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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866358/psn-pdf
    July 24, 2024 - To improve health care, focus on fixing systems — not people. July 24, 2024 Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people. Harvard Business Review. July 12, 2024; https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people While a focus on the…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36106/psn-pdf
    May 27, 2011 - Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. May 27, 2011 Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. Crit Care Med. 2006;34(7…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42380/psn-pdf
    December 29, 2014 - Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. December 29, 2014 Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35809/psn-pdf
    February 25, 2015 - Stories from the sharp end: case studies in safety improvement. February 25, 2015 McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200 https://psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement This study shares the efforts of six different health care organizations in implementing intervent…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37621/psn-pdf
    March 19, 2008 - An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. March 19, 2008 Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. Int J Med …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44574/psn-pdf
    October 21, 2015 - Patient safety and quality improvement: reducing risk of harm. October 21, 2015 Leonard M. Patient Safety and Quality Improvement: Reducing Risk of Harm. Pediatr Rev. 2015;36(10):448-56; quiz 457-8. doi:10.1542/pir.36-10-448. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm T…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43952/psn-pdf
    March 04, 2015 - Improving resident morning sign-out by use of daily events reports. March 4, 2015 Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56. https://psnet.ahrq.gov/issue/improving-resident-morning-sign-ou…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41873/psn-pdf
    November 28, 2012 - A new tool to give hospitalists feedback to improve interprofessional teamwork and advance patient care. November 28, 2012 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 (Millwood). 2012;31(11):2485-2492. do…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60800/psn-pdf
    January 01, 2021 - Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention. August 12, 2020 Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient outcomes: developing and implementing the leadership s…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46336/psn-pdf
    August 23, 2017 - Improving the Working Environment for Safe Surgical Care. August 23, 2017 Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017. https://psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care Surgical training is demanding and can r…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46458/psn-pdf
    May 30, 2018 - Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards. May 30, 2018 Edbrooke-Childs J, Hayes J, Sharples E, et al. Development of the Huddle Observation Tool for structured case management discussions to improve situation aw…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41420/psn-pdf
    September 26, 2012 - Improving healthcare quality through organisational peer- to-peer assessment: lessons from the nuclear power industry. September 26, 2012 Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. BMJ Qual Saf. 2012;21(10):872-5. h…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839824/psn-pdf
    November 09, 2022 - Improving diagnostic decision support through deliberate reflection: a proposal. November 9, 2022 Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal. Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062. https://psnet.ahrq.gov/issue/improving-diagnostic-de…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44464/psn-pdf
    January 01, 2020 - Who applies an intervention to influence cultural attributes in a quality improvement collaborative? September 16, 2015 Hsu Y-J, Marsteller JA. Who Applies an Intervention to Influence Cultural Attributes in a Quality Improvement Collaborative? J Patient Saf. 2020;16(1):1-6. https://psnet.ahrq.gov/issue/who-applie…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41720/psn-pdf
    January 18, 2013 - Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety. January 18, 2013 Kim JK, Dotson B, Thomas S, et al. Standardized patient identification and specimen labeling: a retrospective analysis on improving patient safety. J Am Acad Dermatol. 2013;68(1):53-6. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37259/psn-pdf
    March 23, 2011 - Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. March 23, 2011 Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. Qual Saf Health Care. 2007;16…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47324/psn-pdf
    November 07, 2018 - Engaging patients to improve quality of care: a systematic review. November 7, 2018 Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review. Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z. https://psnet.ahrq.gov/issue/engaging-patients-improve-quality-ca…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41336/psn-pdf
    May 02, 2012 - Human factors–focused reporting system for improving care quality and safety in hospital wards. May 2, 2012 Morag I, Gopher D, Spillinger A, et al. Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Hum Factors. 2012;54(2):195-213. doi:10.1177/0018720811434767. https://…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46208/psn-pdf
    July 12, 2017 - Improving patient safety by practicing in a just culture. July 12, 2017 Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005. https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture The importance of just culture is widel…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38737/psn-pdf
    July 13, 2009 - Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. July 13, 2009 Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. Am J Med Qual. 2009;24(4):344-6. doi:10.1177/106286060…

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