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psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
November 18, 2015 - Study
Using Six Sigma to reduce medication errors in a home-delivery pharmacy service.
Citation Text:
Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24.
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psnet.ahrq.gov/issue/thoughtless-design-electronic-health-record-drives-overuse-purposeful-design-can-nudge
July 17, 2024 - Commentary
Emerging Classic
Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care.
Citation Text:
Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purp…
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psnet.ahrq.gov/issue/declaring-uncertainty-using-quality-improvement-methods-change-conversation-diagnosis
April 01, 2020 - Study
Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis.
Citation Text:
Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341…
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psnet.ahrq.gov/issue/leveraging-partnership-patients-initiative-improve-patient-safety-and-quality-within-military
September 23, 2020 - Commentary
Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System.
Citation Text:
King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…
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psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
November 29, 2009 - Book/Report
Maximizing the Use of State Adverse Event Data to Improve Patient Safety.
Citation Text:
Maximizing the Use of State Adverse Event Data to Improve Patient Safety. Rosenthal J, Booth M. National Academy for State Health Policy; 2005.
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psnet.ahrq.gov/issue/improving-sepsis-care-through-systems-change-impact-medical-emergency-team
December 02, 2009 - Commentary
Improving sepsis care through systems change: the impact of a medical emergency team.
Citation Text:
Sarani B, Brenner SR, Gabel B, et al. Improving sepsis care through systems change: the impact of a medical emergency team. Jt Comm J Qual Patient Saf. 2008;34(3):179-182, 12…
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psnet.ahrq.gov/issue/increasing-use-smart-pump-drug-libraries-nurses-continuous-quality-improvement-project
September 09, 2020 - Commentary
Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.
Citation Text:
Harding AD. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project. Am J Nurs. 2012;112(1):26-37. doi:10.1097/…
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psnet.ahrq.gov/issue/role-continuous-quality-improvement-and-psychological-safety-predicting-work-arounds
July 31, 2008 - Study
The role of continuous quality improvement and psychological safety in predicting work-arounds.
Citation Text:
Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. do…
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psnet.ahrq.gov/issue/effectiveness-patient-care-teams-and-role-clinical-expertise-and-coordination-literature
December 17, 2009 - Review
Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review.
Citation Text:
Bosch M, Faber MJ, Cruijsberg J, et al. Review article: Effectiveness of patient care teams and the role of clinical expertise and coordination: a literat…
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psnet.ahrq.gov/issue/stop-noise-quality-improvement-project-decrease-electrocardiographic-nuisance-alarms
June 15, 2011 - Commentary
Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms.
Citation Text:
Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15…
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psnet.ahrq.gov/issue/defining-and-measuring-patient-safety
June 16, 2011 - Review
Classic
Defining and measuring patient safety.
Citation Text:
Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin. 2005;21(1):1-19, vii.
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psnet.ahrq.gov/issue/weaving-quality-improvement-and-patient-safety-skills-all-levels-medical-training-annotated
August 09, 2023 - Review
Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography.
Citation Text:
Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Am J Med Qu…
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psnet.ahrq.gov/issue/benefits-and-burdens-working-patient-safety-organizations-under-patient-safety-and-quality
October 14, 2020 - Commentary
The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Imp…
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psnet.ahrq.gov/issue/current-pulse-can-production-system-reduce-medical-errors-health-care
September 09, 2011 - Commentary
Current pulse: can a production system reduce medical errors in health care?
Citation Text:
Printezis A, Gopalakrishnan M. Current pulse: can a production system reduce medical errors in health care? Qual Manag Health Care. 2007;16(3):226-238.
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psnet.ahrq.gov/issue/beliefs-ambulatory-care-physicians-about-accuracy-patient-medication-records-and-technology
December 03, 2014 - Study
Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy.
Citation Text:
Weeks DL, Corbett CF, Stream G. Beliefs of ambulatory care physicians about accuracy of patient medication records and technolo…
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psnet.ahrq.gov/issue/how-will-it-work-qualitative-study-strategic-stakeholders-accounts-patient-safety-initiative
September 02, 2009 - Study
How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative.
Citation Text:
Dixon-Woods M, Tarrant C, Willars J, et al. How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. Qual Saf …
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psnet.ahrq.gov/node/42053/psn-pdf
December 30, 2014 - The role of chief executive officers in a quality
improvement: a qualitative study.
December 30, 2014
Parand A, Dopson S, Vincent CA. The role of chief executive officers in a quality improvement : a
qualitative study. BMJ Open. 2013;3(1). doi:10.1136/bmjopen-2012-001731.
https://psnet.ahrq.gov/issue/role-chief-ex…
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psnet.ahrq.gov/node/38726/psn-pdf
July 13, 2009 - Physician Quality Officer: a new model for engaging
physicians in quality improvement.
July 13, 2009
Walsh KE, Ettinger WH, Klugman R. Physician quality officer: a new model for engaging physicians in
quality improvement. Am J Med Qual. 2009;24(4):295-301. doi:10.1177/1062860609336219.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/35618/psn-pdf
June 24, 2010 - Using a computerized sign-out system to improve
physician–nurse communication.
June 24, 2010
Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse
communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36.
https://psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve…
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psnet.ahrq.gov/node/39719/psn-pdf
July 28, 2010 - Bedside shift report improves patient safety and nurse
accountability.
July 28, 2010
Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency
nursing: JEN : official publication of the Emergency Department Nurses Association. 2010;36(4):355-8.
doi:10.1016/j.jen.2010.03.…