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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40962/psn-pdf
    December 14, 2011 - American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. December 14, 2011 Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma Performance Improvement and Patient Safety program: …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74852/psn-pdf
    February 23, 2022 - Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. February 23, 2022 Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:10.1515/dx-2020-0160. https://…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38174/psn-pdf
    November 05, 2008 - National Surgical Quality Improvement Program. November 5, 2008 American College of Surgeons. https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program During the 1980s, the Department of Veterans Affairs (VA) received significant public scrutiny over the quality of surgical care in their hospital…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838255/psn-pdf
    October 05, 2022 - Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs. October 5, 2022 President’s Council of Advisors on Science and Technology. Washington, DC: White House; September 21, 2022. https://psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovati…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45032/psn-pdf
    July 21, 2016 - From tokenism to empowerment: progressing patient and public involvement in healthcare improvement. July 21, 2016 Ocloo J, Matthews R. From tokenism to empowerment: progressing patient and public involvement in healthcare improvement. BMJ Qual Saf. 2016;25(8):626-32. doi:10.1136/bmjqs-2015-004839. https://psnet.ah…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39460/psn-pdf
    March 23, 2011 - Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. March 23, 2011 Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.1136/qshc.2008.028787. https://psnet.a…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39767/psn-pdf
    August 18, 2010 - Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. August 18, 2010 Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TO…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73653/psn-pdf
    September 01, 2021 - Improving diagnostic performance through feedback: the Diagnosis Learning Cycle. September 1, 2021 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/bmjqs-2020-012456. https://psnet.ahrq…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47737/psn-pdf
    March 06, 2019 - Quality improvement and safety in pediatric emergency medicine. March 6, 2019 Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. https://psnet.ahrq.gov/issue/quality-improvement-and-safety-pedia…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45119/psn-pdf
    November 18, 2016 - Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. November 18, 2016 Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to leverage quality improvement and care management processes. Am …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47171/psn-pdf
    June 27, 2018 - The safety stand-down: a technique for improving and sustaining hand hygiene compliance among health care personnel. June 27, 2018 Cunningham D, Brilli RJ, McClead RE, et al. The Safety Stand-down: A Technique for Improving and Sustaining Hand Hygiene Compliance Among Health Care Personnel. J Patient Saf. 2018;14(…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38679/psn-pdf
    March 01, 2011 - Improving alarm performance in the medical intensive care unit using delays and clinical context. March 1, 2011 Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546-52. doi:10.1213/ane.0b013e31819bdfb…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865978/psn-pdf
    May 29, 2024 - Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy. May 29, 2024 Zacherl KM, Sterrett EC, Hughes BL, et al. Ensuring safe and equitable discharge: a quality improvement initiative for individuals with hypertensive disorders of pregnancy.…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46038/psn-pdf
    July 05, 2017 - Significant and sustained reduction in chemotherapy errors through improvement science. July 5, 2017 Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.2017.020842. https://psnet.ahrq.gov/i…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44234/psn-pdf
    September 09, 2015 - Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. September 9, 2015 Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital d…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39869/psn-pdf
    September 22, 2010 - Teaching quality improvement. September 22, 2010 Murray ME, Douglas S, Girdley D, et al. Teaching quality improvement. J Nurs Educ. 2010;49(8):466-9. doi:10.3928/01484834-20100430-09. https://psnet.ahrq.gov/issue/teaching-quality-improvement This commentary outlines an educational program for nursing students desi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40704/psn-pdf
    August 17, 2011 - Plan for quality to improve patient safety at the point of care. August 17, 2011 Ehrmeyer SS. Plan for Quality to Improve Patient Safety at the Point of Care. Ann Saudi Med. 2011;31(4). doi:10.4103/0256-4947.83203. https://psnet.ahrq.gov/issue/plan-quality-improve-patient-safety-point-care This review discusses t…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36598/psn-pdf
    June 30, 2011 - E-prescribing first step to improved safety. June 30, 2011 Finkelstein JB. E-prescribing first step to improved safety. Journal of the National Cancer Institute. 2006;98(24):1763-5. https://psnet.ahrq.gov/issue/e-prescribing-first-step-improved-safety This article discusses changes implemented at Dana-Farber Cance…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35472/psn-pdf
    September 21, 2009 - Clinical alarms: improving efficiency and effectiveness. September 21, 2009 Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q. 2005;28(4):317-323. https://psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness The authors outline a process fo…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35600/psn-pdf
    June 21, 2010 - Improving nursing unit teamwork. June 21, 2010 Kalisch BJ, Begeny SM. Improving nursing unit teamwork. J Nurs Adm. 2005;35(12):550-556. doi:10.1097/00005110-200512000-00009. https://psnet.ahrq.gov/issue/improving-nursing-unit-teamwork The authors share several strategies for improving teamwork among nurses, includ…

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