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psnet.ahrq.gov/node/41994/psn-pdf
March 11, 2013 - Does training with human patient simulation translate to
improved patient safety and outcome?
March 11, 2013
Shear TD, Greenberg SB, Tokarczyk A. Does training with human patient simulation translate to improved
patient safety and outcome? Curr Opin Anaesthesiol. 2013;26(2):159-63.
doi:10.1097/ACO.0b013e32835dc0af…
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psnet.ahrq.gov/node/46305/psn-pdf
September 27, 2017 - Using simulation to improve systems.
September 27, 2017
Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am.
2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011.
https://psnet.ahrq.gov/issue/using-simulation-improve-systems-0
Simulations in health care can help uncover technical …
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psnet.ahrq.gov/node/38824/psn-pdf
March 04, 2011 - Evaluation of a physician informatics tool to improve
patient handoffs.
March 4, 2011
Flanagan ME, Patterson ES, Frankel RM, et al. Evaluation of a physician informatics tool to improve patient
handoffs. J Am Med Inform Assoc. 2009;16(4):509-15. doi:10.1197/jamia.M2892.
https://psnet.ahrq.gov/issue/evaluation-phys…
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psnet.ahrq.gov/node/40943/psn-pdf
September 26, 2012 - Getting the message: a quality improvement initiative to
reduce pages sent to the wrong physician.
September 26, 2012
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):855-62.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/38129/psn-pdf
January 02, 2017 - The Daily Goals Communication Sheet: a simple and
novel tool for improved communication and care.
January 2, 2017
Schwartz JM, Nelson KL, Saliski M, et al. The daily goals communication sheet: a simple and novel tool for
improved communication and care. Jt Comm J Qual Patient Saf. 2008;34(10):608-13, 561.
https://…
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psnet.ahrq.gov/node/38507/psn-pdf
February 10, 2015 - From tasks to processes: the case for changing health
information technology to improve health care.
February 10, 2015
Walker JM, Carayon P. From tasks to processes: the case for changing health information technology to
improve health care. Health Aff (Millwood). 2009;28(2):467-477. doi:10.1377/hlthaff.28.2.467.
…
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psnet.ahrq.gov/node/36176/psn-pdf
May 30, 2008 - Quality improvement in healthcare in New Zealand. Part 2:
are our patients safe--and what are we doing about it?
May 30, 2008
Merry A, Seddon M, Quality EPI and. Quality improvement in healthcare in New Zealand. Part 2: are our
patients safe--and what are we doing about it? N Z Med J. 2006;119(1238):U2086.
https:/…
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psnet.ahrq.gov/node/40821/psn-pdf
October 31, 2011 - Educational interventions to improve handover in health
care: a systematic review.
October 31, 2011
Gordon M, Findley R. Educational interventions to improve handover in health care: a systematic review.
Med Educ. 2011;45(11):1081-9. doi:10.1111/j.1365-2923.2011.04049.x.
https://psnet.ahrq.gov/issue/educational-in…
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psnet.ahrq.gov/node/40727/psn-pdf
October 21, 2011 - Saving lives by studying deaths: using standardized
mortality reviews to improve inpatient safety.
October 21, 2011
Lau H, Litman KC. Saving lives by studying deaths: using standardized mortality reviews to improve
inpatient safety. Jt Comm J Qual Patient Saf. 2011;37(9):400-408.
https://psnet.ahrq.gov/issue/savin…
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psnet.ahrq.gov/node/38885/psn-pdf
August 19, 2009 - Patient safety: Part II. Opportunities for improvement in
patient safety.
August 19, 2009
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.jaad.2009.04.055.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/839330/psn-pdf
November 02, 2022 - Diagnosis: Reducing Errors and Improving Quality.
November 2, 2022
Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine,
21e. New York, NY: McGraw Hill; 2022
https://psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality
The task of performing a …
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psnet.ahrq.gov/node/38361/psn-pdf
January 31, 2011 - IOM: shorten residents' work shifts to reduce fatigue,
improve patient safety.
January 31, 2011
Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA.
2009;301(3):259-61. doi:10.1001/jama.2008.940.
https://psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue…
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psnet.ahrq.gov/node/45476/psn-pdf
September 21, 2016 - Use of a surgical safety checklist to improve team
communication.
September 21, 2016
Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team
communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019.
https://psnet.ahrq.gov/issue/use-surgical-safety-checklist-i…
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psnet.ahrq.gov/node/41929/psn-pdf
January 09, 2013 - Quality improvement: Universal Protocol use in office-
based gastrointestinal procedure units.
January 9, 2013
Hardee LK. Quality improvement: universal protocol use in office-based gastrointestinal procedure units.
Gastroenterol Nurs. 2012;35(6):380-2. doi:10.1097/SGA.0b013e3182747956.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/36785/psn-pdf
March 04, 2011 - Do professional interpreters improve clinical care for
patients with limited English proficiency? A systematic
review of the literature.
March 4, 2011
Karliner LS, Jacobs EA, Chen AH, et al. Do professional interpreters improve clinical care for patients with
limited English proficiency? A systematic review of the…
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psnet.ahrq.gov/node/43621/psn-pdf
October 22, 2014 - Multidisciplinary in-hospital teams improve patient
outcomes: a review.
October 22, 2014
Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int.
2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612.
https://psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve…
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psnet.ahrq.gov/node/35391/psn-pdf
April 06, 2011 - Effectiveness of a graduate medical education program
for improving medical event reporting attitude and
behavior.
April 6, 2011
Coyle YM, Mercer SQ, Murphy-Cullen CL, et al. Effectiveness of a graduate medical education program for
improving medical event reporting attitude and behavior. Qual Saf Health Care. 2…
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psnet.ahrq.gov/node/44016/psn-pdf
November 21, 2016 - Partnering to Improve Quality and Safety: A Framework
for Working With Patient and Family Advisors.
November 21, 2016
Chicago, IL: Health Research & Educational Trust; 2015.
https://psnet.ahrq.gov/issue/partnering-improve-quality-and-safety-framework-working-patient-and-family-
advisors
Patient and family advisor…
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psnet.ahrq.gov/node/40377/psn-pdf
April 20, 2011 - Lessons learned: use of event reporting by nurses to
improve patient safety and quality.
April 20, 2011
Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety
and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010.12.005.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/40747/psn-pdf
September 07, 2011 - Misdiagnosis: analysis based on case record review with
proposals aimed to improve diagnostic processes.
September 7, 2011
Neale G, Hogan H, Sevdalis N. Misdiagnosis: analysis based on case record review with proposals aimed
to improve diagnostic processes. Clin Med (Lond). 2011;11(4):317-321.
https://psnet.ahrq.g…