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psnet.ahrq.gov/node/40741/psn-pdf
August 31, 2011 - Rethinking peer review: what aviation can teach radiology
about performance improvement.
August 31, 2011
Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance
improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222.
https://psnet.ahrq.gov/issue/rethinking-…
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psnet.ahrq.gov/node/47354/psn-pdf
November 21, 2018 - Improving Diagnosis in Medicine Change Package.
November 21, 2018
Chicago, IL: Health Research & Educational Trust; 2018.
https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
Proactive identification of conditions that degrade the diagnostic process can drive improvement. This
toolkit provides …
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psnet.ahrq.gov/node/41200/psn-pdf
January 03, 2017 - Implementing a perioperative handoff tool to improve
postprocedural patient transfers.
January 3, 2017
Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve
postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42.
https://psnet.ahrq.gov/issue/implement…
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psnet.ahrq.gov/node/33874/psn-pdf
February 01, 2019 - Building Systems Citizenship in Health Professions
Education: The Continued Call for Health Systems
Science Curricula
February 1, 2019
Gonzalo JD, Singh MK. Building Systems Citizenship in Health Professions Education: The Continued Call
for Health Systems Science Curricula. PSNet [internet]. 2019.
https://psnet.…
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psnet.ahrq.gov/issue/what-happened-patient-safety
August 23, 2007 - Audiovisual
What Happened to Patient Safety.
Citation Text:
What Happened to Patient Safety. Sheridan S. Turn on the Lights. Institute for Healthcare Improvement. May 2023
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psnet.ahrq.gov/issue/daisy-award-extraordinary-nurses-patient-safety
June 28, 2018 - Award Announcement
DAISY Award for Extraordinary Nurses in Patient Safety.
Citation Text:
DAISY Award for Extraordinary Nurses in Patient Safety. The Daisy Foundation and Institute for Healthcare Improvement.
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psnet.ahrq.gov/issue/using-human-factors-engineering-improve-patient-safety-second-edition
May 18, 2016 - Book/Report
Using Human Factors Engineering to Improve Patient Safety, Second edition.
Citation Text:
Using Human Factors Engineering to Improve Patient Safety, Second edition. Gosbee JW, Gosbee LL. Oakbrook, IL: Joint Commission; 2010. ISBN: 9781599404110.
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psnet.ahrq.gov/issue/developing-common-language-evaluation-questions-quality-and-safety-improvement
September 27, 2016 - Review
Developing a common language for evaluation questions in quality and safety improvement.
Citation Text:
Developing a common language for evaluation questions in quality and safety improvement. Lambert MF; Shearer H.
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psnet.ahrq.gov/issue/leadership-guide-patient-safety-resources-and-tools-establishing-and-maintaining-patient
November 18, 2011 - Book/Report
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.
Citation Text:
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. Botwinick L, Bisognano M, Haraden C. Cambr…
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psnet.ahrq.gov/node/840259/psn-pdf
November 16, 2022 - Clinician collaboration to improve clinical decision
support: the Clickbusters initiative.
November 16, 2022
Mc Coy AB, Russo EM, Johnson KB, et al. Clinician collaboration to improve clinical decision support: the
Clickbusters initiative. J Am Med Inform Assoc. Epub 2022 Mar 4
https://psnet.ahrq.gov/innovation/cl…
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psnet.ahrq.gov/node/43286/psn-pdf
June 25, 2014 - Codifying knowledge to improve patient safety: a
qualitative study of practice-based interventions.
June 25, 2014
Turner S, Higginson J, Oborne A, et al. Codifying knowledge to improve patient safety: a qualitative study
of practice-based interventions. Soc Sci Med. 2014;113:169-76. doi:10.1016/j.socscimed.2014.05.…
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psnet.ahrq.gov/node/40955/psn-pdf
March 08, 2017 - Kaiser Permanente's performance improvement system,
part 4: creating a learning organization.
March 8, 2017
Schilling L, Dearing JW, Staley P, et al. Kaiser Permanente's performance improvement system, Part 4:
Creating a learning organization. Jt Comm J Qual Patient Saf. 2011;37(12):532-43.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/42057/psn-pdf
February 20, 2013 - Improving patient safety in the operating theatre and
perioperative care: obstacles, interventions, and priorities
for accelerating progress.
February 20, 2013
Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care:
obstacles, interventions, and priorities for acc…
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psnet.ahrq.gov/node/37261/psn-pdf
December 19, 2011 - Creating complex health improvement programs as
mindful organizations: from theory to action.
December 19, 2011
Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from
theory to action. J Health Organ Manag. 2007;21(2):166-83.
https://psnet.ahrq.gov/issue/creating-complex…
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psnet.ahrq.gov/node/40506/psn-pdf
June 08, 2011 - Evaluation of a preoperative team briefing: a new
communication routine results in improved clinical
practice.
June 8, 2011
Lingard LA, Regehr G, Cartmill C, et al. Evaluation of a preoperative team briefing: a new communication
routine results in improved clinical practice. BMJ Qual Saf. 2011;20(6):475-82.
doi:1…
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psnet.ahrq.gov/node/39439/psn-pdf
May 10, 2010 - Improving insulin distribution and administration safety
using Lean Six Sigma methodologies.
May 10, 2010
Yamamoto J, Abraham D, Malatestinic B. Improving Insulin Distribution and Administration Safety Using
Lean Six Sigma Methodologies. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-212.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/41140/psn-pdf
February 15, 2012 - Is the maturity of hospitals' quality improvement systems
associated with measures of quality and patient safety?
February 15, 2012
Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated
with measures of quality and patient safety? BMC Health Serv Res. 2011;11:344.…
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psnet.ahrq.gov/node/45998/psn-pdf
April 19, 2017 - Learning and mindfulness: improving perioperative
patient safety.
April 19, 2017
Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J.
2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006.
https://psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patie…
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psnet.ahrq.gov/node/42207/psn-pdf
April 24, 2013 - Patient safety and quality improvement education: a
cross-sectional study of medical students' preferences
and attitudes.
April 24, 2013
Teigland CL, Blasiak RC, Wilson LA, et al. Patient safety and quality improvement education: a cross-
sectional study of medical students' preferences and attitudes. BMC Med Educ…
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psnet.ahrq.gov/node/35039/psn-pdf
February 24, 2019 - Managing unnecessary variability in patient demand to
reduce nursing stress and improve patient safety.
February 24, 2019
Litvak E, Buerhaus P, Davidoff F, et al. Managing unnecessary variability in patient demand to reduce
nursing stress and improve patient safety. Jt Comm J Qual Patient Saf. 2005;31(6):330-8.
ht…