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psnet.ahrq.gov/node/41424/psn-pdf
June 27, 2012 - Practice-based learning and improvement: a two-year
experience with the reporting of morbidity and mortality
cases by general surgery residents.
June 27, 2012
Falcone JL, Lee KKW, Billiar TR, et al. Practice-based learning and improvement: a two-year experience
with the reporting of morbidity and mortality cases b…
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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…
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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://…
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psnet.ahrq.gov/node/38565/psn-pdf
June 26, 2009 - Assessing organisational culture for quality and safety
improvement: a national survey of tools and tool use.
June 26, 2009
Mannion R, Konteh FH, Davies HTO. Assessing organisational culture for quality and safety improvement:
a national survey of tools and tool use. Qual Saf Health Care. 2009;18(2):153-6.
doi:10.…
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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…
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psnet.ahrq.gov/node/39875/psn-pdf
January 22, 2017 - Mobile in situ obstetric emergency simulation and
teamwork training to improve maternal–fetal safety in
hospitals.
January 22, 2017
Guise J-M, Lowe NK, Deering S, et al. Mobile in situ obstetric emergency simulation and teamwork training
to improve maternal-fetal safety in hospitals. Jt Comm J Qual Patient Saf. 20…
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psnet.ahrq.gov/node/41018/psn-pdf
December 21, 2011 - What stands in the way of technology-mediated patient
safety improvements? A study of facilitators and barriers
to physicians' use of electronic health records.
December 21, 2011
Holden RJ. What stands in the way of technology-mediated patient safety improvements?: a study of
facilitators and barriers to physician…
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psnet.ahrq.gov/node/35105/psn-pdf
June 22, 2009 - Evaluation of nationally mandated drug use reviews to
improve patient safety in nursing homes: a natural
experiment.
June 22, 2009
Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to
improve patient safety in nursing homes: a natural experiment. J Am Geriatr So…
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psnet.ahrq.gov/node/45545/psn-pdf
October 05, 2016 - How to Improve Electronic Health Record Usability and
Patient Safety.
October 5, 2016
Philadelphia, PA: Pew Charitable Trusts; September 6, 2016.
https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety
The usability of electronic health record (EHR) systems can affect clinici…
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psnet.ahrq.gov/node/48042/psn-pdf
June 12, 2019 - Analysis of medical malpractice claims to improve quality
of care: cautionary remarks.
June 12, 2019
Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J
Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178.
https://psnet.ahrq.gov/issue/analysis-medical-mal…
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psnet.ahrq.gov/node/47462/psn-pdf
October 31, 2018 - Emergency department checklist: an innovation to
improve safety in emergency care.
October 31, 2018
Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in
emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-000325.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/41425/psn-pdf
June 19, 2012 - Mortality and morbidity meetings: an untapped resource
for improving the governance of patient safety?
June 19, 2012
Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving
the governance of patient safety? BMJ Qual Saf. 2012;21(7):576-585. doi:10.1136/bmjqs-2011-00060…
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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…
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psnet.ahrq.gov/node/47018/psn-pdf
June 13, 2018 - Opportunities to improve informed consent with AHRQ
training modules.
June 13, 2018
Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training
Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010.
https://psnet.ahrq.gov/issue/opportuniti…
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psnet.ahrq.gov/node/34570/psn-pdf
March 07, 2005 - Measuring the Success of the Regional Medication Safety
Program for Hospitals.
March 7, 2005
Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
The Regional Medication Safety Prog…
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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…
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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…
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psnet.ahrq.gov/node/47288/psn-pdf
December 21, 2018 - Reframing and addressing horizontal violence as a
workplace quality improvement concern.
December 21, 2018
Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement
concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273.
https://psnet.ahrq.gov/issue/reframing-and…
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psnet.ahrq.gov/node/38736/psn-pdf
June 24, 2009 - Improving patient safety by understanding past
experiences in day surgery and PACU.
June 24, 2009
Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J
Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001.
https://psnet.ahrq.gov/issue/improving-patien…
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psnet.ahrq.gov/node/37262/psn-pdf
December 19, 2011 - Academic detailing to improve laboratory testing among
outpatient medication users.
December 19, 2011
Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient
medication users. Med Care. 2007;45(10):966-72.
https://psnet.ahrq.gov/issue/academic-detailing-improve-laborat…