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psnet.ahrq.gov/node/60804/psn-pdf
August 12, 2020 - Improved medication management with introduction of a
perioperative and prescribing pharmacist service.
August 12, 2020
Nguyen AD, Lam A, Banakh I, et al. Improved medication management with introduction of a perioperative
and prescribing pharmacist service. J Pharm Pract. 2020;33(3):299-305. doi:10.1177/0897190018…
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psnet.ahrq.gov/node/866411/psn-pdf
July 31, 2024 - Simulation to Improve Patient Safety: Getting Started.
July 31, 2024
Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for
Healthcare Research and Quality; July 2024. Publication No. 24-0055.
https://psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-start…
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psnet.ahrq.gov/node/44667/psn-pdf
March 15, 2016 - Incorporating metacognition into morbidity and mortality
rounds: the next frontier in quality improvement.
March 15, 2016
Katz D, Detsky AS. Incorporating metacognition into morbidity and mortality rounds: The next frontier in
quality improvement. J Hosp Med. 2016;11(2):120-2. doi:10.1002/jhm.2505.
https://psnet.a…
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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/36769/psn-pdf
June 15, 2011 - Using incident reporting to improve patient safety: a
conceptual model.
June 15, 2011
Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J
Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05.
https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-s…
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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/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/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/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/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/42658/psn-pdf
March 17, 2014 - Systematic review of the application of the plan-do-study-
act method to improve quality in healthcare.
March 17, 2014
Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act
method to improve quality in healthcare. BMJ Qual Saf. 2014;23(4):290-8. doi:10.1136/bmjqs-2…
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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/38587/psn-pdf
May 06, 2009 - Creating a better discharge summary: improvement in
quality and timeliness using an electronic discharge
summary.
May 6, 2009
O'Leary KJ, Liebovitz DM, Feinglass J, et al. Creating a better discharge summary: improvement in quality
and timeliness using an electronic discharge summary. J Hosp Med. 2009;4(4):219-225…
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psnet.ahrq.gov/node/47959/psn-pdf
May 15, 2019 - A quality improvement initiative to reduce safety events
among adolescents hospitalized after a suicide attempt.
May 15, 2019
Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events
Among Adolescents Hospitalized After a Suicide Attempt. Hosp Pediatr. 2019;9(5):365-372.
…
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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/72852/psn-pdf
March 17, 2021 - Declaring uncertainty: using quality improvement
methods to change the conversation of diagnosis.
March 17, 2021
Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to
Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341. doi:10.1542/hpeds.2020-
000174.…
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psnet.ahrq.gov/node/43333/psn-pdf
January 15, 2017 - A multidisciplinary, multifaceted improvement initiative to
eliminate mislabelled laboratory specimens at a large
tertiary care hospital.
January 15, 2017
Seferian EG, Jamal S, Clark K, et al. A multidisciplinary, multifaceted improvement initiative to eliminate
mislabelled laboratory specimens at a large tertiary…
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psnet.ahrq.gov/node/50593/psn-pdf
October 30, 2019 - Using video to assess and improve patient safety during
simulated and actual neonatal resuscitation.
October 30, 2019
Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal
resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semperi.2019.08.008.
https://psnet.a…
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psnet.ahrq.gov/node/47165/psn-pdf
June 13, 2018 - Changing how we think about healthcare improvement.
June 13, 2018
Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014.
doi:10.1136/bmj.k2014.
https://psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
In learning organizations, leadership behavior creates a s…
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psnet.ahrq.gov/node/44893/psn-pdf
March 09, 2016 - Improving the governance of patient safety in emergency
care: a systematic review of interventions.
March 9, 2016
Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a
systematic review of interventions. BMJ Open. 2016;6(1):e009837. doi:10.1136/bmjopen-2015-009837.
…