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psnet.ahrq.gov/node/40824/psn-pdf
October 05, 2011 - Quality improvement project to reduce perioperative
opioid oversedation events in a paediatric hospital.
October 5, 2011
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid
oversedation events in a paediatric hospital. BMJ Qual Saf. 2011;20(10):895-902.
doi:10.1136/bmj…
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psnet.ahrq.gov/node/36754/psn-pdf
August 09, 2011 - Improving patient safety and communication through care
rounds in a pediatric oncology outpatient clinic.
August 9, 2011
Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric
oncology outpatient clinic. J Nurs Care Qual. 2007;22(2):159-63.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/37071/psn-pdf
September 30, 2011 - Improving patient safety in radiotherapy by learning from
near misses, incidents and errors.
September 30, 2011
Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br
J Radiol. 2007;80(953):297-301.
https://psnet.ahrq.gov/issue/improving-patient-safety-radiother…
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psnet.ahrq.gov/node/839832/psn-pdf
November 09, 2022 - Diagnostic Safety Centers of Excellence.
November 9, 2022
Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
https://psnet.ahrq.gov/issue/diagnostic-safety-centers-excellence
Diagnostic improvement engages a variety of activities to achieve excellence. This announcement
highlights ten organiz…
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psnet.ahrq.gov/node/38141/psn-pdf
October 22, 2008 - Standardised proformas improve patient handover: audit
of trauma handover practice.
October 22, 2008
Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma
handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24.
https://psnet.ahrq.gov/issue/standar…
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psnet.ahrq.gov/node/37038/psn-pdf
September 16, 2011 - Does simulation improve patient safety?: self-efficacy,
competence, operational performance, and patient safety.
September 16, 2011
Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence,
operational performance, and patient safety. Anesthesiol Clin. 2007;25(2):225-36.
…
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psnet.ahrq.gov/node/40262/psn-pdf
March 02, 2011 - Leading clinical handover improvement: a change
strategy to implement best practices in the acute care
setting.
March 2, 2011
Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18.
doi:10.1097/pts.0b013e31820c98a8.
https://psnet.ahrq.gov/issue/leading-clinical-handover-impro…
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psnet.ahrq.gov/node/41683/psn-pdf
September 19, 2012 - Techniques to improve patient safety in hospitals: what
nurse administrators need to know.
September 19, 2012
Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J
Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5.
https://psnet.ahrq.gov/issue/technique…
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psnet.ahrq.gov/node/36863/psn-pdf
August 29, 2011 - Embedding quality improvement and patient safety at
Liverpool Women's NHS Foundation Trust.
August 29, 2011
Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation
Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607.
https://psnet.ahrq.gov/issue/embedding-qual…
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psnet.ahrq.gov/node/36613/psn-pdf
January 14, 2011 - Patient safety rounds: description of an inexpensive but
important strategy to improve the safety culture.
January 14, 2011
Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to
improve the safety culture. Am J Med Qual. 2007;22(1):26-33.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/37233/psn-pdf
December 15, 2011 - Nurses improve medication safety with medication allergy
and adverse drug reports.
December 15, 2011
Valente S, Murray L, Fisher D. Nurses improve medication safety with medication allergy and adverse drug
reports. J Nurs Care Qual. 2007;22(4):322-7.
https://psnet.ahrq.gov/issue/nurses-improve-medication-safety-me…
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psnet.ahrq.gov/node/42328/psn-pdf
June 28, 2013 - Handoff checklists improve the reliability of patient
handoffs in the operating room and postanesthesia care
unit.
June 28, 2013
Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and
postanesthesia care unit. Paediatr Anaesth. 2013;23(7):647-54. doi:10.1111/pa…
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psnet.ahrq.gov/node/36924/psn-pdf
April 21, 2011 - A cluster randomized clinical trial to improve prescribing
patterns in ambulatory pediatrics.
April 21, 2011
Davis RL, Wright J, Chalmers F, et al. A cluster randomized clinical trial to improve prescribing patterns in
ambulatory pediatrics. PLoS Clin Trials. 2007;2(5):e25.
https://psnet.ahrq.gov/issue/cluster-ran…
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psnet.ahrq.gov/node/43315/psn-pdf
May 10, 2016 - Chief resident for quality improvement and patient safety:
a description.
May 10, 2016
Cox LAM, Fanucchi LC, Sinex NC, et al. Chief resident for quality improvement and patient safety: a
description. Am J Med. 2014;127(6):565-8. doi:10.1016/j.amjmed.2014.02.034.
https://psnet.ahrq.gov/issue/chief-resident-quality-…
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psnet.ahrq.gov/node/41234/psn-pdf
July 02, 2014 - The patient handoff: a comprehensive curricular blueprint
for resident education to improve continuity of care.
July 2, 2014
Wohlauer M, Arora V, Horwitz LI, et al. The patient handoff: a comprehensive curricular blueprint for
resident education to improve continuity of care. Acad Med. 2012;87(4):411-8.
doi:10.109…
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psnet.ahrq.gov/node/42370/psn-pdf
June 19, 2013 - Resident Projects for Improvement.
June 19, 2013
Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of
New Mexico; May 2013.
https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition
This publication outlines quality and safety improvement proj…
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psnet.ahrq.gov/node/37094/psn-pdf
February 01, 2011 - Improving patient care by linking evidence-based
medicine and evidence-based management.
February 1, 2011
Shortell SM, Rundall TG, Hsu J. Improving Patient Care by Linking Evidence-Based Medicine and
Evidence-Based Management. JAMA. 2007;298(6). doi:10.1001/jama.298.6.673.
https://psnet.ahrq.gov/issue/improving-pa…
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psnet.ahrq.gov/node/40677/psn-pdf
August 10, 2011 - Board quality scorecards: measuring improvement.
August 10, 2011
Goeschel CA, Berenholtz SM, Culbertson R, et al. Board quality scorecards: measuring improvement. Am
J Med Qual. 2011;26(4):254-60. doi:10.1177/1062860610389324.
https://psnet.ahrq.gov/issue/board-quality-scorecards-measuring-improvement
Hospital boa…
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psnet.ahrq.gov/node/837981/psn-pdf
August 31, 2022 - Improving medication reconciliation in hospitals.
August 31, 2022
Schnipper JL. Ann Intern Med. 2022;175(8):ho2-ho3.
https://psnet.ahrq.gov/issue/improving-medication-reconciliation-hospitals
Medication reconciliation is a primary method for improving the safety of medication administration in acute
care. Thi…
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psnet.ahrq.gov/node/41346/psn-pdf
May 02, 2012 - Team mental models and their potential to improve
teamwork and safety: a review and implications for future
research in healthcare.
May 2, 2012
Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A
review and implications for future research in healthcare. Safety Sci. 201…