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psnet.ahrq.gov/node/45787/psn-pdf
February 01, 2017 - Infusion medication error reduction by two-person
verification: a quality improvement initiative.
February 1, 2017
Subramanyam R, Mahmoud M, Buck D, et al. Infusion Medication Error Reduction by Two-Person
Verification: A Quality Improvement Initiative. Pediatrics. 2016;138(6).
https://psnet.ahrq.gov/issue/infusio…
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psnet.ahrq.gov/node/853066/psn-pdf
August 30, 2023 - Opportunities to improve diagnosis in emergency
transfers to the pediatric intensive care unit.
August 30, 2023
Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the
pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. doi:10.1002/jhm.13103.
https://psn…
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psnet.ahrq.gov/node/34916/psn-pdf
March 09, 2009 - Using a claims data-based sentinel system to improve
compliance with clinical guidelines: results of a
randomized prospective study.
March 9, 2009
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance
with clinical guidelines: results of a randomized prospective st…
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psnet.ahrq.gov/node/39872/psn-pdf
February 25, 2013 - The Essential Guide for Patient Safety Officers, Second
Edition.
February 25, 2013
Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute
for Healthcare Improvement; 2013. ISBN: 9781599407036.
https://psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-se…
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psnet.ahrq.gov/node/45014/psn-pdf
July 18, 2016 - Improving patient safety through simulation training in
anesthesiology: where are we?
July 18, 2016
Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology:
Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.
https://psnet.ahrq.gov/issue/impro…
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psnet.ahrq.gov/node/863222/psn-pdf
February 28, 2024 - Systematic review of morbidity and mortality meeting
standardization: does it lead to improved professional
development, system improvements, clinician
engagement, and enhanced patient safety culture?
February 28, 2024
Steel EJ, Janda M, Jamali S, et al. Systematic review of morbidity and mortality meeting standar…
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psnet.ahrq.gov/node/46291/psn-pdf
July 26, 2017 - Experiences with Lean Six Sigma as improvement
strategy to reduce parenteral medication administration
errors and associated potential risk of harm.
July 26, 2017
van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to
reduce parenteral medication administration erro…
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psnet.ahrq.gov/node/842428/psn-pdf
January 11, 2023 - The development of the concept of return-on-investment
from large-scale quality improvement programmes in
healthcare: an integrative systematic literature review.
January 11, 2023
Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-
investment from large-scale quality i…
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psnet.ahrq.gov/node/74720/psn-pdf
February 02, 2022 - Improving medical residents’ self-assessment of their
diagnostic accuracy: does feedback help?
February 2, 2022
Kuhn J, van den Berg P, Mamede S, et al. Improving medical residents’ self-assessment of their diagnostic
accuracy: does feedback help? Adv Health Sci Edu. 2022;27(1):189-200. doi:10.1007/s10459-021-10080…
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psnet.ahrq.gov/node/35670/psn-pdf
June 28, 2010 - Quality improvement implementation and hospital
performance on patient safety indicators.
June 28, 2010
Weiner BJ, Alexander JA, Baker LC, et al. Quality improvement implementation and hospital performance
on patient safety indicators. Med Care Res Rev. 2006;63(1):29-57.
https://psnet.ahrq.gov/issue/quality-improv…
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psnet.ahrq.gov/node/41920/psn-pdf
October 08, 2013 - Review of computerized physician handoff tools for
improving the quality of patient care.
October 8, 2013
Li P, Ali S, Tang C, et al. Review of computerized physician handoff tools for improving the quality of
patient care. J Hosp Med. 2013;8(8):456-63. doi:10.1002/jhm.1988.
https://psnet.ahrq.gov/issue/review-com…
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psnet.ahrq.gov/node/45214/psn-pdf
July 13, 2016 - Recognizing quality improvement and patient safety
activities in academic promotion in departments of
medicine: innovative language in promotion criteria.
July 13, 2016
Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in
Academic Promotion in Departments of Medici…
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psnet.ahrq.gov/node/44092/psn-pdf
November 16, 2015 - Does lean management improve patient safety culture?
An extensive evaluation of safety culture in a
radiotherapy institute.
November 16, 2015
Simons P, Houben R, Vlayen A, et al. Does lean management improve patient safety culture? An extensive
evaluation of safety culture in a radiotherapy institute. Eur J Oncol …
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psnet.ahrq.gov/node/44444/psn-pdf
September 02, 2015 - Clinical communities at Johns Hopkins Medicine: an
emerging approach to quality improvement.
September 2, 2015
Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An
Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;41(9):387-395.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/866866/psn-pdf
October 02, 2024 - New Analysis Shows Hospitals Improving Performance
on Key Patient Safety Measures Surpassing Pre-
pandemic Levels.
October 2, 2024
New Analysis Shows Hospitals Improving Performance On Key Patient Safety Measures Surpassing Pre-
Pandemic Levels. Chicago, IL: American Hospital Association; September 2024.
https://…
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psnet.ahrq.gov/node/43382/psn-pdf
September 17, 2014 - Using improvement science methods to increase
accuracy of surgical consents.
September 17, 2014
Mercurio P, Ellis AS, Schoettker PJ, et al. Using improvement science methods to increase accuracy of
surgical consents. AORN J. 2014;100(1):42-53. doi:10.1016/j.aorn.2013.07.023.
https://psnet.ahrq.gov/issue/using-impr…
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psnet.ahrq.gov/issue/role-chief-executive-officers-quality-improvement-qualitative-study
September 17, 2014 - Study
The role of chief executive officers in a quality improvement: a qualitative study.
Citation Text:
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.
Copy Citat…
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2012
November 02, 2012 - Book/Report
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.
Citation Text:
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012. Oakbrook Terrace, IL: The Joint Commission; September 2012.
C…
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psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcements-understand-and-improve-diagnostic
August 15, 2018 - Press Release/Announcement
Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care.
Citation Text:
Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory …
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psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18-0
January 11, 2023 - Grant Announcement
Making Health Care Safer in Ambulatory Care Settings and Long-term Care Facilities (R18).
Citation Text:
Making Health Care Safer in Ambulatory Care Settings and Long-term Care Facilities (R18). Rockville, MD: Agency for Healthcare Research and Quality; September 9, 20…