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psnet.ahrq.gov/node/45355/psn-pdf
September 28, 2016 - Getting it right for patient safety: specimen collection
process improvement from operating room to pathology.
September 28, 2016
D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From
Operating Room to Pathology. Am J Clin Pathol. 2016;146(1):8-17. doi:10.1093/ajcp/…
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psnet.ahrq.gov/node/42696/psn-pdf
March 21, 2017 - Evaluation of a problem-specific SBAR tool to improve
after-hours nurse-physician phone communication: a
randomized trial.
March 21, 2017
Joffe E, Turley JP, Hwang KO, et al. Evaluation of a problem-specific SBAR tool to improve after-hours
nurse-physician phone communication: a randomized trial. Jt Comm J Qual Pa…
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psnet.ahrq.gov/node/73513/psn-pdf
July 21, 2021 - Analysis of suicides reported as adverse events in
psychiatry resulted in nine quality improvement
initiatives.
July 21, 2021
Mackenhauer J, Winsløv J-H, Holmskov J, et al. Analysis of suicides reported as adverse events in
psychiatry resulted in nine quality improvement initiatives. Crisis. 2021;43(4):307-314. do…
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psnet.ahrq.gov/node/46031/psn-pdf
April 12, 2017 - Chief of Residents for Quality Improvement and Patient
Safety: a recipe for a new role in graduate medical
education.
April 12, 2017
Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A
Recipe for a New Role in Graduate Medical Education. Mil Med. 2017;182(3):e17…
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psnet.ahrq.gov/node/74728/psn-pdf
February 02, 2022 - Technology-based closed-loop tracking for improving
communication and follow-up of pathology results.
February 2, 2022
Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving
communication and follow-up of pathology results. J Patient Saf. 2022;18(1):e262-e266.
doi:10.1097/pts.…
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psnet.ahrq.gov/node/36681/psn-pdf
May 31, 2011 - Improving general practice computer systems for patient
safety: qualitative study of key stakeholders.
May 31, 2011
Avery A, Savelyich BSP, Sheikh A, et al. Improving general practice computer systems for patient safety:
qualitative study of key stakeholders. Qual Saf Health Care. 2007;16(1):28-33.
https://psnet.a…
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psnet.ahrq.gov/node/47571/psn-pdf
December 12, 2018 - Enhancing safety culture through improved incident
reporting: a case study in translational research.
December 12, 2018
Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A
Case Study In Translational Research. Health Aff (Millwood). 2018;37(11):1797-1804.
doi:10.1…
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psnet.ahrq.gov/node/866276/psn-pdf
July 10, 2024 - Quality and patient safety metrics: developing a
structured program for improving patient care in the
Department of Medicine at The Ottawa Hospital.
July 10, 2024
Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured
program for improving patient care in the Depar…
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psnet.ahrq.gov/node/74203/psn-pdf
December 22, 2021 - Surgical safety checklist audits may be misleading!
Improving the implementation and adherence of the
surgical safety checklist: a quality improvement project.
December 22, 2021
Brown B, Bermingham S, Vermeulen M, et al. Surgical safety checklist audits may be misleading!
Improving the implementation and adherence…
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psnet.ahrq.gov/node/36630/psn-pdf
January 05, 2017 - The VHA New England Medication Error Prevention
Initiative as a model for long-term improvement
collaboratives.
January 5, 2017
Lesar TS, Anderson ER, Fields J, et al. The VHA New England Medication Error Prevention Initiative as a
model for long-term improvement collaboratives. Jt Comm J Qual Patient Saf. 2007;33…
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psnet.ahrq.gov/node/43529/psn-pdf
October 01, 2014 - National pediatric anesthesia safety quality improvement
program in the United States.
October 1, 2014
Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in
the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040.
https://psnet.ahr…
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psnet.ahrq.gov/node/836968/psn-pdf
April 20, 2022 - Diagnostic time-outs to improve diagnosis.
April 20, 2022
Yale S, Cohen S, Bordini BJ. Diagnostic time-outs to improve diagnosis. Crit Care Clin. 2022;38(2):185-
194. doi:10.1016/j.ccc.2021.11.008.
https://psnet.ahrq.gov/issue/diagnostic-time-outs-improve-diagnosis
A broad differential diagnosis can limit missed d…
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psnet.ahrq.gov/node/42426/psn-pdf
January 14, 2014 - Documenting quality improvement and patient safety
efforts: the quality portfolio. A statement from the
Academic Hospitalist Taskforce.
January 14, 2014
Taylor BB, Parekh V, Estrada CA, et al. Documenting quality improvement and patient safety efforts: the
quality portfolio. A statement from the academic hospitali…
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psnet.ahrq.gov/node/39898/psn-pdf
February 01, 2011 - Improving reliability of clinical care practices for
ventilated patients in the context of a patient safety
improvement initiative.
February 1, 2011
Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the
context of a patient safety improvement initiative.…
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psnet.ahrq.gov/node/35636/psn-pdf
June 24, 2010 - Improving Papanicolaou test quality and reducing
medical errors by using Toyota production system
methods.
June 24, 2010
Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical
errors by using Toyota production system methods. Am J Obstet Gynecol. 2006;194(1).
doi:10.101…
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psnet.ahrq.gov/node/34883/psn-pdf
April 17, 2013 - Quality Improvement Organizations.
April 17, 2013
Medicare Quality Improvement Community; MedQIC
https://psnet.ahrq.gov/issue/quality-improvement-organizations
This Web site features resources to support the Medicare Quality Improvement Program and Medicare
Quality Improvement Organizations (QIOs) in delivering qu…
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psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety
December 02, 2014 - Study
Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.
Citation Text:
Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Pediatrics. 2013;131(…
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psnet.ahrq.gov/issue/improving-reliability-verbal-communication-between-primary-care-physicians-and-pediatric
November 16, 2015 - Study
Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge.
Citation Text:
Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediat…
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psnet.ahrq.gov/issue/collaborative-learning-network-approach-improvement-cusp-learning-network
July 21, 2017 - Commentary
A collaborative learning network approach to improvement: the CUSP learning network.
Citation Text:
Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159.
Cop…
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psnet.ahrq.gov/issue/urgent-need-improve-health-care-quality-institute-medicine-national-roundtable-health-care
May 27, 2015 - Commentary
Classic
The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality.
Citation Text:
Chassin MR, Galvin RW. The urgent need to improve health care quality. Institute of Medicine National Roundtable o…