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psnet.ahrq.gov/node/39500/psn-pdf
January 03, 2017 - Using in situ simulation to improve in-hospital
cardiopulmonary resuscitation.
January 3, 2017
Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary
resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16.
https://psnet.ahrq.gov/issue/using-situ-simulation-improve-h…
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psnet.ahrq.gov/node/36976/psn-pdf
June 15, 2011 - Evaluation of an intervention aimed at improving
voluntary incident reporting in hospitals.
June 15, 2011
Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident
reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75.
https://psnet.ahrq.gov/issue/evaluation…
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psnet.ahrq.gov/node/42581/psn-pdf
July 12, 2016 - Partnering with Patients to Drive Shared Decisions, Better
Value, and Care Improvement—Workshop Proceedings.
July 12, 2016
Roundtable on Value and Science Driven Healthcare; Institute of Medicine. Washington, DC: National
Academies Press; 2013. ISBN: 9780309288965.
https://psnet.ahrq.gov/issue/partnering-patients-…
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psnet.ahrq.gov/node/40331/psn-pdf
July 31, 2012 - Keeping the Commitment: A Progress Report on Four
Early Leaders in Patient Safety Improvement.
July 31, 2012
McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15, 2011.
https://psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-
improvement
Updating a previous …
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psnet.ahrq.gov/node/35310/psn-pdf
January 02, 2017 - Using the AHRQ Quality Indicators to improve health care
quality.
January 2, 2017
Elixhauser A, Pancholi M, Clancy CM. Using the AHRQ Quality Indicators to Improve Health Care Quality.
Jt Comm J Qual Patient Saf. 2016;31(9):533-538. doi:10.1016/s1553-7250(05)31069-5.
https://psnet.ahrq.gov/issue/using-ahrq-quality…
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psnet.ahrq.gov/node/40036/psn-pdf
November 24, 2010 - Integrating CUSP and TRIP to improve patient safety.
November 24, 2010
Romig M, Goeschel CA, Pronovost P, et al. Integrating CUSP and TRIP to improve patient safety. Hosp
Pract (1995). 2010;38(4):114-21. doi:10.3810/hp.2010.11.348.
https://psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
This …
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psnet.ahrq.gov/node/41499/psn-pdf
December 29, 2014 - Strategies for sustaining a quality improvement
collaborative and its patient safety gains.
December 29, 2014
Parand A, Benn J, Burnett S, et al. Strategies for sustaining a quality improvement collaborative and its
patient safety gains. Int J Qual Health Care. 2012;24(4):380-90. doi:10.1093/intqhc/mzs030.
https:/…
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psnet.ahrq.gov/node/50939/psn-pdf
February 26, 2020 - Homecare safety virtual quality improvement
collaboratives
February 26, 2020
Miller W, Asselbergs M, Bank J, et al. Homecare safety virtual quality improvement collaboratives. Healthc
Q. 2020;22(SP). doi:10.12927/hcq.2020.26042.
https://psnet.ahrq.gov/issue/homecare-safety-virtual-quality-improvement-collaborative…
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psnet.ahrq.gov/node/42304/psn-pdf
November 21, 2016 - Strategies for improving family engagement during
family-centered rounds.
November 21, 2016
Kelly MM, Xie A, Carayon P, et al. Strategies for improving family engagement during family-centered
rounds. J Hosp Med. 2013;8(4):201-7. doi:10.1002/jhm.2022.
https://psnet.ahrq.gov/issue/strategies-improving-family-engage…
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psnet.ahrq.gov/node/36557/psn-pdf
July 14, 2010 - Adoption of technology to improve medication safety:
perspectives of pharmacy directors.
July 14, 2010
Bussard BE, McAlearney AS, Pedersen CA, et al. Adoption of Technology to Improve Medication Safety. J
Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000236914.48955.99.
https://psnet.ahrq.gov/issue/adoption-technolo…
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psnet.ahrq.gov/node/43603/psn-pdf
October 15, 2014 - Coaching to improve the quality of communication during
briefings and debriefings.
October 15, 2014
Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and
debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012.
https://psnet.ahrq.gov/issue/coachi…
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psnet.ahrq.gov/node/39558/psn-pdf
May 26, 2010 - ReCASTing the RCA: an improved model for performing
root cause analyses.
May 26, 2010
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.
https://psnet.ahrq.gov/issue/recasting-…
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psnet.ahrq.gov/node/41484/psn-pdf
September 26, 2012 - An institution-wide handoff task force to standardise and
improve physician handoffs.
September 26, 2012
Horwitz LI, Schuster KM, Thung SF, et al. An institution-wide handoff task force to standardise and improve
physician handoffs. BMJ Qual Saf. 2012;21(10):863-71.
https://psnet.ahrq.gov/issue/institution-wide-ha…
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psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-use-and-future
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…
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psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-examining-impact-artificial
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.
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…
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psnet.ahrq.gov/issue/patient-safety-dialogue-evaluation-intervention-aimed-achieving-improved-patient-safety
December 09, 2020 - Study
Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture.
Citation Text:
Öhrn A, Rutberg H, Nilsen P. Patient safety dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. J Patient Saf. …
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psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results
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.
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psnet.ahrq.gov/issue/resident-led-institutional-patient-safety-and-quality-improvement-process
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…
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psnet.ahrq.gov/issue/what-if-transforming-diagnostic-research-leveraging-diagnostic-process-map-engage-patients
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 …
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psnet.ahrq.gov/issue/strategies-improving-communication-emergency-department-mediums-and-messages-noisy
November 17, 2010 - Commentary
Strategies for improving communication in the emergency department: mediums and messages in a noisy environment.
Citation Text:
Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environ…