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psnet.ahrq.gov/node/60540/psn-pdf
November 01, 2016 - Quality improvement initiatives lead to reduction in
nulliparous term singleton vertex cesarean delivery rate.
November 1, 2016
Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous
term singleton vertex cesarean delivery rate. Jt Comm J Qual Patient Saf. 2016;43(2)…
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psnet.ahrq.gov/node/36902/psn-pdf
June 09, 2010 - Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety
and quality.
June 9, 2010
Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
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psnet.ahrq.gov/node/60612/psn-pdf
January 01, 2021 - COVID-19: patient safety and quality improvement skills
to deploy during the surge.
June 24, 2020
Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to
deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.1093/intqhc/mzaa050.
https://psnet.ahrq…
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psnet.ahrq.gov/node/843329/psn-pdf
February 01, 2023 - Improving administration and documentation of enteral
nutrition support therapy in a Veteran Affairs health care
system: use of medication administration record and bar
code scanning technology.
February 1, 2023
Chew MM, Rivas S, Chesser M, et al. Improving administration and documentation of enteral nutrition
su…
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psnet.ahrq.gov/node/40364/psn-pdf
July 01, 2011 - Utilising improvement science methods to optimise
medication reconciliation.
April 13, 2011
White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise
medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845.
https://psnet.ahrq.gov/issue/utilising-…
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psnet.ahrq.gov/node/46678/psn-pdf
January 03, 2018 - Measuring patient safety in real time: an essential method
for effectively improving the safety of care.
January 3, 2018
Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for
Effectively Improving the Safety of Care. Ann Intern Med. 2017;167(12). doi:10.7326/m17-2202.
h…
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psnet.ahrq.gov/node/851647/psn-pdf
July 26, 2023 - Statewide perinatal quality improvement, teamwork, and
communication activities in Oklahoma and Texas.
July 26, 2023
Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and
communication activities in Oklahoma and Texas. Qual Manag Health Care. 2023;32(3):177-188.
doi:10.109…
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psnet.ahrq.gov/node/844550/psn-pdf
September 01, 2012 - The effect of a Lean quality improvement implementation
program on surgical pathology specimen accessioning
and gross preparation error frequency.
September 1, 2012
Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation
program on surgical pathology specimen accessionin…
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psnet.ahrq.gov/node/34775/psn-pdf
February 07, 2019 - Escape Fire: Lessons for the Future of Health Care.
February 7, 2019
Berwick DM. Washington DC: Commonwealth Fund; 2002.
https://psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
This report represents an edited version of Donald Berwick’s Plenary Address presented at the Institute for
Healthcare Improve…
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psnet.ahrq.gov/node/73490/psn-pdf
July 14, 2021 - Use of prescribing safety quality improvement reports in
UK general practices: a qualitative assessment.
July 14, 2021
Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general
practices: a qualitative assessment. BMC Health Serv Res. 2021;21(1). doi:10.1186/s12913-021-0…
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psnet.ahrq.gov/node/37927/psn-pdf
March 10, 2011 - A randomized trial of electronic clinical reminders to
improve medication laboratory monitoring.
March 10, 2011
Matheny ME, Sequist TD, Seger AC, et al. A randomized trial of electronic clinical reminders to improve
medication laboratory monitoring. J Am Med Inform Assoc. 2008;15(4):424-9. doi:10.1197/jamia.M2602.
…
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psnet.ahrq.gov/node/60580/psn-pdf
January 01, 2022 - Sustaining the gains: a 7-year follow-through of a
hospital-wide patient safety improvement project on
hospital-wide adverse event outcomes and patient safety
culture.
June 10, 2020
Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient
safety improvement projec…
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psnet.ahrq.gov/node/35813/psn-pdf
April 06, 2011 - Simulation based teamwork training for emergency
department staff: does it improve clinical team
performance when added to an existing didactic
teamwork curriculum?
April 6, 2011
Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork training for emergency department
staff: does it improve clinical team…
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psnet.ahrq.gov/node/41064/psn-pdf
March 02, 2012 - Blending evidence and innovation: improving intershift
handoffs in a multihospital setting.
March 2, 2012
Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a
multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097/NCQ.0b013e318241cb3b.
https://psnet.ahrq…
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psnet.ahrq.gov/node/40382/psn-pdf
May 25, 2011 - What has change management in industry got to do with
improving patient safety?
May 25, 2011
Noble DJ, Lemer C, Stanton E. What has change management in industry got to do with improving patient
safety? Postgrad Med J. 2011;87(1027):345-348. doi:10.1136/pgmj.2010.097923.
https://psnet.ahrq.gov/issue/what-has-chang…
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psnet.ahrq.gov/node/41009/psn-pdf
December 21, 2011 - Improving ambulatory patient safety: learning from the
last decade, moving ahead in the next.
December 21, 2011
Wynia MK, Classen DC. Improving Ambulatory Patient Safety. JAMA. 2011;306(22):2504-2505.
doi:10.1001/jama.2011.1820.
https://psnet.ahrq.gov/issue/improving-ambulatory-patient-safety-learning-last-decade-…
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psnet.ahrq.gov/node/36653/psn-pdf
January 18, 2011 - Enhancing patient safety: improving the patient handoff
process through appreciative inquiry.
January 18, 2011
Shendell-Falik N, Feinson M, Mohr BJ. Enhancing patient safety: improving the patient handoff process
through appreciative inquiry. J Nurs Adm. 2007;37(2):95-104.
https://psnet.ahrq.gov/issue/enhancing-pa…
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psnet.ahrq.gov/node/41161/psn-pdf
February 22, 2012 - An education-service partnership to achieve safety and
quality improvement competencies in nursing.
February 22, 2012
Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement
Competencies in Nursing. Journal of Nursing Education. 2011;50(12). doi:10.3928/01484834-20110916-
02.
…
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psnet.ahrq.gov/node/37191/psn-pdf
October 06, 2011 - Improving quality through effective implementation of
information technology in healthcare.
October 6, 2011
Øvretveit J, Scott T, Rundall TG, et al. Improving quality through effective implementation of information
technology in healthcare. Int J Qual Health Care. 2007;19(5):259-66.
https://psnet.ahrq.gov/issue/im…
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psnet.ahrq.gov/node/37840/psn-pdf
June 28, 2016 - Engaging Patients as Safety Partners: a Guide for
Reducing Errors and Improving Satisfaction.
June 28, 2016
Spath P, ed. Chicago, IL: AHA Press; 2008. ISBN: 9781556483530.
https://psnet.ahrq.gov/issue/engaging-patients-safety-partners-guide-reducing-errors-and-improving-
satisfaction
This book discusses strategie…