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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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. …
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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://…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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/…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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. …
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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.…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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. …

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