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psnet.ahrq.gov/issue/new-frontier-patient-safety
February 03, 2011 - Commentary
A new frontier in patient safety.
Citation Text:
McCannon J, Berwick DM. A new frontier in patient safety. JAMA. 2011;305(21):2221-2. doi:10.1001/jama.2011.742.
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psnet.ahrq.gov/issue/getting-board-board-what-your-board-needs-know-about-quality-and-safety-third-edition
February 28, 2018 - Book/Report
Getting the Board on Board: What Your Board Needs to Know About Quality and Safety, Third Edition.
Citation Text:
Getting the Board on Board: What Your Board Needs to Know About Quality and Safety, Third Edition. Oak Brook, IL; Joint Commission; 2016. ISBN: 9781599409412.
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psnet.ahrq.gov/issue/health-it-safety-center-roadmap
June 29, 2016 - Government Resource
Health IT Safety Center Roadmap.
Citation Text:
Health IT Safety Center Roadmap. RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015.
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psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
April 18, 2018 - Study
Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study.
Citation Text:
Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:3…
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psnet.ahrq.gov/issue/teamwork-toolkit
July 21, 2021 - Toolkit
Teamwork Toolkit.
Citation Text:
Teamwork Toolkit. Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019.
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psnet.ahrq.gov/issue/transformational-effort-patient-safety
October 05, 2022 - Book/Report
A Transformational Effort on Patient Safety.
Citation Text:
A Transformational Effort on Patient Safety. Subgroup on Patient Safety. Washington DC: President’s Council of Advisors on Science and Technology; September 2023.
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psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture
August 29, 2017 - Book/Report
Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture.
Citation Text:
Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. Krause TR, Hidley J. Hoboken, NJ: Wiley; 2008. ISBN: 9780470225394.…
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psnet.ahrq.gov/node/43401/psn-pdf
August 02, 2015 - Morning handover of on-call issues: opportunities for
improvement.
August 2, 2015
Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement.
JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033.
https://psnet.ahrq.gov/issue/morning-handover-call-issu…
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psnet.ahrq.gov/node/37843/psn-pdf
March 04, 2011 - Front-line staff perspectives on opportunities for
improving the safety and efficiency of hospital work
systems.
March 4, 2011
Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety
and efficiency of hospital work systems. Health Serv Res. 2008;43(5 Pt 2):1807…
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psnet.ahrq.gov/node/46660/psn-pdf
October 18, 2018 - Using a network organisational architecture to support
the development of Learning Healthcare Systems.
October 18, 2018
Britto MT, Fuller SC, Kaplan HC, et al. Using a network organisational architecture to support the
development of Learning Healthcare Systems. BMJ Qual Saf. 2018;27(11). doi:10.1136/bmjqs-2017-
0…
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psnet.ahrq.gov/node/849595/psn-pdf
May 31, 2023 - Effect of an emergency department process improvement
package on suicide prevention: the ED-SAFE 2 cluster
randomized clinical trial.
May 31, 2023
Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement
package on suicide prevention: the ED-SAFE 2 cluster randomized c…
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psnet.ahrq.gov/node/39101/psn-pdf
March 05, 2010 - Interventions to improve team effectiveness: a systematic
review.
March 5, 2010
Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Interventions to improve team
effectiveness: a systematic review. Health Policy (New York). 2010;94(3):183-95.
doi:10.1016/j.healthpol.2009.09.015.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/41280/psn-pdf
December 31, 2014 - Intensive care unit nurses' information needs and
recommendations for integrated displays to improve
nurses' situation awareness.
December 31, 2014
Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for
integrated displays to improve nurses' situation awareness. J Am …
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psnet.ahrq.gov/node/867223/psn-pdf
December 04, 2024 - "It is not the fault of the health care team - it is the way the
system works": a mixed-methods quality improvement
study of patients with advanced cancer and family
members reveals challenges navigating a fragmented
healthcare system and the administrative and financial
burdens of care.
December 4, 2024
Dillon …
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psnet.ahrq.gov/node/73130/psn-pdf
January 01, 2022 - Improving peripherally inserted central catheter
appropriateness and reducing device-related
complications: a quasiexperimental study in 52 Michigan
hospitals.
April 14, 2021
Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness
and reducing device-related compl…
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psnet.ahrq.gov/node/43301/psn-pdf
May 01, 2015 - Walkrounds in practice: corrupting or enhancing a quality
improvement intervention? A qualitative study.
May 1, 2015
Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality
improvement intervention? A qualitative study. Jt Comm J Qual Patient Saf. 2014;40(7):303-310.
htt…
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psnet.ahrq.gov/node/44411/psn-pdf
May 09, 2017 - Separating residents' inpatient and outpatient
responsibilities: improving patient safety, learning
environments, and relationships with continuity patients.
May 9, 2017
Bates CK, Yang J, Huang GC, et al. Separating Residents' Inpatient and Outpatient Responsibilities:
Improving Patient Safety, Learning Environmen…
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psnet.ahrq.gov/issue/developing-medical-emergency-team-running-sheet-improve-clinical-handoff-and-documentation
June 26, 2024 - Study
Developing a medical emergency team running sheet to improve clinical handoff and documentation.
Citation Text:
Mardegan K, Heland M, Whitelock T, et al. Developing a medical emergency team running sheet to improve clinical handoff and documentation. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
August 04, 2021 - Study
Applying root cause analysis to improve patient safety: decreasing falls in postpartum women.
Citation Text:
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:10.113…
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psnet.ahrq.gov/issue/improving-alarm-performance-medical-intensive-care-unit-using-delays-and-clinical-context
December 31, 2014 - Study
Improving alarm performance in the medical intensive care unit using delays and clinical context.
Citation Text:
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…