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psnet.ahrq.gov/node/39201/psn-pdf
January 16, 2010 - Crew resource management improved perception of
patient safety in the operating room.
January 16, 2010
Gore DC, Powell JM, Baer JG, et al. Crew resource management improved perception of patient safety in
the operating room. Am J Med Qual. 2010;25(1):60-3. doi:10.1177/1062860609351236.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/35760/psn-pdf
July 19, 2010 - Achieving rapid door-to-balloon times: how top hospitals
improve complex clinical systems.
July 19, 2010
Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times: how top hospitals improve
complex clinical systems. Circulation. 2006;113(8):1079-85.
https://psnet.ahrq.gov/issue/achieving-rapid…
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psnet.ahrq.gov/node/40242/psn-pdf
February 23, 2011 - An anesthesiology department leads culture change at a
hospital system level to improve quality and patient
safety.
February 23, 2011
Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a
hospital system level to improve quality and patient safety. Anesthesiol Clin. 201…
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psnet.ahrq.gov/node/42562/psn-pdf
June 09, 2015 - Sustaining quality improvement and patient safety
training in graduate medical education: lessons from
social theory.
June 9, 2015
Wong BM, Kuper A, Hollenberg E, et al. Sustaining quality improvement and patient safety training in
graduate medical education: lessons from social theory. Acad Med. 2013;88(8):1149-5…
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psnet.ahrq.gov/node/40490/psn-pdf
June 01, 2011 - Standardized multidisciplinary protocol improves
handover of cardiac surgery patients to the intensive care
unit.
June 1, 2011
Joy BF, Elliott E, Hardy C, et al. Standardized multidisciplinary protocol improves handover of cardiac
surgery patients to the intensive care unit*. Pediatric Critical Care Medicine. 2010…
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psnet.ahrq.gov/node/42089/psn-pdf
March 06, 2013 - Organizational culture: an important context for
addressing and improving hospital to community patient
discharge.
March 6, 2013
Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for
addressing and improving hospital to community patient discharge. Med Care. 2013;51(…
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psnet.ahrq.gov/node/40320/psn-pdf
March 30, 2011 - Effectiveness of an information technology intervention
to improve prophylactic antibacterial use in the
postoperative period.
March 30, 2011
Haynes K, Linkin DR, Fishman NO, et al. Effectiveness of an information technology intervention to
improve prophylactic antibacterial use in the postoperative period. Journa…
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psnet.ahrq.gov/node/37575/psn-pdf
September 08, 2010 - Systematic review: the evidence that publishing patient
care performance data improves quality of care.
September 8, 2010
Fung CH, Lim Y-W, Mattke S, et al. Systematic review: the evidence that publishing patient care
performance data improves quality of care. Ann Intern Med. 2008;148(2):111-23.
https://psnet.ahrq…
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psnet.ahrq.gov/node/42782/psn-pdf
January 19, 2014 - Developing a medical emergency team running sheet to
improve clinical handoff and documentation.
January 19, 2014
Mardegan K, Heland M, Whitelock T, et al. Developing a medical emergency team running sheet to
improve clinical handoff and documentation. Jt Comm J Qual Patient Saf. 2013;39(12):570-575.
https://psnet…
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psnet.ahrq.gov/node/36087/psn-pdf
September 28, 2010 - Improving patient safety in hospitals: contributions of
high-reliability theory and normal accident theory.
September 28, 2010
Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and
normal accident theory. Health Serv Res. 2006;41(4 Pt 2):1654-76.
https://psnet.ah…
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psnet.ahrq.gov/node/40503/psn-pdf
June 08, 2011 - The science of safety improvement: learning while doing.
June 8, 2011
Clancy CM, Berwick DM. The science of safety improvement: learning while doing. Ann Intern Med.
2011;154(10):699-701. doi:10.7326/0003-4819-154-10-201105170-00013.
https://psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
Acco…
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psnet.ahrq.gov/node/44533/psn-pdf
April 25, 2016 - A medical resident–pharmacist collaboration improves
the rate of medication reconciliation verification at
discharge.
April 25, 2016
Caroff DA, Bittermann T, Leonard CE, et al. A Medical Resident-Pharmacist Collaboration Improves the
Rate of Medication Reconciliation Verification at Discharge. Jt Comm J Qual Patie…
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psnet.ahrq.gov/node/37798/psn-pdf
May 21, 2019 - Improved outcomes, fewer cesarean deliveries, and
reduced litigation: results of a new paradigm in patient
safety.
May 21, 2019
Clark SL, Belfort MA, Byrum SL, et al. Improved outcomes, fewer cesarean deliveries, and reduced
litigation: results of a new paradigm in patient safety. Am J Obstet Gynecol. 2008;199(2):…
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psnet.ahrq.gov/node/42901/psn-pdf
January 29, 2014 - Do safety checklists improve teamwork and
communication in the operating room? A systematic
review.
January 29, 2014
Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the
operating room? A systematic review. Ann Surg. 2013;258(6):856-71.
doi:10.1097/SLA.0000000000000206…
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psnet.ahrq.gov/node/866641/psn-pdf
September 04, 2024 - Quality and patient safety improvement is never finished.
September 4, 2024
Kachalia A, Vanhaecht K. Quality and patient safety improvement is never finished. NEJM Catalyst.
2024;5(9). doi:10.1056/cat.24.0316.
https://psnet.ahrq.gov/issue/quality-and-patient-safety-improvement-never-finished
Safety and quality imp…
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psnet.ahrq.gov/node/41153/psn-pdf
January 01, 2013 - Quality improvement for patient safety: project-level
versus program-level learning.
December 12, 2012
Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-
level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013e318245019f.
https://psnet.ahrq…
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psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture
December 15, 2008 - Commentary
Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture.
Citation Text:
Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22…
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2013
February 25, 2013 - Book/Report
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013.
Citation Text:
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. Oakbrook Terrace, IL: The Joint Commission; October 2013.
…
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psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-2nd-ed
November 29, 2017 - Book/Report
Classic
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed.
Citation Text:
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. Langley GJ, Moen R, Nolan KM, et al. Ho…
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psnet.ahrq.gov/issue/changing-practice-improve-patient-safety-and-quality-care-perinatal-medicine
November 18, 2016 - Review
Changing practice to improve patient safety and quality of care in perinatal medicine.
Citation Text:
Kaplan HC, Ballard J. Changing Practice to Improve Patient Safety and Quality of Care in Perinatal Medicine. Am J Perinatol. 2011;29(01). doi:10.1055/s-0031-1285826.
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