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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.
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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.
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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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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.
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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…
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psnet.ahrq.gov/node/45133/psn-pdf
July 18, 2016 - Pharmacist medication reviews to improve safety
monitoring in primary care patients.
July 18, 2016
Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in
primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh0000185.
https://psnet.ahrq.gov/is…
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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/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/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/44714/psn-pdf
November 25, 2015 - Continuous Improvement of Patient Safety: The Case for
Change in the NHS.
November 25, 2015
Illingworth J. London, UK: The Health Foundation; 2015. ISBN: 9781906461706.
https://psnet.ahrq.gov/issue/continuous-improvement-patient-safety-case-change-nhs
The Francis inquiry uncovered problems in the National Health S…
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psnet.ahrq.gov/node/41544/psn-pdf
July 25, 2012 - A performance improvement plan to increase nurse
adherence to use of medication safety software.
July 25, 2012
Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety
Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.06.004.
https://psnet.ahrq.gov/issue/perfo…
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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/46602/psn-pdf
February 21, 2018 - Are quality improvement collaboratives effective? A
systematic review.
February 21, 2018
Wells S, Tamir O, Gray J, et al. Are quality improvement collaboratives effective? A systematic review. BMJ
Qual Saf. 2018;27(3):226-240. doi:10.1136/bmjqs-2017-006926.
https://psnet.ahrq.gov/issue/are-quality-improvement-coll…