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psnet.ahrq.gov/issue/using-human-factors-engineering-improve-patient-safety-second-edition
May 18, 2016 - Book/Report
Using Human Factors Engineering to Improve Patient Safety, Second edition.
Citation Text:
Using Human Factors Engineering to Improve Patient Safety, Second edition. Gosbee JW, Gosbee LL. Oakbrook, IL: Joint Commission; 2010. ISBN: 9781599404110.
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psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here
January 23, 2012 - Study
Classic
High-reliability health care: getting there from here.
Citation Text:
Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023.
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psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
April 01, 2010 - Study
Quality improvement for patient safety: project-level versus program-level learning.
Citation Text:
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.0b013…
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psnet.ahrq.gov/issue/responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff
April 27, 2010 - Review
Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.
Citation Text:
Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…
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psnet.ahrq.gov/issue/clinical-communities-johns-hopkins-medicine-emerging-approach-quality-improvement
November 16, 2022 - Commentary
Clinical communities at Johns Hopkins Medicine: an emerging approach to quality improvement.
Citation Text:
Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;…
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psnet.ahrq.gov/issue/electronic-checklist-improves-transfer-and-retention-critical-information-intraoperative
July 21, 2021 - Study
An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care.
Citation Text:
Agarwala A, Firth PG, Albrecht MA, et al. An electronic checklist improves transfer and retention of critical information at intraoperative handoff of c…
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psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
December 06, 2017 - Commentary
What happens when healthcare innovations collide?
Citation Text:
Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441.
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psnet.ahrq.gov/issue/characteristics-morbidity-and-mortality-conferences-associated-implementation-patient-safety
March 18, 2020 - Study
Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study.
Citation Text:
François P, Prate F, Vidal-Trecan G, et al. Characteristics of morbidity and mortality conferences associated …
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psnet.ahrq.gov/node/43804/psn-pdf
July 03, 2016 - Quality improvement, patient safety, and continuing
education: a qualitative study of the current boundaries
and opportunities for collaboration between these
domains.
July 3, 2016
Kitto S, Goldman J, Etchells E, et al. Quality improvement, patient safety, and continuing education: a
qualitative study of the curr…
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psnet.ahrq.gov/node/43618/psn-pdf
October 22, 2014 - FOCUS: The Society of Cardiovascular Anesthesiologists'
initiative to improve quality and safety in the
cardiovascular operating room.
October 22, 2014
Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to
improve quality and safety in the cardiovascular operat…
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psnet.ahrq.gov/node/45143/psn-pdf
October 20, 2016 - Medical improv: a novel approach to teaching
communication and professionalism skills.
October 20, 2016
Watson K, Fu B. Medical Improv: A Novel Approach to Teaching Communication and Professionalism
Skills. Ann Intern Med. 2016;165(8):591-592. doi:10.7326/M15-2239.
https://psnet.ahrq.gov/issue/medical-improv-novel…
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psnet.ahrq.gov/node/72852/psn-pdf
March 17, 2021 - Declaring uncertainty: using quality improvement
methods to change the conversation of diagnosis.
March 17, 2021
Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to
Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341. doi:10.1542/hpeds.2020-
000174.…
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psnet.ahrq.gov/node/44893/psn-pdf
March 09, 2016 - Improving the governance of patient safety in emergency
care: a systematic review of interventions.
March 9, 2016
Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a
systematic review of interventions. BMJ Open. 2016;6(1):e009837. doi:10.1136/bmjopen-2015-009837.
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psnet.ahrq.gov/node/47959/psn-pdf
May 15, 2019 - A quality improvement initiative to reduce safety events
among adolescents hospitalized after a suicide attempt.
May 15, 2019
Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events
Among Adolescents Hospitalized After a Suicide Attempt. Hosp Pediatr. 2019;9(5):365-372.
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psnet.ahrq.gov/node/45530/psn-pdf
October 19, 2016 - As a critical behavior to improve quality and patient
safety in health care: speaking up!
October 19, 2016
Nacioglu A. As a critical behavior to improve quality and patient safety in health care: speaking up!. Safety
in Health. 2016;2(1). doi:10.1186/s40886-016-0021-x.
https://psnet.ahrq.gov/issue/critical-behavio…
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psnet.ahrq.gov/node/47165/psn-pdf
June 13, 2018 - Changing how we think about healthcare improvement.
June 13, 2018
Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014.
doi:10.1136/bmj.k2014.
https://psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
In learning organizations, leadership behavior creates a s…
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psnet.ahrq.gov/node/50593/psn-pdf
October 30, 2019 - Using video to assess and improve patient safety during
simulated and actual neonatal resuscitation.
October 30, 2019
Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal
resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semperi.2019.08.008.
https://psnet.a…
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psnet.ahrq.gov/node/866318/psn-pdf
July 17, 2024 - Methods to increase reliability in quality improvement
projects.
July 17, 2024
Lenk MA, LaMantia S, Oehler J, et al. Methods to increase reliability in quality improvement projects. Hosp
Pediatr. 2024;14(8):e372-e377. doi:10.1542/hpeds.2023-007340.
https://psnet.ahrq.gov/issue/methods-increase-reliability-quality-…
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psnet.ahrq.gov/node/37709/psn-pdf
April 23, 2008 - Inappropriate medication use in the elderly: results from a
quality improvement project in 99 primary care practices.
April 23, 2008
Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a
quality improvement project in 99 primary care practices. Am J Geriatr Pharmacot…
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psnet.ahrq.gov/node/46025/psn-pdf
July 11, 2017 - Measuring to improve medication reconciliation in a large
subspecialty outpatient practice.
July 11, 2017
Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large
Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-223.
doi:10.1016/j.jcjq.2017.02.005…