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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45023/psn-pdf
    April 17, 2018 - Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. April 17, 2018 Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259. https://psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement- third-edition Lean methodology fo…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41556/psn-pdf
    January 03, 2017 - Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. January 3, 2017 Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” Awards. Jt Comm J Qual Patient S…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46303/psn-pdf
    November 21, 2017 - How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. November 21, 2017 Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. BMJ Qual Saf. 2017;26(12):978-986. doi:10.1…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45004/psn-pdf
    April 06, 2016 - Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections. April 6, 2016 Shabot M, Chassin MR, France A-C, et al. Using the Targeted Solutions Tool® to Improve Hand Hygiene Compliance Is Associated with Decreased Health Care-Associated Infec…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74718/psn-pdf
    February 02, 2022 - Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta- analysis. February 2, 2022 Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medication safety and patient outcom…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42705/psn-pdf
    November 26, 2013 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. November 26, 2013 Oakbrook Terrace, IL: The Joint Commission; October 2013.  https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2013 This Joint Commission…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72803/psn-pdf
    March 03, 2021 - First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. March 3, 2021 English M, Ogola M, Aluvaala J, et al. First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and improve safety is a critical initial st…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44577/psn-pdf
    October 21, 2015 - Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. October 21, 2015 Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1001/jamaoncol.2015.0891. https://psn…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838126/psn-pdf
    September 21, 2022 - Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. September 21, 2022 Stenquist DS, Yeung CM, Szapary HJ, et al. Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. J Am Acad Orthop Surg Glob Res Rev. 2022;6(9):e22.0007…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37091/psn-pdf
    March 02, 2016 - The tension between needing to improve care and knowing how to do it. March 2, 2016 Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. https://psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73363/psn-pdf
    June 09, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. June 9, 2021 Hada A, Coyer F. Shift?to?shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44680/psn-pdf
    February 24, 2018 - Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. February 24, 2018 McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47714/psn-pdf
    March 27, 2019 - Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. March 27, 2019 Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major National Effort Aimed at Reducing Infections and Other Surgical C…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854636/psn-pdf
    October 18, 2023 - Primary care teams' reported actions to improve medication safety: a qualitative study with insights in high reliability organising. October 18, 2023 Young RA, Gurses AP, Fulda KG, et al. Primary care teams’ reported actions to improve medication safety: a qualitative study with insights in high reliability organi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73676/psn-pdf
    September 08, 2021 - Organizational readiness to change as a leverage point for improving safety: a national nursing home survey. September 8, 2021 Quach ED, Kazis LE, Zhao S, et al. Organizational readiness to change as a leverage point for improving safety: a national nursing home survey. BMC Health Serv Res. 2021;21(1):842. doi:10.1…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72857/psn-pdf
    March 17, 2021 - Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. March 17, 2021 Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prev…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847546/psn-pdf
    March 25, 2021 - Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. March 25, 2021 Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional interventi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73346/psn-pdf
    June 02, 2021 - Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic. June 2, 2021 Della Torre V, E. Nacul F, Rosseel P, et al. Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic. Anaesthesiol Intensive Ther. 2021;53(3):265-27…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60249/psn-pdf
    April 22, 2020 - Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. April 22, 2020 Austin J, Barras M, Sullivan C. Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. Int J …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50935/psn-pdf
    February 26, 2020 - Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. February 26, 2020 Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. Clin Pediatr (Phila). 2020;59…

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