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psnet.ahrq.gov/node/46321/psn-pdf
August 27, 2017 - Using simulation to improve systems-based practices.
August 27, 2017
Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt
Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006.
https://psnet.ahrq.gov/issue/using-simulation-improve-systems-base…
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psnet.ahrq.gov/node/41976/psn-pdf
March 11, 2013 - Moving beyond readmission penalties: creating an ideal
process to improve transitional care.
March 11, 2013
Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal
process to improve transitional care. J Hosp Med. 2013;8(2):102-9. doi:10.1002/jhm.1990.
https://psnet.ahr…
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psnet.ahrq.gov/node/45526/psn-pdf
January 01, 2019 - Improving incident reporting among physician trainees.
September 28, 2016
Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient
Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325.
https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train…
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psnet.ahrq.gov/node/45367/psn-pdf
September 28, 2016 - How PSOs Help Health Care Organizations Improve
Patient Safety Culture.
September 28, 2016
Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. No. 16-0026-EF.
https://psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
Patient safety organization…
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psnet.ahrq.gov/node/40235/psn-pdf
May 11, 2011 - Assessing and improving safety climate in a large cohort
of intensive care units.
May 11, 2011
Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of
intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e318206d26c.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/39993/psn-pdf
July 03, 2014 - The influence of organizational context on quality
improvement and patient safety efforts in infection
prevention: a multi-center qualitative study.
July 3, 2014
Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality
improvement and patient safety efforts in infection prev…
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psnet.ahrq.gov/node/41112/psn-pdf
February 01, 2012 - Utilizing quality improvement methods to prevent falls
and injury from falls: enhancing resident safety in long-
term care.
February 1, 2012
MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls:
enhancing resident safety in long-term care. J Safety Res. 2011;42(6):…
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psnet.ahrq.gov/node/47513/psn-pdf
October 24, 2021 - Measurement and Monitoring of Safety Framework
October 24, 2021
Healthcare Excellence Canada.
https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-canada-cpsi-safety-improvement-project
Collaboratives are a recognized strategy to support large-scale improvement. This program works to apply
a framework fo…
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psnet.ahrq.gov/node/50919/psn-pdf
October 03, 2013 - SEIPS 2.0: a human factors framework for studying and
improving the work of healthcare professionals and
patients.
October 3, 2013
Holden RJ, Carayon P, Gurses AP, et al. SEIPS 2.0: a human factors framework for studying and
improving the work of healthcare professionals and patients. Ergonomics. 2013;56(11):1669-…
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psnet.ahrq.gov/node/43335/psn-pdf
July 09, 2014 - Wake Up Safe and root cause analysis: quality
improvement in pediatric anesthesia.
July 9, 2014
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.0000000000000266.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/39169/psn-pdf
December 09, 2009 - Exploring the concept of medication discrepancy within
the context of patient safety to improve population health.
December 9, 2009
Murphy CR, Corbett CL, Setter SM, et al. Exploring the concept of medication discrepancy within the
context of patient safety to improve population health. ANS Adv Nurs Sci. 2009;32(4)…
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psnet.ahrq.gov/node/45724/psn-pdf
July 21, 2017 - Remembering to learn: the overlooked role of
remembrance in safety improvement.
July 21, 2017
Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual
Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547.
https://psnet.ahrq.gov/issue/remembering-learn-overlooked-role-rem…
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psnet.ahrq.gov/node/41069/psn-pdf
February 21, 2012 - Using the opportunity estimator tool to improve
engagement in a quality and safety intervention.
February 21, 2012
Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve
engagement in a quality and safety intervention. Jt Comm J Qual Patient Saf. 2012;38(1):41-47, 1.
https://p…
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psnet.ahrq.gov/node/43018/psn-pdf
March 19, 2014 - Improved obstetric safety through programmatic
collaboration.
March 19, 2014
Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration.
J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131.
https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
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psnet.ahrq.gov/node/50781/psn-pdf
January 08, 2020 - Harnessing the power of medical malpractice data to
improve patient care.
January 8, 2020
Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care.
J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393.
https://psnet.ahrq.gov/issue/harnessing-power-medic…
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psnet.ahrq.gov/node/38351/psn-pdf
January 21, 2009 - Improving patient understanding of prescription drug
label instructions.
January 21, 2009
Davis TC, Federman AD, Bass PF, et al. Improving patient understanding of prescription drug label
instructions. J Gen Intern Med. 2009;24(1):57-62. doi:10.1007/s11606-008-0833-4.
https://psnet.ahrq.gov/issue/improving-patient…
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psnet.ahrq.gov/node/41453/psn-pdf
November 26, 2014 - Judging whether a patient is actually improving: more
pitfalls from the science of human perception.
November 26, 2014
Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the
science of human perception. J Gen Intern Med. 2012;27(9):1195-9. doi:10.1007/s11606-012-2097-2.…
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psnet.ahrq.gov/node/38746/psn-pdf
July 01, 2009 - Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexisting
hospital electronic health record.
July 1, 2009
Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexist…
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psnet.ahrq.gov/node/43243/psn-pdf
June 11, 2014 - Improved incident reporting following the implementation
of a standardized emergency department peer review
process.
June 11, 2014
Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized
emergency department peer review process. Int J Qual Health Care. 2014;26(3):278-86.
d…
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psnet.ahrq.gov/node/37577/psn-pdf
July 12, 2016 - Optimizing Graduate Medical Trainee (Resident) Hours
and Work Schedules to Improve Patient Safety.
July 12, 2016
Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident)
Hours and Work Schedules to Improve Patient Safety. 2009. Washington DC; Institute of Medicine: ISBN:
9781…