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psnet.ahrq.gov/issue/development-huddle-observation-tool-structured-case-management-discussions-improve-situation
March 06, 2013 - Study
Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards.
Citation Text:
Edbrooke-Childs J, Hayes J, Sharples E, et al. Development of the Huddle Observation Tool for structured case management …
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psnet.ahrq.gov/issue/measuring-and-improving-patient-safety-through-health-information-technology-health-it-safety
December 06, 2023 - Commentary
Measuring and improving patient safety through health information technology: the Health IT Safety Framework.
Citation Text:
Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Qual Saf. 2016;25(…
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psnet.ahrq.gov/issue/internal-quality-improvement-collaborative-significantly-reduces-hospital-wide-medication
March 20, 2014 - Study
An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events.
Citation Text:
McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces hospital-wide medication error rela…
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psnet.ahrq.gov/issue/peer-feedback-learning-and-improvement-answering-call-institute-medicine-report-diagnostic
March 20, 2024 - Commentary
Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error.
Citation Text:
Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report o…
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psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex-clinical-systems
November 07, 2012 - Study
Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems.
Citation Text:
Bradley EH, Curry LA, Webster TR, et al. Achieving rapid door-to-balloon times: how top hospitals improve complex clinical systems. Circulation. 2006;113(8):1079-85.
Copy C…
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psnet.ahrq.gov/issue/examination-how-survey-can-spur-culture-changes-using-quality-improvement-approach-region
September 29, 2010 - Study
Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.
Citation Text:
Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality impro…
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psnet.ahrq.gov/issue/leveraging-trainees-improve-quality-and-safety-point-care-three-models-engagement
September 20, 2017 - Commentary
Leveraging trainees to improve quality and safety at the point of care: three models for engagement.
Citation Text:
Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…
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psnet.ahrq.gov/issue/reducing-surgical-specimen-errors-through-multidisciplinary-quality-improvement
July 28, 2021 - Study
Reducing surgical specimen errors through multidisciplinary quality improvement.
Citation Text:
Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003.
…
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions
Pascale Carayon, PhD; Nicole Werner, PhD; Anita Makkenchery, MPH; Sarah E. Mossburg, RN, PhD
| November 16, 2022
Also Read the Conversation
View more articles from the same aut…
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD
November 16, 2022
Also Read the Essay
Citation Text:
In Conversation With.. Pascale Carayon, PhD and Nicole Werner, PhD. PSNet [internet]. 2022.In Conversation With... Pascale Carayon, PhD and Ni…
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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/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/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/41347/psn-pdf
May 02, 2012 - Mastering improvement science skills in the new era of
quality and safety: the Veterans Affairs National Quality
Scholars Program.
May 2, 2012
Estrada CA, Dolansky MA, Singh MK, et al. Mastering improvement science skills in the new era of quality
and safety: the Veterans Affairs National Quality Scholars 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/40059/psn-pdf
April 24, 2011 - Use of the Safety Attitudes Questionnaire as a measure in
patient safety improvement.
April 24, 2011
Watts B, Percarpio KB, West P, et al. Use of the Safety Attitudes Questionnaire as a measure in patient
safety improvement. J Patient Saf. 2010;6(4):206-9.
https://psnet.ahrq.gov/issue/use-safety-attitudes-question…
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psnet.ahrq.gov/node/38459/psn-pdf
October 03, 2012 - Identifying opportunities for quality improvement in
surgical site infection prevention.
October 3, 2012
Gagliardi AR, Eskicioglu C, McKenzie M, et al. Identifying opportunities for quality improvement in surgical
site infection prevention. Am J Infect Control. 2009;37(5):398-402. doi:10.1016/j.ajic.2008.10.027.
h…
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psnet.ahrq.gov/node/35158/psn-pdf
January 02, 2017 - Using simulation-based training to improve patient safety:
what does it take?
January 2, 2017
Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it
take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71.
https://psnet.ahrq.gov/issue/using-simulation-based-training-…
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psnet.ahrq.gov/node/45285/psn-pdf
September 14, 2016 - Improving pathologists' communication skills.
September 14, 2016
Dintzis SM. Improving Pathologists' Communication Skills. AMA J Ethics. 2016;18(8):802-8.
doi:10.1001/journalofethics.2016.18.8.medu1-1608.
https://psnet.ahrq.gov/issue/improving-pathologists-communication-skills
Despite increasing recognition that e…
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psnet.ahrq.gov/node/866567/psn-pdf
August 21, 2024 - A daily dose of communication to improve quality and
safety outcomes.
August 21, 2024
Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care.
2024;33(4):305-310. doi:10.4037/ajcc2024318.
https://psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes…