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psnet.ahrq.gov/node/867597/psn-pdf
January 22, 2025 - A coaching program to improve employee engagement,
culture of safety, and patient experience.
January 22, 2025
Scheurer D, Coulter A, Harper K, et al. A coaching program to improve employee engagement, culture of
safety, and patient experience. NEJM Catalyst. 2024;6(1):CAT.24.0225. doi:10.1056/cat.24.0225.
https:/…
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psnet.ahrq.gov/node/48087/psn-pdf
July 10, 2019 - The rise of human factors: optimising performance of
individuals and teams to improve patients' outcomes.
July 10, 2019
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to
improve patients' outcomes. J Thorac Dis. 2019;11(Suppl 7):S998-S1008. doi:10.21037/jtd.20…
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psnet.ahrq.gov/node/74101/psn-pdf
November 24, 2021 - Management of the deteriorating adult patient: does
simulation-based education improve patient safety?
November 24, 2021
Bennion J, Mansell SK. Management of the deteriorating adult patient: does simulation-based education
improve patient safety? Br J Hosp Med (Lond). 2021;82(8):1-8. doi:10.12968/hmed.2021.0293.
h…
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psnet.ahrq.gov/node/40895/psn-pdf
December 08, 2011 - Improving safety culture results in Rhode Island ICUs:
lessons learned from the development of action-oriented
plans.
December 8, 2011
Vigorito MC, McNicoll L, Adams L, et al. Improving safety culture results in Rhode Island ICUs: lessons
learned from the development of action-oriented plans. Jt Comm J Qual Patien…
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psnet.ahrq.gov/node/862124/psn-pdf
February 07, 2024 - The TeamSTEPPS for Improving Diagnosis Team
Assessment Tool: scale development and psychometric
evaluation.
February 7, 2024
Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment
Tool: scale development and psychometric evaluation. Jt Comm J Qual Patient Saf. 2024;50(2):95…
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psnet.ahrq.gov/node/34921/psn-pdf
February 27, 2009 - A controlled trial of smart infusion pumps to improve
medication safety in critically ill patients.
February 27, 2009
Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication
safety in critically ill patients. Crit Care Med. 2005;33(3):533-540.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/46996/psn-pdf
May 23, 2018 - How to incorporate quality improvement and patient
safety projects in your training.
May 23, 2018
Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety
Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.1053/j.gastro.2018.03.044.
https://psnet…
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psnet.ahrq.gov/node/44105/psn-pdf
April 29, 2015 - What to expect when you're evaluating healthcare
improvement: a concordat approach to managing
collaboration and uncomfortable realities.
April 29, 2015
Brewster L, Aveling E-L, Martin G, et al. What to expect when you're evaluating healthcare improvement: a
concordat approach to managing collaboration and uncomfo…
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psnet.ahrq.gov/node/39895/psn-pdf
September 21, 2011 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2010.
September 21, 2011
Oakbrook Terrace, IL: The Joint Commission; September 2010.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2010
In the fifth report on t…
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psnet.ahrq.gov/node/847723/psn-pdf
April 19, 2023 - Efforts to improve the safety culture of the elderly in
nursing homes: a qualitative study.
April 19, 2023
Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing
homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:393-400. doi:10.2147/rmhp.s399826.
…
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psnet.ahrq.gov/node/46040/psn-pdf
April 12, 2017 - How does audit and feedback influence intentions of
health professionals to improve practice? A laboratory
experiment and field study in cardiac rehabilitation.
April 12, 2017
Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence
intentions of health professionals to improve …
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psnet.ahrq.gov/node/46323/psn-pdf
October 29, 2017 - Use of unit-based interventions to improve the quality of
care for hospitalized medical patients: a national survey.
October 29, 2017
O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of
Care for Hospitalized Medical Patients: A National Survey. Jt Comm J Qual Patie…
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psnet.ahrq.gov/node/38229/psn-pdf
November 18, 2016 - SQUIRE 2.0 (Standards for QUality Improvement
Reporting Excellence): revised publication guidelines
from a detailed consensus process.
November 18, 2016
Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality Improvement Reporting
Excellence): revised publication guidelines from a detailed consensu…
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psnet.ahrq.gov/node/46098/psn-pdf
July 24, 2017 - Prospective evaluation of a multifaceted intervention to
improve outcomes in intensive care: the Promoting
Respect and Ongoing Safety through Patient Engagement
Communication and Technology study.
July 24, 2017
Dykes PC, Rozenblum R, Dalal A, et al. Prospective Evaluation of a Multifaceted Intervention to Improve
…
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psnet.ahrq.gov/node/48165/psn-pdf
August 28, 2019 - Competencies for improving diagnosis: an
interprofessional framework for education and training in
health care.
August 28, 2019
Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework
for education and training in health care. Diagnosis (Berl). 2019;6(4):335-341. doi…
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psnet.ahrq.gov/node/47019/psn-pdf
July 11, 2018 - Center of Excellence for Improving Diagnosis.
July 11, 2018
Patient Safety Authority.
https://psnet.ahrq.gov/issue/center-excellence-improving-diagnosis
Diagnostic error has gained recognition as an important patient safety concern. Established within the
Pennsylvania Patient Safety Authority, this center will add…
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psnet.ahrq.gov/node/43107/psn-pdf
March 14, 2016 - Researchers' roles in patient safety improvement.
March 14, 2016
Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf.
2016;12(1):25-33. doi:10.1097/PTS.0000000000000096.
https://psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement
Through a self-…
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psnet.ahrq.gov/node/47556/psn-pdf
November 28, 2018 - Improving Diagnosis.
November 28, 2018
Deutsch E, ed. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):1-70.
https://psnet.ahrq.gov/issue/improving-diagnosis
This special issue raises awareness of challenges to reducing diagnostic error. Articles discuss insights
from experts about how to improve diagnosis, t…
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psnet.ahrq.gov/node/41695/psn-pdf
July 19, 2017 - ACOG Committee Opinion #531: improving medication
safety.
July 19, 2017
Improvement C on PS and Q. Committee opinion No. 531: improving medication safety. Obstet Gynecol.
2012;120(2 Pt 1):406-410. doi:10.1097/AOG.0b013e3182680478.
https://psnet.ahrq.gov/issue/acog-committee-opinion-531-improving-medication-safety
…
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psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident
October 19, 2016 - Commentary
Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education.
Citation Text:
Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…