-
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: …
-
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://…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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 …
-
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(…
-
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…
-
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.…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…
-
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…