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psnet.ahrq.gov/node/39179/psn-pdf
December 16, 2009 - Improving operating room safety.
December 16, 2009
Hurlbert SN, Garrett J. Improving operating room safety. Patient Saf Surg. 2009;3(1):25. doi:10.1186/1754-
9493-3-25.
https://psnet.ahrq.gov/issue/improving-operating-room-safety
A training program focused on preoperative briefings resulted in an improvement in op…
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psnet.ahrq.gov/node/38344/psn-pdf
January 21, 2009 - The error of omission: a simple checklist approach for
improving operating room safety.
January 21, 2009
Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room
safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0b013e318193472f.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/39202/psn-pdf
February 25, 2015 - Strengthening the core. Middle managers play a vital role
in improving safety.
February 25, 2015
Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety.
Healthcare executive. 2010;25(1):68-70.
https://psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-r…
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psnet.ahrq.gov/node/38441/psn-pdf
January 31, 2011 - Clinicians in quality improvement: a new career pathway
in academic medicine.
January 31, 2011
Shojania KG, Levinson W. Clinicians in quality improvement: a new career pathway in academic medicine.
JAMA. 2009;301(7):766-8. doi:10.1001/jama.2009.140.
https://psnet.ahrq.gov/issue/clinicians-quality-improvement-new-c…
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psnet.ahrq.gov/node/37010/psn-pdf
March 10, 2011 - Randomized trial to improve prescribing safety during
pregnancy.
March 10, 2011
Raebel MA, Carroll NM, Kelleher JA, et al. Randomized trial to improve prescribing safety during
pregnancy. J Am Med Inform Assoc. 2007;14(4):440-450.
https://psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-safety-during-preg…
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psnet.ahrq.gov/node/36164/psn-pdf
September 29, 2010 - Recommendations for quality assurance and
improvement in surgical and autopsy pathology.
September 29, 2010
Pathology A of D of A and S, Nakhleh RE, Coffin C, et al. Recommendations for quality assurance and
improvement in surgical and autopsy pathology. Hum Pathol. 2006;37(8):985-8.
https://psnet.ahrq.gov/issue/r…
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psnet.ahrq.gov/node/41620/psn-pdf
August 22, 2012 - Improving care transitions: optimizing medication
reconciliation.
August 22, 2012
Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication
reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527.
https://psnet.ahrq.gov/issue/improvin…
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psnet.ahrq.gov/node/38218/psn-pdf
July 05, 2013 - Bedside handover: quality improvement strategy to
"transform care at the bedside."
July 5, 2013
Chaboyer W, McMurray A, Johnson J, et al. Bedside handover: quality improvement strategy to "transform
care at the bedside". J Nurs Care Qual. 2009;24(2):136-42. doi:10.1097/01.NCQ.0000347450.90676.d9.
https://psnet.ahr…
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psnet.ahrq.gov/node/42176/psn-pdf
April 17, 2013 - Checklists improve experts' diagnostic decisions.
April 17, 2013
Sibbald M, de Bruin A, van Merrienboer JJG. Checklists improve experts' diagnostic decisions. Med Educ.
2013;47(3):301-8. doi:10.1111/medu.12080.
https://psnet.ahrq.gov/issue/checklists-improve-experts-diagnostic-decisions
Checklists have recently be…
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psnet.ahrq.gov/node/41428/psn-pdf
April 17, 2013 - A checklist to improve patient safety in interventional
radiology.
April 17, 2013
Koetser ICJ, de Vries EN, van Delden OM, et al. A checklist to improve patient safety in interventional
radiology. Cardiovasc Intervent Radiol. 2013;36(2):312-9. doi:10.1007/s00270-012-0395-z.
https://psnet.ahrq.gov/issue/checklist-i…
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psnet.ahrq.gov/node/37536/psn-pdf
February 01, 2011 - Improving patient safety by taking systems seriously.
February 1, 2011
Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447.
doi:10.1001/jama.299.4.445.
https://psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
The authors advocate that system…
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psnet.ahrq.gov/node/40762/psn-pdf
February 10, 2012 - Changing practice to improve patient safety and quality of
care in perinatal medicine.
February 10, 2012
Kaplan HC, Ballard J. Changing Practice to Improve Patient Safety and Quality of Care in Perinatal
Medicine. Am J Perinatol. 2011;29(01). doi:10.1055/s-0031-1285826.
https://psnet.ahrq.gov/issue/changing-practi…
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psnet.ahrq.gov/node/34961/psn-pdf
June 22, 2009 - Improving hospital performance: culture change is not
the answer.
June 22, 2009
Leggat SG, Dwyer J. Improving hospital performance: culture change is not the answer. Healthc Q.
2005;8(2):60-6.
https://psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
The authors suggest that people man…
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psnet.ahrq.gov/node/37066/psn-pdf
October 03, 2011 - Improving patient safety by identifying latent failures in
successful operations.
October 3, 2011
Catchpole K, Giddings AEB, Wilkinson M, et al. Improving patient safety by identifying latent failures in
successful operations. Surgery. 2007;142(1):102-10.
https://psnet.ahrq.gov/issue/improving-patient-safety-ident…
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - Strategies to Improve Organizational Health Literacy.
May 31, 2023
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
Background
Health literacy is important at both the personal …
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psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
July 19, 2019 - Review
Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review.
Citation Text:
Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…
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psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-need-improve-measurement
November 03, 2015 - Commentary
Classic
Toward a safer health care system: the critical need to improve measurement.
Citation Text:
Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement. JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448…
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psnet.ahrq.gov/issue/teamstepps-improving-diagnosis-team-assessment-tool-scale-development-and-psychometric
January 22, 2025 - Study
The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation.
Citation Text:
Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: scale development and psychometric evaluation. Jt Comm J …
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
May 12, 2021 - Study
A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial.
Citation Text:
Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized c…
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psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study
February 07, 2024 - Study
What can safety cases offer for patient safety? A multisite case study.
Citation Text:
Liberati EG, Martin GP, Lamé G, et al. What can Safety Cases offer for patient safety? A multisite case study. BMJ Qual Saf. 2024;33(3):156-165. doi:10.1136/bmjqs-2023-016042.
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