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psnet.ahrq.gov/node/847717/psn-pdf
April 19, 2023 - Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19
pandemic: a "zero harm" approach.
April 19, 2023
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19 pan…
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psnet.ahrq.gov/node/41031/psn-pdf
February 10, 2012 - Is patient safety improving? National trends in patient
safety indicators: 1998–2007.
February 10, 2012
Downey JR, Hernandez-Boussard T, Banka G, et al. Is patient safety improving? National trends in patient
safety indicators: 1998-2007. Health Serv Res. 2012;47(1 Pt 2):414-30. doi:10.1111/j.1475-
6773.2011.01361…
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psnet.ahrq.gov/node/45116/psn-pdf
February 15, 2017 - Postoperative adverse events inconsistently improved by
the World Health Organization surgical safety checklist: a
systematic literature review of 25 studies.
February 15, 2017
de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events inconsistently improved by the
World Health Organization surgical s…
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psnet.ahrq.gov/node/44925/psn-pdf
July 27, 2018 - Improving safety for hospitalized patients: much progress
but many challenges remain.
July 27, 2018
Kronick R, Arnold S, Brady J. Improving Safety for Hospitalized Patients: Much Progress but Many
Challenges Remain. JAMA. 2016;316(5):489-90. doi:10.1001/jama.2016.7887.
https://psnet.ahrq.gov/issue/improving-safety…
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psnet.ahrq.gov/node/39641/psn-pdf
September 20, 2011 - Adherence to Surgical Care Improvement Project
measures and the association with postoperative
infections.
September 20, 2011
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures
and the association with postoperative infections. JAMA. 2010;303(24):2479-85.
doi:10.1…
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psnet.ahrq.gov/node/45641/psn-pdf
October 11, 2017 - Improving health care quality and patient safety through
peer-to-peer assessment: demonstration project in two
academic medical centers.
October 11, 2017
Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-
Peer Assessment: Demonstration Project in Two Academic Med…
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psnet.ahrq.gov/node/47736/psn-pdf
February 27, 2019 - Using a potentially aggressive/violent patient huddle to
improve health care safety.
February 27, 2019
Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve
Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.1016/j.jcjq.2018.08.011.
https://ps…
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psnet.ahrq.gov/node/39869/psn-pdf
September 22, 2010 - Teaching quality improvement.
September 22, 2010
Murray ME, Douglas S, Girdley D, et al. Teaching quality improvement. J Nurs Educ. 2010;49(8):466-9.
doi:10.3928/01484834-20100430-09.
https://psnet.ahrq.gov/issue/teaching-quality-improvement
This commentary outlines an educational program for nursing students desi…
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psnet.ahrq.gov/node/47106/psn-pdf
August 15, 2018 - Imitating incidents: how simulation can improve safety
investigation and learning from adverse events.
August 15, 2018
Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From
Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097/SIH.0000000000000315.
https://psnet.…
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psnet.ahrq.gov/node/41423/psn-pdf
January 03, 2017 - Improving documentation of a beta-blocker quality
measure through an anesthesia information management
system and real-time notification of documentation
errors.
January 3, 2017
Nair BG, Peterson GN, Newman S-F, et al. Improving documentation of a beta-blocker quality measure
through an anesthesia information man…
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psnet.ahrq.gov/node/43468/psn-pdf
December 10, 2014 - Does compliance to patient safety tasks improve and
sustain when radiotherapy treatment processes are
standardized?
December 10, 2014
Simons P, Houben R, Benders J, et al. Does compliance to patient safety tasks improve and sustain when
radiotherapy treatment processes are standardized? Eur J Oncol Nurs. 2014;18(5…
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psnet.ahrq.gov/node/44156/psn-pdf
November 10, 2015 - Exploring the role of communications in quality
improvement: a case study of the 1000 Lives Campaign in
NHS Wales.
November 10, 2015
Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case
study of the 1000 Lives Campaign in NHS Wales. J Commun Healthc. 2015;8(1):76-…
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psnet.ahrq.gov/node/46123/psn-pdf
January 01, 2020 - Improving patient safety in handover from intensive care
unit to general ward: a systematic review.
June 21, 2017
Wibrandt I, Lippert A. Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A
Systematic Review. J Patient Saf. 2020;16(3):199-210. doi:10.1097/pts.0000000000000266.
https://p…
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psnet.ahrq.gov/node/44981/psn-pdf
June 07, 2016 - Simulation-based training: the missing link to lastingly
improved patient safety and health?
June 7, 2016
Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety
and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/postgradmedj-2015-133732.
https://psnet.…
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psnet.ahrq.gov/node/44335/psn-pdf
July 16, 2015 - Near-misses are an opportunity to improve patient safety:
adapting strategies of high reliability organizations to
healthcare.
July 16, 2015
Van Spall H, Kassam A, Tollefson TT. Near-misses are an opportunity to improve patient safety: adapting
strategies of high reliability organizations to healthcare. Curr Opin …
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psnet.ahrq.gov/node/38332/psn-pdf
January 14, 2009 - Verifying patient identity and site of surgery: improving
compliance with protocol by audit and feedback.
January 14, 2009
Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance
with protocol by audit and feedback. Qual Saf Health Care. 2008;17(6):454-8.
doi:10.11…
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psnet.ahrq.gov/node/46643/psn-pdf
January 10, 2018 - The role of checklists and human factors for improved
patient safety in plastic surgery.
January 10, 2018
Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in
Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097/PRS.0000000000003892.
https://psnet…
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psnet.ahrq.gov/node/44887/psn-pdf
March 16, 2016 - Qualitative evaluation of the Safety and Improvement in
Primary Care (SIPC) pilot collaborative in Scotland:
perceptions and experiences of participating care teams.
March 16, 2016
Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary Care
(SIPC) pilot collaborative in…
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psnet.ahrq.gov/node/35365/psn-pdf
February 17, 2011 - Accidental deaths, saved lives, and improved quality.
February 17, 2011
Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New
England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157.
https://psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-qua…
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psnet.ahrq.gov/node/865929/psn-pdf
May 22, 2024 - Diagnostic stewardship to improve patient outcomes and
healthcare-associated infection (HAI) metrics.
May 22, 2024
Singh HK, Claeys KC, Advani SD, et al. Diagnostic stewardship to improve patient outcomes and
healthcare-associated infection (HAI) metrics. Infect Control Hosp Epidemiol. 2024;45(4):405-411.
doi:10.1…