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psnet.ahrq.gov/node/39439/psn-pdf
May 10, 2010 - Improving insulin distribution and administration safety
using Lean Six Sigma methodologies.
May 10, 2010
Yamamoto J, Abraham D, Malatestinic B. Improving Insulin Distribution and Administration Safety Using
Lean Six Sigma Methodologies. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-212.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/43984/psn-pdf
November 16, 2015 - Improving resident handoffs for children transitioning
from the intensive care unit.
November 16, 2015
Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the
intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2014-0067.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/40489/psn-pdf
June 01, 2011 - Handover after pediatric heart surgery: a simple tool
improves information exchange.
June 1, 2011
Zavalkoff SR, Razack SI, Lavoie J, et al. Handover after pediatric heart surgery: a simple tool improves
information exchange. Pediatr Crit Care Med. 2011;12(3):309-13. doi:10.1097/PCC.0b013e3181fe27b6.
https://psnet.…
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psnet.ahrq.gov/node/37963/psn-pdf
April 09, 2009 - Use of a computerized forcing function improves
performance in ordering restraints.
April 9, 2009
Griffey RT, Wittels K, Gilboy N, et al. Use of a computerized forcing function improves performance in
ordering restraints. Ann Emerg Med. 2009;53(4):469-76. doi:10.1016/j.annemergmed.2008.05.035.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/40251/psn-pdf
June 13, 2012 - Emerging issues and challenges for improving patient
safety in mental health: a qualitative analysis of expert
perspectives.
June 13, 2012
Brickell TA, McLean C. Emerging issues and challenges for improving patient safety in mental health: a
qualitative analysis of expert perspectives. J Patient Saf. 2011;7(1):39-…
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psnet.ahrq.gov/node/38765/psn-pdf
July 08, 2009 - Enhancing pediatric safety: assessing and improving
resident competency in life-threatening events with a
computer-based interactive resuscitation tool.
July 8, 2009
Lerner C, Gaca AM, Frush DP, et al. Enhancing pediatric safety: assessing and improving resident
competency in life-threatening events with a compute…
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psnet.ahrq.gov/node/37261/psn-pdf
December 19, 2011 - Creating complex health improvement programs as
mindful organizations: from theory to action.
December 19, 2011
Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from
theory to action. J Health Organ Manag. 2007;21(2):166-83.
https://psnet.ahrq.gov/issue/creating-complex…
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psnet.ahrq.gov/node/45998/psn-pdf
April 19, 2017 - Learning and mindfulness: improving perioperative
patient safety.
April 19, 2017
Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J.
2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006.
https://psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patie…
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psnet.ahrq.gov/node/40506/psn-pdf
June 08, 2011 - Evaluation of a preoperative team briefing: a new
communication routine results in improved clinical
practice.
June 8, 2011
Lingard LA, Regehr G, Cartmill C, et al. Evaluation of a preoperative team briefing: a new communication
routine results in improved clinical practice. BMJ Qual Saf. 2011;20(6):475-82.
doi:1…
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psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-analysis-optimize
July 24, 2019 - Study
Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events.
Citation Text:
Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a s…
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psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
January 23, 2019 - Study
Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach.
Citation Text:
Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. BMJ Open. 2016;6(9):e0…
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psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during
November 16, 2022 - Commentary
Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach.
Citation Text:
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…
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psnet.ahrq.gov/issue/sustaining-reliability-accountability-measures-johns-hopkins-hospital
January 19, 2014 - Study
Sustaining reliability on accountability measures at the Johns Hopkins Hospital.
Citation Text:
Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531-544.
Cop…
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psnet.ahrq.gov/issue/medical-engagement-organisation-wide-safety-and-quality-improvement-programmes-experience-uk
February 01, 2011 - Study
Medical engagement in organisation-wide safety and quality-improvement programmes: experience in the UK Safer Patients Initiative.
Citation Text:
Parand A, Burnett S, Benn J, et al. Medical engagement in organisation-wide safety and quality-improvement programmes: experience in t…
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psnet.ahrq.gov/issue/sustaining-improvement-hospital-wide-initiative-patient-safety-and-quality-systematic-scoping
September 01, 2021 - Review
Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review.
Citation Text:
Moon SEJ, Hogden A, Eljiz K. Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review. BMJ Open Qual…
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psnet.ahrq.gov/issue/interprofessional-education-team-communication-working-together-improve-patient-safety
April 24, 2018 - Study
Interprofessional education in team communication: working together to improve patient safety.
Citation Text:
Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi…
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psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
October 06, 2021 - Commentary
Using performance improvement to enhance time-out compliance and prevent wrong-site surgery.
Citation Text:
Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…
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psnet.ahrq.gov/issue/safety-stand-down-technique-improving-and-sustaining-hand-hygiene-compliance-among-health
August 01, 2018 - Study
The safety stand-down: a technique for improving and sustaining hand hygiene compliance among health care personnel.
Citation Text:
Cunningham D, Brilli RJ, McClead RE, et al. The Safety Stand-down: A Technique for Improving and Sustaining Hand Hygiene Compliance Among Health Care …
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psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons
July 02, 2014 - Study
Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory.
Citation Text:
Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social …
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psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
December 16, 2020 - Commentary
Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.
Citation Text:
Fernandez Branson C, Williams M, Chan TM, et al. Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. BMJ Qual Saf. 2021;30(12):1002-1009. doi:10.1136/bm…