An
Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;41(9):387-395.
https://psnet.ahrq.g…