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psnet.ahrq.gov/issue/embedding-quality-improvement-and-patient-safety-liverpool-womens-nhs-foundation-trust
September 09, 2008 - Commentary
Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust.
Citation Text:
Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607.
Co…
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psnet.ahrq.gov/issue/quality-and-safety-pediatric-anesthesia-how-can-guidelines-checklists-and-initiatives-improve
December 11, 2024 - Review
Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome?
Citation Text:
Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? Curr…
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psnet.ahrq.gov/issue/abc-handover-impact-shift-handover-emergency-department
June 17, 2010 - Study
'The ABC of Handover': impact on shift handover in the emergency department.
Citation Text:
Farhan M, Brown R, Vincent CA, et al. The ABC of handover: impact on shift handover in the emergency department. Emerg Med J. 2012;29(12):947-53. doi:10.1136/emermed-2011-200201.
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psnet.ahrq.gov/issue/bedside-handover-quality-improvement-strategy-transform-care-bedside
October 27, 2010 - Commentary
Bedside handover: quality improvement strategy to "transform care at the bedside."
Citation Text:
Chaboyer W, McMurray A, Johnson J, et al. Bedside handover: quality improvement strategy to "transform care at the bedside". J Nurs Care Qual. 2009;24(2):136-42. doi:10.1097/01…
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psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal
April 08, 2011 - Commentary
A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary.
Citation Text:
Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Qual Heal…
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psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
June 21, 2016 - Study
Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma.
Citation Text:
Haut ER, Lau BD, Kraenzlin FS, et al. Improved prophylaxis and decreased rates o…
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psnet.ahrq.gov/issue/creating-safety-culture-childrens-and-womens-health-centre-british-columbia
June 03, 2020 - Commentary
Creating a safety culture at the Children's and Women's Health Centre of British Columbia.
Citation Text:
Verschoor KN, Taylor A, Northway TL, et al. Creating a safety culture at the Children's and Women's Health Centre of British Columbia. J Pediatr Nurs. 2007;22(1):81-6.
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psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
January 19, 2022 - Commentary
Sharing the process of diagnostic decision making.
Citation Text:
Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929.
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psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments-sociotechnical
August 09, 2017 - Commentary
Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding of safety culture.
Citation Text:
Naevestad T-O. Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding of…
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psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
January 17, 2018 - Commentary
Not thinking clearly? Play a game, seriously!
Citation Text:
Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-1868. doi:10.1001/jama.2016.14174.
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psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and
August 12, 2020 - Commentary
Systems approach and systems engineering applied to health care: improving patient safety and health care delivery.
Citation Text:
Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Ravitz AD, Sapirstein A, Pha…
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psnet.ahrq.gov/issue/public-comment-period-extended-strategies-improve-patient-safety-draft-report-congress-public
June 16, 2021 - Press Release/Announcement
Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine.
Citation Text:
Public comment period extended for strategies to improve patient safety: Draft Re…
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psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
August 30, 2023 - Commentary
The morbidity and mortality meeting: time for a different approach?
Citation Text:
Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-8. doi:10.1136/archdischild-2015-309536.
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psnet.ahrq.gov/issue/moderate-success-quality-care-improvement-efforts-three-observations-situation
May 06, 2015 - Commentary
The moderate success of quality of care improvement efforts: three observations on the situation.
Citation Text:
Katz-Navon T, Naveh E, Stern Z. The moderate success of quality of care improvement efforts: three observations on the situation. International Journal for Qualit…
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psnet.ahrq.gov/issue/using-standardized-or-checklists-and-creating-extended-time-out-checklists
February 15, 2011 - Commentary
Using standardized OR checklists and creating extended time-out checklists.
Citation Text:
Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007.
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psnet.ahrq.gov/node/41330/psn-pdf
July 15, 2019 - Improving Safety in Maternity Services: a Toolkit for
Teams.
July 15, 2019
Thomas V, Dixon A. London, UK: The King's Fund; March 2012. ISBN: 9781857176384.
https://psnet.ahrq.gov/issue/improving-safety-maternity-services-toolkit-teams
This publication discusses how to improve teamwork, communication, training, gui…
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psnet.ahrq.gov/node/37372/psn-pdf
August 06, 2008 - Hospitals look to improve informed consent process.
August 6, 2008
O'Reilly KB.
https://psnet.ahrq.gov/issue/hospitals-look-improve-informed-consent-process
This article discusses the impact of health literacy on patient care and describes initiatives to improve
patients' comprehension of informed consent for proc…
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psnet.ahrq.gov/node/41527/psn-pdf
July 18, 2012 - Improving Transitions of Care: Hand-off Communications.
July 18, 2012
Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; June 2012.
https://psnet.ahrq.gov/issue/improving-transitions-care-hand-communications
This tool describes factors that contribute to incomplete handoffs and recommends ta…
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psnet.ahrq.gov/issue/explicit-and-standardized-prescription-medicine-instructions
May 01, 2015 - Fact Sheet/FAQs
Explicit and Standardized Prescription Medicine Instructions.
Citation Text:
Explicit and Standardized Prescription Medicine Instructions. Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
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psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens
May 08, 2013 - Book/Report
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens.
Citation Text:
Identifying Risks and Monitoring Safety: the Role of Patients and Citizens. O'Hara J, Isden R. London, UK: Health Foundation; October 2013.
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