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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…
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psnet.ahrq.gov/node/41762/psn-pdf
May 03, 2017 - Improving the Measurement of Surgical Site Infection
Risk Stratification/Outcome Detection: Final Contract
Report.
May 3, 2017
Price CS, Savitz LA. Rockville, MD: Agency for Healthcare Research and Quality; March 2012. AHRQ
Publication No. 12-0046-EF.
https://psnet.ahrq.gov/issue/improving-measurement-surgical-si…
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psnet.ahrq.gov/node/35913/psn-pdf
February 16, 2011 - Improving oversight of the graduate medical education
enterprise: one institution's strategies and tools.
February 16, 2011
Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise:
One Institution???s Strategies and Tools. Academic Medicine. 2006;81(5).
doi:10.1097/01.…
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psnet.ahrq.gov/node/45590/psn-pdf
August 02, 2017 - Improving Diagnostic Accuracy Project 2016–2017.
August 2, 2017
Washington, DC: National Quality Forum; October 2016.
https://psnet.ahrq.gov/issue/improving-diagnostic-accuracy-project-2016-2017
The Improving Diagnosis in Health Care report provided recommendations to help achieve safe, reliable
diagnosis. This we…
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psnet.ahrq.gov/node/36841/psn-pdf
December 31, 2014 - Using medical malpractice closed claims data to reduce
surgical risk and improve patient safety.
December 31, 2014
Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and
improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30.
https://psnet.ahrq.gov/issue/using-medica…
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psnet.ahrq.gov/node/35859/psn-pdf
July 22, 2010 - A multifaceted approach to improve patient safety,
prevent medical errors and resolve the professional
liability crisis.
July 22, 2010
Weinstein L. A multifacited approach to improve patient safety, prevent medical errors and resolve the
professional liability crisis. Am J Obstet Gynecol. 2006;194(4):1160-5; discu…
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - Project BOOST Increases Patient Understanding of
Treatment and Follow-up Care
May 26, 2021
https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
Summary
The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge
needs,…
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psnet.ahrq.gov/issue/education-initiatives-cognitive-debiasing-improve-diagnostic-accuracy-student-providers
October 21, 2020 - Review
Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scoping review.
Citation Text:
Griffith PB, Doherty C, Smeltzer SC, et al. Education initiatives in cognitive debiasing to improve diagnostic accuracy in student providers: a scopin…
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psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety
November 26, 2014 - Study
Classic
Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.
Citation Text:
O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Me…
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psnet.ahrq.gov/issue/implementing-comprehensive-unit-based-safety-program-cusp-improve-patient-safety-academic
April 21, 2016 - Study
Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice.
Citation Text:
Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Acad…
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psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward
September 27, 2017 - Commentary
Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward.
Citation Text:
Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly car…
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psnet.ahrq.gov/issue/identifying-what-known-about-improving-operating-room-intensive-care-handovers-scoping-review
September 23, 2020 - Review
Identifying what is known about improving operating room to intensive care handovers: a scoping review.
Citation Text:
Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual.…
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psnet.ahrq.gov/issue/prospects-comparing-european-hospitals-terms-quality-and-safety-lessons-comparative-study
February 20, 2019 - Study
Prospects for comparing European hospitals in terms of quality and safety: lessons from a comparative study in five countries.
Citation Text:
Burnett S, Renz A, Wiig S, et al. Prospects for comparing European hospitals in terms of quality and safety: lessons from a comparative st…