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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/42019/psn-pdf
December 29, 2014 - Can incident reporting improve safety? Healthcare
practitioners' views of the effectiveness of incident
reporting.
December 29, 2014
Anderson JE, Kodate N, Walters R, et al. Can incident reporting improve safety? Healthcare practitioners'
views of the effectiveness of incident reporting. Int J Qual Health Care. 20…
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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/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…
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psnet.ahrq.gov/node/34747/psn-pdf
August 04, 2009 - The Improvement Guide: A Practical Approach to
Enhancing Organizational Performance. 2nd ed.
August 4, 2009
Langley GJ, Moen R, Nolan KM, et al. Hoboken, NJ: Jossey-Bass; 2009. ISBN: 9780470430880.
https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-
2nd-ed
Effec…
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psnet.ahrq.gov/node/41685/psn-pdf
July 02, 2014 - Faculty member review and feedback using a sign-out
checklist: improving intern written sign-out.
July 2, 2014
Bump GM, Bost JE, Buranosky R, et al. Faculty member review and feedback using a sign-out checklist:
improving intern written sign-out. Acad Med. 2012;87(8):1125-31. doi:10.1097/ACM.0b013e31825d1215.
http…
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psnet.ahrq.gov/node/50709/psn-pdf
December 04, 2019 - Cognitive engineering to improve patient safety and
outcomes in cardiothoracic surgery
December 4, 2019
Zenati MA, Kennedy-Metz L, Dias RD. Cognitive Engineering to Improve Patient Safety and Outcomes in
Cardiothoracic Surgery. Semin Thorac Cardiovasc Surg. 2019. doi:10.1053/j.semtcvs.2019.10.011.
https://psnet.ah…
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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/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/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/844556/psn-pdf
February 15, 2023 - Using Machine Learning to Improve Patient Safety in the
Home or Remote Setting for Adults.
February 15, 2023
Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcare Improvement; 2022.
https://psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
T…
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psnet.ahrq.gov/node/37422/psn-pdf
March 23, 2011 - Educational quality improvement report: outcomes from a
revised morbidity and mortality format that emphasised
patient safety.
March 23, 2011
Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised
morbidity and mortality format that emphasised patient safety. Qual S…
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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/43231/psn-pdf
July 28, 2014 - Disclosure of adverse events and errors in surgical care:
challenges and strategies for improvement.
July 28, 2014
Lipira LE, Gallagher TH. Disclosure of adverse events and errors in surgical care: challenges and
strategies for improvement. World J Surg. 2014;38(7):1614-21. doi:10.1007/s00268-014-2564-5.
https://p…
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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/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/74703/psn-pdf
January 26, 2022 - Research to improve diagnosis: time to study the real
world.
January 26, 2022
Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf.
2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071.
https://psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world
Diagnostic …
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psnet.ahrq.gov/node/40758/psn-pdf
September 07, 2011 - A review of educational strategies to improve nurses'
roles in recognizing and responding to deteriorating
patients.
September 7, 2011
Liaw SY, Scherpbier A, Klainin-Yobas P, et al. A review of educational strategies to improve nurses' roles
in recognizing and responding to deteriorating patients. Int Nurs Rev. 20…
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psnet.ahrq.gov/node/42617/psn-pdf
January 24, 2018 - Improving Your Office Testing Process: A Step by Step
Guide for Rapid-Cycle Patient Safety and Quality
Improvement.
January 24, 2018
Rockville, MD: Agency for Healthcare Research and Quality; January 2018.
https://psnet.ahrq.gov/issue/improving-your-office-testing-process-step-step-guide-rapid-cycle-patient-
safe…