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psnet.ahrq.gov/node/40342/psn-pdf
April 21, 2015 - Counterheroism, common knowledge, and ergonomics:
concepts from aviation that could improve patient safety.
April 21, 2015
Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics:
concepts from aviation that could improve patient safety. Milbank Q. 2011;89(1):4-38. doi:10.1111/…
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psnet.ahrq.gov/node/39483/psn-pdf
May 25, 2010 - Teaching internal medicine residents quality improvement
and patient safety: a lean thinking approach.
May 25, 2010
Kim CS, Lukela MP, Parekh V, et al. Teaching internal medicine residents quality improvement and patient
safety: a lean thinking approach. Am J Med Qual. 2010;25(3):211-7. doi:10.1177/1062860609357466…
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psnet.ahrq.gov/node/43786/psn-pdf
December 17, 2014 - Aviation tools to improve patient safety.
December 17, 2014
Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10.
doi:10.1016/j.jopan.2014.09.004.
https://psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety
The aviation industry offers insights and tools applicable to error…
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psnet.ahrq.gov/node/35019/psn-pdf
June 22, 2009 - Improving patient safety in critical care: big challenge,
exciting opportunity/L'amelioration de la securite des
patients a l'unite des soins intensifs : un grand defi, une
occasion stimulante.
June 22, 2009
Dodek P. Improving patient safety in critical care: big challenge, exciting opportunity. Can J Anaesth.
20…
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psnet.ahrq.gov/node/47414/psn-pdf
May 01, 2019 - Impact of teamwork improvement training on
communication and teamwork climate in ambulatory
reproductive health care.
May 1, 2019
Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and
teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 2019;3…
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psnet.ahrq.gov/node/866651/psn-pdf
September 04, 2024 - Diagnostic Stewardship as a Model to Improve the Quality
and Safety of Diagnosis.
September 4, 2024
Diagnostic Stewardship As A Model To Improve The Quality And Safety Of Diagnosis. Rockville, MD:
Agency for Healthcare Research and Quality; May 2024. AHRQ report no. 24-0010-6-EF
https://psnet.ahrq.gov/issue/diagno…
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psnet.ahrq.gov/node/36838/psn-pdf
April 19, 2011 - A very public failure: lessons for quality improvement in
healthcare organisations from the Bristol Royal Infirmary.
April 19, 2011
Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from
the Bristol Royal Infirmary. Qual Health Care. 2001;10(4):250-6.
https://psn…
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psnet.ahrq.gov/node/46253/psn-pdf
August 28, 2017 - Diagnostic stewardship—leveraging the laboratory to
improve antimicrobial use.
August 28, 2017
Morgan DJ, Malani P, Diekema DJ. Diagnostic Stewardship-Leveraging the Laboratory to Improve
Antimicrobial Use. JAMA. 2017;318(7):607-608. doi:10.1001/jama.2017.8531.
https://psnet.ahrq.gov/issue/diagnostic-stewardship-l…
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psnet.ahrq.gov/node/37947/psn-pdf
May 04, 2010 - Computerized physician order entry of medications and
clinical decision support can improve problem list
documentation compliance.
May 4, 2010
Galanter W, Hier DB, Jao C, et al. Computerized physician order entry of medications and clinical decision
support can improve problem list documentation compliance. Int J …
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psnet.ahrq.gov/node/42135/psn-pdf
April 22, 2013 - Interprofessional education in team communication:
working together to improve patient safety.
April 22, 2013
Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working
together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi:10.1136/bmjqs-2012-000952.
https:/…
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psnet.ahrq.gov/node/44107/psn-pdf
August 15, 2016 - Patient safety and end-of-life care: common issues,
perspectives, and strategies for improving care.
August 15, 2016
Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving
Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/1049909115581847.
https://psnet.ahrq…
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psnet.ahrq.gov/node/46614/psn-pdf
November 29, 2017 - Interventions to improve hand hygiene compliance in the
ICU: a systematic review.
November 29, 2017
Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit
Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691.
https://psnet.ahrq.gov/issue/interventions-improve-hand…
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psnet.ahrq.gov/node/43082/psn-pdf
April 16, 2014 - Improving code team performance and survival
outcomes: implementation of pediatric resuscitation team
training.
April 16, 2014
Knight LJ, Gabhart JM, Earnest KS, et al. Improving code team performance and survival outcomes:
implementation of pediatric resuscitation team training. Crit Care Med. 2014;42(2):243-251.…
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psnet.ahrq.gov/node/40349/psn-pdf
May 11, 2011 - Use of briefings and debriefings as a tool in improving
team work, efficiency, and communication in the
operating theatre.
May 11, 2011
Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work,
efficiency, and communication in the operating theatre. Postgrad Med J. 2…
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psnet.ahrq.gov/node/47971/psn-pdf
June 14, 2019 - Evidence-based medicine: a cornerstone for clinical care
but not for quality improvement.
June 14, 2019
Mondoux S, Shojania KG. Evidence-based medicine: A cornerstone for clinical care but not for quality
improvement. J Eval Clin Pract. 2019;25(3):363-368. doi:10.1111/jep.13135.
https://psnet.ahrq.gov/issue/eviden…
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psnet.ahrq.gov/node/46069/psn-pdf
February 28, 2018 - Strategies for Creating, Sustaining, and Improving a
Culture of Safety in Health Care, Second Edition.
February 28, 2018
Joint Commission Resources. Oak Brook, IL: Joint Commission; 2017. ISBN: 9781599409474.
https://psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care-
seco…
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psnet.ahrq.gov/node/39597/psn-pdf
July 14, 2010 - Ten strategies to improve management of abnormal test
result alerts in the electronic health record.
July 14, 2010
Singh H, Wilson L, Reis B, et al. Ten strategies to improve management of abnormal test result alerts in the
electronic health record. J Patient Saf. 2010;6(2):121-123. doi:10.1097/PTS.0b013e3181ddf652…
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psnet.ahrq.gov/node/46512/psn-pdf
August 17, 2018 - The problem with using patient complaints for
improvement.
August 17, 2018
de Vos MS, Hamming JF, van de Mheen PJM-. The problem with using patient complaints for
improvement. BMJ Qual Saf. 2018;27(9):758-762. doi:10.1136/bmjqs-2017-007463.
https://psnet.ahrq.gov/issue/problem-using-patient-complaints-improvement
…
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psnet.ahrq.gov/node/42739/psn-pdf
May 29, 2014 - An evaluation of a collaborative, safety focused,
nurse–pharmacist intervention for improving the
accuracy of the medication history.
May 29, 2014
Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-
pharmacist intervention for improving the accuracy of the medicat…
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psnet.ahrq.gov/node/836727/psn-pdf
March 09, 2022 - A family and hospital's journey and commitment to
improving diagnostic safety.
March 9, 2022
Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving
diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091.
https://psnet.ahrq.gov/issue/family-an…