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psnet.ahrq.gov/issue/examining-effect-quality-improvement-initiatives-decreasing-racial-disparities-maternal
May 11, 2022 - Study
Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity.
Citation Text:
Davidson C, Denning S, Thorp K, et al. Examining the effect of quality improvement initiatives on decreasing racial disparities in maternal morbidity. BMJ …
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psnet.ahrq.gov/issue/technology-based-closed-loop-tracking-improving-communication-and-follow-pathology-results
May 25, 2022 - Study
Technology-based closed-loop tracking for improving communication and follow-up of pathology results.
Citation Text:
Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. J Patient Saf. 2022;18…
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psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15-organisations
February 20, 2019 - Study
How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England.
Citation Text:
Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. BMJ Qual Saf…
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psnet.ahrq.gov/issue/using-potentially-aggressiveviolent-patient-huddle-improve-health-care-safety
November 16, 2022 - Commentary
Using a potentially aggressive/violent patient huddle to improve health care safety.
Citation Text:
Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.…
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psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case
March 30, 2022 - Study
Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies.
Citation Text:
Wright DJ, Gabbay J, Le May A. Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. BM…
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psnet.ahrq.gov/issue/demonstrating-high-reliability-accountability-measures-johns-hopkins-hospital
January 27, 2016 - Study
Demonstrating high 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…
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psnet.ahrq.gov/issue/using-claims-data-based-sentinel-system-improve-compliance-clinical-guidelines-results
October 19, 2022 - Study
Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study.
Citation Text:
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance with clinical guidelines: re…
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psnet.ahrq.gov/issue/improving-patients-intensive-care-admission-through-multidisciplinary-simulation-based-crisis
August 23, 2023 - Study
Improving patients' intensive care admission through multidisciplinary simulation-based crisis resource management: a qualitative study.
Citation Text:
Jensen JF, Ramos J, Ørom M‐L, et al. Improving patients' intensive care admission through multidisciplinary simulation‐based crisi…
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psnet.ahrq.gov/node/38381/psn-pdf
September 29, 2017 - Framework for patient safety research and improvement.
September 29, 2017
Pronovost P, Goeschel CA, Marsteller JA, et al. Framework for patient safety research and improvement.
Circulation. 2009;119(2):330-7. doi:10.1161/CIRCULATIONAHA.107.729848.
https://psnet.ahrq.gov/issue/framework-patient-safety-research-and-i…
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psnet.ahrq.gov/node/38923/psn-pdf
September 09, 2009 - Improving communication in the emergency department.
September 9, 2009
Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J.
2009;26(9):658-61. doi:10.1136/emj.2008.065623.
https://psnet.ahrq.gov/issue/improving-communication-emergency-department
Implementation of structu…
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psnet.ahrq.gov/node/40398/psn-pdf
April 27, 2011 - Knowledge for Improvement.
April 27, 2011
Batalden P, Davidoff F, eds. BMJ Qual Saf. 2011;20(suppl 1):1-105.
https://psnet.ahrq.gov/issue/knowledge-improvement
Articles in this supplement discuss research tactics, cross-disciplinary thinking, and educational strategies,
along with how they can contribute to…
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psnet.ahrq.gov/node/40176/psn-pdf
May 25, 2011 - A leadership initiative to improve communication and
enhance safety.
May 25, 2011
Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance
Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410.
https://psnet.ahrq.gov/issue/leadership-initiati…
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psnet.ahrq.gov/node/41581/psn-pdf
August 08, 2012 - How-to Guides: Improving Transitions from the Hospital
to Reduce Avoidable Rehospitalizations.
August 8, 2012
Cambridge, MA: Institute for Healthcare Improvement; June 2012.
https://psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
This series, developed in conjunct…
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - The University of Texas System Clinical Safety and
Effectiveness Course
February 1, 2011
Thomas EJ, Patterson JE, Martin S, et al. The University of Texas System Clinical Safety and
Effectiveness Course. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiv…
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psnet.ahrq.gov/node/46518/psn-pdf
October 29, 2017 - Implementing the Comprehensive Unit-Based Safety
Program (CUSP) to improve patient safety in an academic
primary care practice.
October 29, 2017
Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program
(CUSP) to Improve Patient Safety in an Academic Primary Care Practice. Jt …
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psnet.ahrq.gov/node/46126/psn-pdf
June 19, 2019 - A guide to evaluation of quality improvement and patient
safety educational programs: lessons from the VA Chief
Resident in Quality and Safety Program.
June 19, 2019
Butcher RL, Carluzzo KL, Watts B, et al. A Guide to Evaluation of Quality Improvement and Patient Safety
Educational Programs: Lessons From the VA Ch…
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psnet.ahrq.gov/node/46858/psn-pdf
May 11, 2019 - Evidence review conducted for the Agency for Healthcare
Research and Quality Safety Program for Improving
Surgical Care and Recovery: focus on anesthesiology for
colorectal surgery.
May 11, 2019
Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Healthcare Research
and Quality Safety …
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psnet.ahrq.gov/node/45480/psn-pdf
November 16, 2016 - Improving patient safety reporting with the common
formats: common data representation for Patient Safety
Organizations.
November 16, 2016
Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats:
Common data representation for Patient Safety Organizations. J Biomed Info…
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psnet.ahrq.gov/node/45239/psn-pdf
August 24, 2016 - Using simulation to improve first-year pharmacy students'
ability to identify medication errors involving the top 100
prescription medications.
August 24, 2016
Atayee RS, Awdishu L, Namba J. Using Simulation to Improve First-Year Pharmacy Students' Ability to
Identify Medication Errors Involving the Top 100 Prescr…
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psnet.ahrq.gov/node/37912/psn-pdf
September 25, 2008 - Association of a clinical knowledge support system with
improved patient safety, reduced complications and
shorter length of stay among Medicare beneficiaries in
acute care hospitals in the United States.
September 25, 2008
Bonis PA, Pickens GT, Rind DM, et al. Association of a clinical knowledge support system wi…