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psnet.ahrq.gov/node/42221/psn-pdf
April 24, 2013 - Systems approach and systems engineering applied to
health care: improving patient safety and health care
delivery.
April 24, 2013
Ravitz AD, Sapirstein A, Pham JC, et al. Johns Hopkins APL Tech Dig. 2013;31:354-365.
https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improvin…
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psnet.ahrq.gov/node/866567/psn-pdf
August 21, 2024 - A daily dose of communication to improve quality and
safety outcomes.
August 21, 2024
Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care.
2024;33(4):305-310. doi:10.4037/ajcc2024318.
https://psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes…
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psnet.ahrq.gov/node/40062/psn-pdf
July 24, 2011 - Improving medication safety in primary care using
electronic health records.
July 24, 2011
Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J
Patient Saf. 2010;6(4):238-43.
https://psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-heal…
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psnet.ahrq.gov/node/47899/psn-pdf
April 24, 2019 - What words convey: the potential for patient narratives to
inform quality improvement.
April 24, 2019
Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform
Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.12374.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/46321/psn-pdf
August 27, 2017 - Using simulation to improve systems-based practices.
August 27, 2017
Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt
Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006.
https://psnet.ahrq.gov/issue/using-simulation-improve-systems-base…
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psnet.ahrq.gov/node/41976/psn-pdf
March 11, 2013 - Moving beyond readmission penalties: creating an ideal
process to improve transitional care.
March 11, 2013
Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal
process to improve transitional care. J Hosp Med. 2013;8(2):102-9. doi:10.1002/jhm.1990.
https://psnet.ahr…
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psnet.ahrq.gov/node/45526/psn-pdf
January 01, 2019 - Improving incident reporting among physician trainees.
September 28, 2016
Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient
Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325.
https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train…
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psnet.ahrq.gov/node/39993/psn-pdf
July 03, 2014 - The influence of organizational context on quality
improvement and patient safety efforts in infection
prevention: a multi-center qualitative study.
July 3, 2014
Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality
improvement and patient safety efforts in infection prev…
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psnet.ahrq.gov/node/41112/psn-pdf
February 01, 2012 - Utilizing quality improvement methods to prevent falls
and injury from falls: enhancing resident safety in long-
term care.
February 1, 2012
MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls:
enhancing resident safety in long-term care. J Safety Res. 2011;42(6):…
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psnet.ahrq.gov/node/47513/psn-pdf
October 24, 2021 - Measurement and Monitoring of Safety Framework
October 24, 2021
Healthcare Excellence Canada.
https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-canada-cpsi-safety-improvement-project
Collaboratives are a recognized strategy to support large-scale improvement. This program works to apply
a framework fo…
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psnet.ahrq.gov/node/50919/psn-pdf
October 03, 2013 - SEIPS 2.0: a human factors framework for studying and
improving the work of healthcare professionals and
patients.
October 3, 2013
Holden RJ, Carayon P, Gurses AP, et al. SEIPS 2.0: a human factors framework for studying and
improving the work of healthcare professionals and patients. Ergonomics. 2013;56(11):1669-…
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psnet.ahrq.gov/node/43335/psn-pdf
July 09, 2014 - Wake Up Safe and root cause analysis: quality
improvement in pediatric anesthesia.
July 9, 2014
Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in
pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.0000000000000266.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/39169/psn-pdf
December 09, 2009 - Exploring the concept of medication discrepancy within
the context of patient safety to improve population health.
December 9, 2009
Murphy CR, Corbett CL, Setter SM, et al. Exploring the concept of medication discrepancy within the
context of patient safety to improve population health. ANS Adv Nurs Sci. 2009;32(4)…
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psnet.ahrq.gov/node/45724/psn-pdf
July 21, 2017 - Remembering to learn: the overlooked role of
remembrance in safety improvement.
July 21, 2017
Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual
Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547.
https://psnet.ahrq.gov/issue/remembering-learn-overlooked-role-rem…
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psnet.ahrq.gov/node/41069/psn-pdf
February 21, 2012 - Using the opportunity estimator tool to improve
engagement in a quality and safety intervention.
February 21, 2012
Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve
engagement in a quality and safety intervention. Jt Comm J Qual Patient Saf. 2012;38(1):41-47, 1.
https://p…
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psnet.ahrq.gov/node/43018/psn-pdf
March 19, 2014 - Improved obstetric safety through programmatic
collaboration.
March 19, 2014
Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration.
J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131.
https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
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psnet.ahrq.gov/node/50781/psn-pdf
January 08, 2020 - Harnessing the power of medical malpractice data to
improve patient care.
January 8, 2020
Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care.
J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393.
https://psnet.ahrq.gov/issue/harnessing-power-medic…
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psnet.ahrq.gov/node/38351/psn-pdf
January 21, 2009 - Improving patient understanding of prescription drug
label instructions.
January 21, 2009
Davis TC, Federman AD, Bass PF, et al. Improving patient understanding of prescription drug label
instructions. J Gen Intern Med. 2009;24(1):57-62. doi:10.1007/s11606-008-0833-4.
https://psnet.ahrq.gov/issue/improving-patient…
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psnet.ahrq.gov/node/41453/psn-pdf
November 26, 2014 - Judging whether a patient is actually improving: more
pitfalls from the science of human perception.
November 26, 2014
Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the
science of human perception. J Gen Intern Med. 2012;27(9):1195-9. doi:10.1007/s11606-012-2097-2.…
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psnet.ahrq.gov/node/38746/psn-pdf
July 01, 2009 - Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexisting
hospital electronic health record.
July 1, 2009
Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexist…