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psnet.ahrq.gov/node/40177/psn-pdf
June 08, 2011 - Learning from disasters to improve patient safety:
applying the generic disaster pathway to health system
errors.
June 8, 2011
Travaglia J, Hughes C, Braithwaite J. Learning from disasters to improve patient safety: applying the
generic disaster pathway to health system errors. BMJ Qual Saf. 2011;20(1):1-8.
doi:1…
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psnet.ahrq.gov/node/44637/psn-pdf
January 22, 2016 - The morbidity and mortality conference in pediatric
intensive care as a means for improving patient safety.
January 22, 2016
Frey B, Doell C, Klauwer D, et al. The Morbidity and Mortality Conference in Pediatric Intensive Care as a
Means for Improving Patient Safety. Pediatr Crit Care Med. 2016;17(1):67-72.
doi:10…
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psnet.ahrq.gov/node/863757/psn-pdf
March 06, 2024 - Debriefing to improve interprofessional teamwork in the
operating room: a systematic review.
March 6, 2024
Skegg E, McElroy C, Mudgway M, et al. Debriefing to improve interprofessional teamwork in the operating
room: a systematic review. J Nurs Scholarsh. 2023;55(6):1179-1188. doi:10.1111/jnu.12924.
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psnet.ahrq.gov/node/46691/psn-pdf
December 06, 2017 - Improved Policies and Oversight Needed for Reviewing
and Reporting Providers for Quality and Safety Concerns.
December 6, 2017
Washington, DC: United States Government Accountability Office; November 2017. Publication GAO-18-
63.
https://psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-rep…
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psnet.ahrq.gov/node/61070/psn-pdf
October 28, 2020 - Using radiofrequency technology to prevent retained
sponges and improve patient outcomes.
October 28, 2020
Primiano M, Sparks D, Murphy J, et al. Using radiofrequency technology to prevent retained sponges and
improve patient outcomes. AORN J. 2020;112(4):345-352. doi:10.1002/aorn.13171.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/50590/psn-pdf
January 01, 2020 - Patient and family engagement as a potential approach
for improving patient safety: a systematic review.
October 30, 2019
Park M, Giap T-T-T. Patient and family engagement as a potential approach for improving patient safety: A
systematic review. J Adv Nurs. 2020;76(1):62-80. doi:10.1111/jan.14227.
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psnet.ahrq.gov/node/34676/psn-pdf
December 23, 2008 - Driving improvement in patient care: lessons from
Toyota.
December 23, 2008
Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm.
2003;33(11):585-595.
https://psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
Representatives from University of Pit…
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psnet.ahrq.gov/node/863221/psn-pdf
February 28, 2024 - Using artificial intelligence to improve primary care for
patients and clinicians.
February 28, 2024
Sarkar U, Bates DW. Using artificial intelligence to improve primary care for patients and clinicians. JAMA
Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965.
https://psnet.ahrq.gov/issue/using-a…
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psnet.ahrq.gov/node/44295/psn-pdf
August 26, 2015 - Early diagnostic suggestions improve accuracy of family
physicians: a randomized controlled trial in Greece.
August 26, 2015
Kostopoulou O, Lionis C, Angelaki A, et al. Early diagnostic suggestions improve accuracy of family
physicians: a randomized controlled trial in Greece. Fam Pract. 2015;32(3):323-8.
doi:10.1…
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psnet.ahrq.gov/node/45297/psn-pdf
July 13, 2016 - Evaluation of 12 strategies for obtaining second opinions
to improve interpretation of breast histopathology:
simulation study.
July 13, 2016
Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to
improve interpretation of breast histopathology: simulation study. BMJ. …
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psnet.ahrq.gov/node/47970/psn-pdf
May 01, 2019 - Can we import improvements from industry to
healthcare?
May 1, 2019
Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039.
doi:10.1136/bmj.l1039.
https://psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
Principles from high-risk industries can be appli…
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psnet.ahrq.gov/node/61123/psn-pdf
November 11, 2020 - Organizational Evidence-Based and Promising Practices
for Improving Clinician Well-Being.
November 11, 2020
Sinsky CA, Biddison LD, Mallick A, et al. NAM Perspectives. Washington DC: National Academy of
Medicine; 2020.
https://psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improvin…
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psnet.ahrq.gov/node/44204/psn-pdf
June 17, 2015 - Effectiveness of interventions to improve patient
handover in surgery: a systematic review.
June 17, 2015
Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in
surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016/j.surg.2015.02.017.
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psnet.ahrq.gov/node/72705/psn-pdf
February 03, 2021 - Systems approach to health service design, delivery and
improvement: a systematic review and meta-analysis.
February 3, 2021
Komashie A, Ward JR, Bashford T, et al. Systems approach to health service design, delivery and
improvement: a systematic review and meta-analysis. BMJ Open. 2021;11(1):e037667.
doi:10.1136/…
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psnet.ahrq.gov/node/41546/psn-pdf
December 29, 2014 - Using a logic model to design and evaluate quality and
patient safety improvement programs.
December 29, 2014
Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient
safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. doi:10.1093/intqhc/mzs029.
https://…
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psnet.ahrq.gov/node/50399/psn-pdf
January 01, 2020 - Building the bridge to quality: an urgent call to integrate
quality improvement and patient safety education with
clinical care
October 2, 2019
Wong BM, Baum KD, Headrick LA, et al. Building the bridge to quality: an urgent call to integrate quality
improvement and patient safety education with clinical care. Acad…
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psnet.ahrq.gov/node/40308/psn-pdf
April 22, 2011 - Improving patient safety: the comparative views of
patient-safety specialists, workforce staff and managers.
April 22, 2011
Braithwaite J, Westbrook MT, Robinson M, et al. Improving patient safety: the comparative views of patient-
safety specialists, workforce staff and managers. BMJ Qual Saf. 2011;20(5):424-31.
…
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psnet.ahrq.gov/node/47021/psn-pdf
May 02, 2018 - The impact of improving teamwork on patient outcomes
in surgery: a systematic review.
May 2, 2018
Sun R, Marshall DC, Sykes MC, et al. The impact of improving teamwork on patient outcomes in surgery: A
systematic review. Int J Surg. 2018;53:171-177. doi:10.1016/j.ijsu.2018.03.044.
https://psnet.ahrq.gov/issue/impa…
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psnet.ahrq.gov/node/45109/psn-pdf
May 11, 2016 - Implementation of the surgical safety checklist in South
Carolina hospitals is associated with improvement in
perceived perioperative safety.
May 11, 2016
Molina G, Jiang W, Edmondson L, et al. Implementation of the Surgical Safety Checklist in South Carolina
Hospitals Is Associated with Improvement in Perceived P…
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psnet.ahrq.gov/node/41168/psn-pdf
February 29, 2012 - Evaluation of organizational culture among different
levels of healthcare staff participating in the Institute for
Healthcare Improvement's 100,000 Lives Campaign.
February 29, 2012
Sinkowitz-Cochran R, Garcia-Williams A, Hackbarth AD, et al. Evaluation of organizational culture among
different levels of healthcar…