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www.ahrq.gov/sops/events/webinars/unc-improvement-stories/index.html
February 01, 2024 - Event Reporting and Learning System Leads to Improvements in Patient Safety Culture (Webcast) … University of North Carolina—Chapel Hill
Implementation of an Event Reporting and Learning System Leads to Improvements … www.youtube-nocookie.com/embed/CJeMuRmkZoE
Implementation of an Event Reporting and Learning System Leads to Improvements
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www.ahrq.gov/patient-safety/about/uni-chicago-medicine.html
February 01, 2024 - and surgical services with the largest volume of PSI #12 cases were selected to implement targeted improvements … The targeted improvements were multifaceted in nature and included, but were not limited to, the following … (see Appendix A for a timeline of these improvements):
Nursing awareness on the importance of adhering … advances occurred in the services and nursing units selected by the taskforce to implement targeted improvements … Appendix A: Timeline for Improvements
Initiative/Intervention
Date of Implementation
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digital.ahrq.gov/ahrq-funded-projects/development-electronic-medical-record-integrated-enhanced-after-visit-summary/citation/patient
January 01, 2023 - Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements … Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements
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psnet.ahrq.gov/issue/compliance-who-surgical-safety-checklist-deviations-and-possible-improvements
September 29, 2017 - Study
Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements … Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements. … The World Health Organization Surgical Safety Checklist has achieved remarkable improvements in patient … Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements.
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psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
January 23, 2019 - Newspaper/Magazine Article
ADC survey shows some improvements, but unnecessary risks … Citation Text:
ADC survey shows some improvements, but unnecessary risks still exist. … URL
Cite
Citation
Citation Text:
ADC survey shows some improvements
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psnet.ahrq.gov/issue/durable-improvements-efficiency-safety-and-satisfaction-operating-room
September 23, 2020 - Study
Durable improvements in efficiency, safety, and satisfaction in the operating … Durable improvements in efficiency, safety, and satisfaction in the operating room. … Durable improvements in efficiency, safety, and satisfaction in the operating room.
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psnet.ahrq.gov/node/860722/psn-pdf
January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest
- Are they useful for improvements? … Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? … https://psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-
improvements … https://psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements … https://psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
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psnet.ahrq.gov/node/851356/psn-pdf
July 12, 2023 - Leveraging the science of teamwork to sustain handoff
improvements in cardiovascular surgery. … Leveraging the science of teamwork to sustain handoff improvements in
cardiovascular surgery. … https://psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular- … https://psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery … https://psnet.ahrq.gov/issue/leveraging-science-teamwork-sustain-handoff-improvements-cardiovascular-surgery
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-unc-webcast-intro.pdf
December 18, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … at UNC Medical Center - Intro
Implementation of an Event Reporting and Learning
System Leads to Improvements
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-acronyms.pdf
June 02, 2025 - These terms are used interchangeably to refer to the organization
implementing the opioid management improvements … Medication treatment for opioid use disorder.
• OIT: Opioid improvement team, which leads the quality improvements … Building Blocks Toolkit 1
• QI lead: The quality improvement lead for implementing opioid management improvements … technologies.
• Tracking and monitoring lead: The person at the organization who will lead quality
improvements
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psnet.ahrq.gov/node/837028/psn-pdf
May 04, 2022 - What is needed to sustain improvements in hospital
practices post-COVID-19? … What is needed to sustain improvements in hospital practices post-COVID-19? … https://psnet.ahrq.gov/issue/what-needed-sustain-improvements-hospital-practices-post-covid-19-
qualitative-study … https://psnet.ahrq.gov/issue/what-needed-sustain-improvements-hospital-practices-post-covid-19-qualitative-study … https://psnet.ahrq.gov/issue/what-needed-sustain-improvements-hospital-practices-post-covid-19-qualitative-study
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-unc-webcast-ginsberg.pdf
June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … HAIs, reduce antibiotic resistance
• Build capacity in the health care system to accelerate safety
improvements
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psnet.ahrq.gov/node/837194/psn-pdf
January 01, 2023 - National improvements in resident physician-reported
patient safety after limiting first-year resident … National improvements in resident physician-reported patient
safety after limiting first-year resident … https://psnet.ahrq.gov/issue/national-improvements-resident-physician-reported-patient-safety-after- … https://psnet.ahrq.gov/issue/national-improvements-resident-physician-reported-patient-safety-after-limiting-first-year … https://psnet.ahrq.gov/issue/national-improvements-resident-physician-reported-patient-safety-after-limiting-first-year
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psnet.ahrq.gov/node/47970/psn-pdf
May 01, 2019 - Can we import improvements from industry to
healthcare?
May 1, 2019
Macrae C, Stewart K. … Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039. … https://psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
Principles from high-risk … https://psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
https://psnet.ahrq.gov/issue
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight11.pdf
September 08, 2015 - How are CHIPRA quality demonstration States using quality reports to drive heatlh care improvements for … How are CHIPRA quality demonstration
States using quality reports to drive health
care improvements … Similarly, North Carolina
made modest but meaningful
improvements in most of the areas it
focused … It is likely that these
improvements represent both an
increase in the provision of needed
services … Conclusion
The six States’ experience with using
reports to drive improvements in
the quality of
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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - dissemination of process improvement tools to support staff skill development and identify sustainable improvements … The program resulted in significant and sustainable improvements to staff confidence and knowledge related … It also contributed to improvements in health outcomes, including healthcare-acquired infection. … A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements
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www.ahrq.gov/practiceimprovement/delivery-initiative/abstract-magill.html
December 01, 2017 - The program aimed to demonstrate improvements in care quality through redesign of care delivery. … Results
The care management program was associated with significant improvements in some clinical quality … Improvements were significant for those PCMH functions emphasized in our Care By Design (CBD) model, … Surveys of providers and staff showed improvements in measures of team development in 2012, but declines
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-3.html
June 01, 2021 - Leadership To Improve Diagnosis: A Call to Action
How Can Leaders Drive Improvements in Diagnostic … How Can Leaders Drive Improvements in Diagnostic Safety?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-unc-webcast-mazur.pdf
June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … C H E A L T H C A R E
Implementation of an Event Reporting and
Learning System Leads to Improvements … recognition,
• Lead by example
Implementation of an Event Reporting and Learning System Leads to Improvements
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psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
December 09, 2020 - A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements … A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements … A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements … More
Related Resources
Leveraging the science of teamwork to sustain handoff improvements