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psnet.ahrq.gov/node/867097/psn-pdf
November 06, 2024 - Recommendations but no Action: Improving the
Effectiveness of Quality and Safety Recommendations in
Healthcare.
November 6, 2024
Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations
In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024.
h…
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psnet.ahrq.gov/node/44748/psn-pdf
August 19, 2016 - Beyond clinical engagement: a pragmatic model for
quality improvement interventions, aligning clinical and
managerial priorities.
August 19, 2016
Pannick S, Sevdalis N, Athanasiou T. Beyond clinical engagement: a pragmatic model for quality
improvement interventions, aligning clinical and managerial priorities. BM…
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psnet.ahrq.gov/node/844781/psn-pdf
September 11, 2019 - Implementation and spread of a simple and effective way
to improve the accuracy of medicines reconciliation on
discharge: a hospital-based quality improvement project
and success story.
September 11, 2019
Botros S, Dunn J. Implementation and spread of a simple and effective way to improve the accuracy of
medicine…
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psnet.ahrq.gov/node/44666/psn-pdf
August 01, 2017 - Leveraging trainees to improve quality and safety at the
point of care: three models for engagement.
August 1, 2017
Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care:
Three Models for Engagement. Acad Med. 2016;91(4):503-9. doi:10.1097/ACM.0000000000000975.
https…
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psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review
January 19, 2022 - Review
How well is quality improvement described in the perioperative care literature? A systematic review.
Citation Text:
Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/enhancing-resident-education-embedding-improvement-specialists-quality-and-safety-curriculum
April 24, 2018 - Study
Enhancing resident education by embedding improvement specialists into a quality and safety curriculum.
Citation Text:
Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. J Grad Med Educ. 202…
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psnet.ahrq.gov/issue/crossover-patient-satisfaction-surveys-adverse-events-and-patient-complaints-continuous
July 27, 2022 - Study
Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department.
Citation Text:
Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events and patient complaints…
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psnet.ahrq.gov/issue/chief-residents-quality-improvement-and-patient-safety-recipe-new-role-graduate-medical
August 13, 2014 - Commentary
Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education.
Citation Text:
Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medic…
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psnet.ahrq.gov/issue/how-incorporate-quality-improvement-and-patient-safety-projects-your-training
November 21, 2021 - Commentary
How to incorporate quality improvement and patient safety projects in your training.
Citation Text:
Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.…
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
June 09, 2015 - Review
Classic
Teaching quality improvement and patient safety to trainees: a systematic review.
Citation Text:
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. d…
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psnet.ahrq.gov/node/72824/psn-pdf
March 10, 2021 - Association of a Safety Program for Improving Antibiotic
Use with antibiotic use and hospital-onset Clostridioides
difficile infection rates among US hospitals
March 10, 2021
Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with
antibiotic use and hospital-onset C…
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psnet.ahrq.gov/node/850160/psn-pdf
June 07, 2023 - The Ohio Maternal Safety Quality Improvement Project:
initial results of a statewide perinatal hypertension quality
improvement initiative implemented during the COVID-19
pandemic.
June 7, 2023
Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvement Project: initial
results of a sta…
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psnet.ahrq.gov/node/843052/psn-pdf
January 25, 2023 - Improving communication from hospital to skilled nursing
facility through standardized hand-off: a quality
improvement project.
January 25, 2023
Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through
standardized hand-off: a quality improvement project. Patient Saf…
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psnet.ahrq.gov/node/837305/psn-pdf
June 01, 2022 - Simulating for quality: a centralized quality improvement
and patient safety simulation curriculum for residents and
fellows.
June 1, 2022
Luty JT, Oldham H, Smeraglio A, et al. Simulating for quality: a centralized quality improvement and patient
safety simulation curriculum for residents and fellows. Acad Med. 2…
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psnet.ahrq.gov/node/47532/psn-pdf
November 29, 2018 - Payment innovations to improve diagnostic accuracy and
reduce diagnostic error.
November 29, 2018
Berenson R, Singh H. Payment Innovations To Improve Diagnostic Accuracy And Reduce Diagnostic Error.
Health Aff (Millwood). 2018;37(11):1828-1835. doi:10.1377/hlthaff.2018.0714.
https://psnet.ahrq.gov/issue/payment-in…
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psnet.ahrq.gov/node/854988/psn-pdf
November 01, 2023 - Use of design thinking and human factors approach to
improve situation awareness in the pediatric intensive
care unit.
November 1, 2023
Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve
situation awareness in the pediatric intensive care unit. J Hosp Med. 2023;18(1…
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Value and Patient Safety
Curated Library
Foundations
Safety is the preservation of value.
Vandeskog B. J Safety Res. 2024;89:105-115.
Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among safety
resea…
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psnet.ahrq.gov/node/841150/psn-pdf
December 07, 2022 - Quality improvement as a primary approach to change in
healthcare: a precarious, self-limiting choice?
December 7, 2022
Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious,
self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. doi:10.1136/bmjqs-2021-014447.
https:…
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psnet.ahrq.gov/node/46182/psn-pdf
June 28, 2017 - What we know about designing an effective improvement
intervention (but too often fail to put into practice).
June 28, 2017
Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement
intervention (but too often fail to put into practice). BMJ Qual Saf. 2016;26(7). doi:10.113…
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psnet.ahrq.gov/node/46960/psn-pdf
July 18, 2018 - What every graduating resident needs to know about
quality improvement and patient safety: a content
analysis of 26 sets of ACGME milestones.
July 18, 2018
Lane-Fall MB, Davis JJ, Clapp JT, et al. What Every Graduating Resident Needs to Know About Quality
Improvement and Patient Safety: A Content Analysis of 26 Se…