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Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. | PSNet

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September 17, 2010 - Study Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. Citation Text: Vigorito MC, McNicoll L, Adams L, et al. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-orie…

The problem with Plan-Do-Study-Act cycles. | PSNet

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June 26, 2019 - Commentary The problem with Plan-Do-Study-Act cycles. Citation Text: Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52. doi:10.1136/bmjqs-2015-005076. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

Activating knowledge for patient safety practices: a Canadian academic-policy partnership. | PSNet

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January 08, 2015 - Commentary Activating knowledge for patient safety practices: a Canadian academic-policy partnership. Citation Text: Harrison MB, Nicklin W, Owen M, et al. Activating knowledge for patient safety practices: a Canadian academic-policy partnership. Worldviews Evid Based Nurs. 2012;9(1):4…

A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. | PSNet

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February 10, 2015 - Commentary A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. Citation Text: Chesluk BJ, Bernabeo E, Hess B, et al. A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. Health Aff…

What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. | PSNet

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October 27, 2021 - Book/Report What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. Citation Text: Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage …

ReCASTing the RCA: an improved model for performing root cause analyses. | PSNet

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November 10, 2010 - Commentary ReCASTing the RCA: an improved model for performing root cause analyses. Citation Text: Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533…

Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional). | PSNet

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July 22, 2024 - Grant Announcement Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional). Citation Text: Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Enginee…

Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. | PSNet

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April 30, 2014 - Study Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. Citation Text: Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. | PSNet

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December 21, 2014 - Study Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. Citation Text: O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. do…

Eight recommendations for policies for communicating abnormal test results. | PSNet

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March 10, 2011 - Commentary Eight recommendations for policies for communicating abnormal test results. Citation Text: Singh H, Vij MS. Eight recommendations for policies for communicating abnormal test results. Jt Comm J Qual Patient Saf. 2010;36(5):226-232. Copy Citation Format: Google Sc…

The application of system dynamics modelling to system safety improvement: present use and future potential. | PSNet

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October 27, 2021 - Review Emerging Classic The application of system dynamics modelling to system safety improvement: present use and future potential. Citation Text: The application of system dynamics modelling to system safety improvement: present use and future potential. Ibrah…

Opportunities for performance improvement in relation to medication administration during pediatric stabilization. | PSNet

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June 28, 2023 - Study Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Citation Text: Morgan N. Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Quality and Safety in Hea…

VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. | PSNet

psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-compliance-screening

September 28, 2010 - Government Resource VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. Citation Text: VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. W…

Improving the communication between teams managing boarded patients on a surgical specialty ward. | PSNet

psnet.ahrq.gov/issue/improving-communication-between-teams-managing-boarded-patients-surgical-specialty-ward

September 29, 2017 - Commentary Improving the communication between teams managing boarded patients on a surgical specialty ward. Citation Text: Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:1…

Quality and Safety Between Ward and Board: a Biography of Artefacts Study. | PSNet

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April 19, 2017 - Government Resource Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Citation Text: Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals…

Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). | PSNet

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July 22, 2024 - Grant Announcement Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Citation Text: Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). Rockville, MD: Agency for Research and Quality; July 15, 2024. PA-24-261. Copy Citation …

Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. | PSNet

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February 03, 2021 - Commentary Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Citation Text: Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.000…

A resident-led institutional patient safety and quality improvement process. | PSNet

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November 16, 2022 - Study A resident-led institutional patient safety and quality improvement process. Citation Text: Stueven J, Sklar DP, Kaloostian P, et al. A resident-led institutional patient safety and quality improvement process. Am J Med Qual. 2012;27(5):369-76. doi:10.1177/1062860611429387. Cop…

Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-hospitals-contributions-high-reliability-theory-and-normal-accident

October 13, 2010 - Commentary Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. Citation Text: Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory. Health Serv Res. 2006;…

Patient safety: Part II. Opportunities for improvement in patient safety. | PSNet

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August 19, 2009 - Review Patient safety: Part II. Opportunities for improvement in patient safety. Citation Text: Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.ja…

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