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psnet.ahrq.gov/node/836919/psn-pdf
April 13, 2022 - Psychological intervention to improve communication
and patient safety in obstetrics: examination of the health
action process approach.
April 13, 2022
Derksen C, Kötting L, Keller FM, et al. Psychological intervention to improve communication and patient
safety in obstetrics: examination of the health action proc…
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psnet.ahrq.gov/node/74187/psn-pdf
December 15, 2021 - Real-world virtual patient simulation to improve
diagnostic performance through deliberate practice: a
prospective quasi-experimental study.
December 15, 2021
Kotwal S, Fanai M, Fu W, et al. Real-world virtual patient simulation to improve diagnostic performance
through deliberate practice: a prospective quasi-exp…
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psnet.ahrq.gov/node/46347/psn-pdf
December 22, 2018 - Medication errors in pediatric anesthesia: a report from
the Wake Up Safe quality improvement initiative.
December 22, 2018
M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the
Wake Up Safe quality improvement initiative. Anesth Analg. 2017;125(3):936-942.
do…
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psnet.ahrq.gov/node/48119/psn-pdf
August 07, 2019 - Improving perceptions of patient safety through
standardizing handoffs from the emergency department
to the inpatient setting: a systematic review.
August 7, 2019
Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing
handoffs from the emergency department to the inp…
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psnet.ahrq.gov/node/60899/psn-pdf
September 09, 2020 - Improving transfusion safety in the operating room with a
barcode scanning system designed specifically for the
surgical environment and existing electronic medical
record systems: an interrupted time series analysis.
September 9, 2020
Vanneman MW, Balakrishna A, Lang AL, et al. Improving Transfusion Safety in the…
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psnet.ahrq.gov/node/44122/psn-pdf
January 01, 2016 - Best practices: an electronic drug alert program to
improve safety in an accountable care environment.
November 16, 2015
Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety
in an Accountable Care Environment. J Manag Care Spec Pharm. 2016;21(4):330-336.
doi:10…
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psnet.ahrq.gov/node/837304/psn-pdf
June 01, 2022 - Does standardisation improve post-operative anaesthesia
handoffs? Meta-analyses on provider, patient,
organisational, and handoff outcomes.
June 1, 2022
Lazzara EH, Simonson RJ, Gisick LM, et al. Does standardisation improve post-operative anaesthesia
handoffs? Meta-analyses on provider, patient, organisational, a…
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psnet.ahrq.gov/node/40805/psn-pdf
July 19, 2016 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2011.
July 19, 2016
Oakbrook Terrace, IL: The Joint Commission; September 2011.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2011
This report emphasizes perfor…
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psnet.ahrq.gov/node/73955/psn-pdf
October 13, 2021 - The efficacy of mindful practice in improving diagnosis in
healthcare: a systematic review and evidence synthesis.
October 13, 2021
Pinnock R, Ritchie D, Gallagher S, et al. The efficacy of mindful practice in improving diagnosis in
healthcare: a systematic review and evidence synthesis. Adv Health Sci Educ Theory …
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psnet.ahrq.gov/node/43710/psn-pdf
October 06, 2016 - Improving medication administration safety: using naïve
observation to assess practice and guide improvements
in process and outcomes.
October 6, 2016
Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve
observation to assess practice and guide improvements in process and…
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psnet.ahrq.gov/node/837023/psn-pdf
May 04, 2022 - Examining the effect of quality improvement initiatives on
decreasing racial disparities in maternal morbidity.
May 4, 2022
Davidson C, Denning S, Thorp K, et al. Examining the effect of quality improvement initiatives on
decreasing racial disparities in maternal morbidity. BMJ Qual Saf. 2022;31(9):670-678. doi:10.…
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psnet.ahrq.gov/node/852275/psn-pdf
January 01, 2024 - Improving emergency medicine clinician awareness of
prehospital-administered medications.
August 9, 2023
Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-
administered medications. Prehosp Emerg Care. 2024;28(3):506-512.
doi:10.1080/10903127.2023.2238815.
https://p…
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psnet.ahrq.gov/node/46230/psn-pdf
September 24, 2017 - Challenges and opportunities from the Agency for
Healthcare Research and Quality (AHRQ) research
summit on improving diagnosis: a proceedings review.
September 24, 2017
Henriksen K, Dymek C, Harrison MI, et al. Challenges and opportunities from the Agency for Healthcare
Research and Quality (AHRQ) research summit …
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psnet.ahrq.gov/node/838625/psn-pdf
October 19, 2022 - Improving communication and response to clinical
deterioration to increase patient safety in the intensive
care unit.
October 19, 2022
Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase
patient safety in the intensive care unit. Crit Care Nurse. 2022;42(5):…
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psnet.ahrq.gov/node/844543/psn-pdf
February 15, 2023 - The evolving curriculum in quality improvement and
patient safety in undergraduate and graduate medical
education: a scoping review.
February 15, 2023
Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and
graduate medical education: a scoping review. Am J Med Qual. …
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psnet.ahrq.gov/node/43666/psn-pdf
March 14, 2016 - Interdisciplinary Quality Improvement Conference: using
a revised morbidity and mortality format to focus on
systems-based patient safety issues in a VA hospital:
design and outcomes.
March 14, 2016
Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conference: using a revised
morbidit…
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psnet.ahrq.gov/node/45445/psn-pdf
September 27, 2016 - Using Kotter's change model for implementing bedside
handoff: a quality improvement project.
September 27, 2016
Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality
Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.1097/NCQ.0000000000000212.
https:/…
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psnet.ahrq.gov/node/61115/psn-pdf
November 11, 2020 - Education initiatives in cognitive debiasing to improve
diagnostic accuracy in student providers: a scoping
review.
November 11, 2020
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic
accuracy in student providers: a scoping review. J Am Assoc Nurse Prac…
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psnet.ahrq.gov/node/866962/psn-pdf
October 16, 2024 - Diagnostic Excellence– Age-Friendly Health Systems
(DxEx–AFHS) Seed Grant Program Improving Diagnosis
for Older Adults.
October 16, 2024
Boston, MA: Institute for Healthcare Improvement; September 23, 2024.
https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant-
progra…
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psnet.ahrq.gov/node/47027/psn-pdf
June 19, 2018 - Overdiagnosis and overtreatment as a quality problem:
insights from healthcare improvement research.
June 19, 2018
Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement
research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/bmjqs-2017-007571.
https://psnet.ahrq.go…