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Bad stars or guiding lights? Learning from disasters to improve patient safety. | PSNet

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June 08, 2011 - Commentary Bad stars or guiding lights? Learning from disasters to improve patient safety. Citation Text: Hughes C, Travaglia JF, Braithwaite J. Bad stars or guiding lights? Learning from disasters to improve patient safety. Qual Saf Health Care. 2010;19(4):332-6. doi:10.1136/qshc.2008…

Building a highway to quality health care. | PSNet

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February 14, 2017 - Commentary Building a highway to quality health care. Citation Text: Watson S, Pronovost P. Building a Highway to Quality Health Care. J Patient Saf. 2016;12(3):165-6. doi:10.1097/PTS.0000000000000074. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers. | PSNet

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March 23, 2011 - Study Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers. Citation Text: Braithwaite J, Westbrook MT, Robinson M, et al. Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.…

CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. | PSNet

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August 21, 2024 - Commentary CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. Citation Text: Main EK, Nath R, Bauer ME. CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. Semin Perinatol. 2024:151976. doi:10.1016/j.semperi.2…

Using the opportunity estimator tool to improve engagement in a quality and safety intervention. | PSNet

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August 25, 2010 - Commentary Using the opportunity estimator tool to improve engagement in a quality and safety intervention. Citation Text: 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 Patien…

How one hospital improved patient safety in 10 minutes a day. | PSNet

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April 11, 2018 - Newspaper/Magazine Article How one hospital improved patient safety in 10 minutes a day. Citation Text: How one hospital improved patient safety in 10 minutes a day. van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018. Copy Citation Save Save to your lib…

Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. | PSNet

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September 25, 2019 - Book/Report Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. Citation Text: Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. Washington, DC: United States Government Accountability O…

Miles to go: an introduction to the 5 Million Lives Campaign. | PSNet

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April 04, 2011 - Commentary Miles to go: an introduction to the 5 Million Lives Campaign. Citation Text: McCannon J, Hackbarth AD, Griffin F. Miles to go: an introduction to the 5 Million Lives Campaign. Jt Comm J Qual Patient Saf. 2007;33(8):477-84. Copy Citation Format: Google Scholar Pub…

Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force. | PSNet

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January 27, 2021 - Book/Report Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force. Citation Text: Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient Safety. By The Ashrm Monographs Task Fo…

Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. | PSNet

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January 04, 2017 - Commentary Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. Citation Text: Just S, Schepers G, Piotrowski MM, et al. Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. Jt Comm J Qual Patient Saf. 2006;32(7…

Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. | PSNet

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June 05, 2024 - Review Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Citation Text: Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…

Changing operating room culture: implementation of a postoperative debrief and improved safety culture. | PSNet

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December 03, 2014 - Study Changing operating room culture: implementation of a postoperative debrief and improved safety culture. Citation Text: Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 201…

Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. | PSNet

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August 04, 2015 - Study Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Citation Text: Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt C…

Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. | PSNet

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June 23, 2010 - Commentary Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. Citation Text: Travaglia J, Hughes C, Braithwaite J. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system er…

What's the difference between a hospital and a bottling factory? | PSNet

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October 08, 2008 - Commentary What's the difference between a hospital and a bottling factory? Citation Text: Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. Copy Citation Format: DOI Google Scholar BibTeX…

Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency program help? | PSNet

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February 03, 2011 - Study Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency program help? Citation Text: Arora V, Georgitis E, Woodruff JN, et al. Improving sleep hygiene of medical interns: can the sleep, alertness, and fatigue education in residency…

High-reliability and the I-PASS communication tool. | PSNet

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June 02, 2021 - Newspaper/Magazine Article High-reliability and the I-PASS communication tool. Citation Text: Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5. Copy Citation Format: DOI Goo…

Impact of the Care Quality Commission on Provider Performance: Room for Improvement? | PSNet

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November 18, 2015 - Book/Report Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Citation Text: Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business S…

The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives. | PSNet

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January 04, 2017 - Commentary The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives. Citation Text: Lesar TS, Anderson ER, Fields J, et al. The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives…

Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hhs-guidance-regarding-patient-safety-work

December 24, 2008 - Government Resource Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. Citation Text: Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and provid…

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