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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853429/psn-pdfSeptember 13, 2023 - Multifaceted intervention to improve patient safety incident reporting in intensive care units. September 13, 2023 Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428. doi:10.1097/pts.0000000000001… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60612/psn-pdfJanuary 01, 2021 - COVID-19: patient safety and quality improvement skills to deploy during the surge. June 24, 2020 Staines A, Amalberti R, Berwick DM, et al. COVID-19: patient safety and quality improvement skills to deploy during the surge. Int J Qual Health Care. 2021;33(1):mzaa050. doi:10.1093/intqhc/mzaa050. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46678/psn-pdfJanuary 03, 2018 - Measuring patient safety in real time: an essential method for effectively improving the safety of care. January 3, 2018 Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for Effectively Improving the Safety of Care. Ann Intern Med. 2017;167(12). doi:10.7326/m17-2202. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60027/psn-pdfJanuary 01, 2021 - Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. March 11, 2020 Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high reliability journey at a special hospital f… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34775/psn-pdfFebruary 07, 2019 - Escape Fire: Lessons for the Future of Health Care. February 7, 2019 Berwick DM. Washington DC: Commonwealth Fund; 2002. https://psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care This report represents an edited version of Donald Berwick’s Plenary Address presented at the Institute for Healthcare Improve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843329/psn-pdfFebruary 01, 2023 - Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. February 1, 2023 Chew MM, Rivas S, Chesser M, et al. Improving administration and documentation of enteral nutrition su… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46848/psn-pdfOctober 13, 2018 - Identifying what is known about improving operating room to intensive care handovers: a scoping review. October 13, 2018 Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual. 2018;33(5):540-548. doi:10.1177… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45746/psn-pdfDecember 14, 2016 - Moving toward improved teamwork in cancer care: the role of psychological safety in team communication. December 14, 2016 Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication. J Oncol Pract. 2016;12(11):1000-1011. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44355/psn-pdfSeptember 02, 2015 - Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures. September 2, 2015 Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):414-420. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60580/psn-pdfJanuary 01, 2022 - Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. June 10, 2020 Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement projec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851647/psn-pdfJuly 26, 2023 - Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. July 26, 2023 Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Care. 2023;32(3):177-188. doi:10.109… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35813/psn-pdfApril 06, 2011 - Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? April 6, 2011 Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork training for emergency department staff: does it improve clinical team… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866745/psn-pdfSeptember 18, 2024 - State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. September 18, 2024 Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Pu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36902/psn-pdfJune 09, 2010 - Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. June 9, 2010 Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60540/psn-pdfNovember 01, 2016 - Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. November 1, 2016 Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. Jt Comm J Qual Patient Saf. 2016;43(2)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844550/psn-pdfSeptember 01, 2012 - The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. September 1, 2012 Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation program on surgical pathology specimen accessionin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45651/psn-pdfNovember 16, 2016 - Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. November 16, 2016 Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764390/psn-pdfMarch 02, 2022 - Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. March 2, 2022 Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Qual Manag Health Care. 2022;31(4):231-241. doi:10.… -
psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-careFebruary 26, 2025 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 26, 2021 Innovation Contact …
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psnet.ahrq.gov/issue/diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-callSeptember 13, 2023 - Book/Report Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Citation Text: Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…
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