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psnet.ahrq.gov/node/50785/psn-pdf
January 08, 2020 - Moving Measurement into Action: Global Principles for
Measuring Patient Safety.
January 8, 2020
IHI Lucian Leape Institute. Boston, MA: Institute for Healthcare Improvement, Salzburg Global Seminar;
December 2019.
https://psnet.ahrq.gov/issue/moving-measurement-action-global-principles-measuring-patient-safety
Me…
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psnet.ahrq.gov/node/47555/psn-pdf
November 14, 2018 - How one hospital improved patient safety in 10 minutes a
day.
November 14, 2018
van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018.
https://psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day
Aviation continues to provide inspiration for patient safety innovation. This commentar…
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psnet.ahrq.gov/node/44807/psn-pdf
September 29, 2017 - Legal and policy interventions to improve patient safety.
September 29, 2017
Kachalia A, Mello MM, Nallamothu BK, et al. Legal and Policy Interventions to Improve Patient Safety.
Circulation. 2016;133(7):661-71. doi:10.1161/CIRCULATIONAHA.115.015880.
https://psnet.ahrq.gov/issue/legal-and-policy-interventions-impro…
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psnet.ahrq.gov/node/837695/psn-pdf
July 20, 2022 - Narrowing the mindware gap in medicine.
July 20, 2022
Croskerry P. Narrowing the mindware gap in medicine. Diagnosis (Berl). 2022;9(2):176-183.
doi:10.1515/dx-2020-0128.
https://psnet.ahrq.gov/issue/narrowing-mindware-gap-medicine
In dual process thinking, Type 1 decisions are made rapidly, but can result in diagn…
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psnet.ahrq.gov/node/50808/psn-pdf
January 15, 2020 - Health Services Research Priorities for Improving
Diagnostic Safety and Quality. Special Emphasis Notice
(SEN).
January 15, 2020
Rockville, MD: Agency for Healthcare Research and Quality. December 27, 2019. Publication No. NOT-
HS-20-004.
https://psnet.ahrq.gov/issue/health-services-research-priorities-improving-…
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psnet.ahrq.gov/node/44640/psn-pdf
February 20, 2016 - The problem with Plan-Do-Study-Act cycles.
February 20, 2016
Reed JE, Card AJ. The problem with Plan-Do-Study-Act cycles. BMJ Qual Saf. 2016;25(3):147-52.
doi:10.1136/bmjqs-2015-005076.
https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
Rapid-cycle improvement methods have been embraced as an approach t…
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psnet.ahrq.gov/node/47662/psn-pdf
February 21, 2024 - Lucian Leape Patient Safety Fellowship Award.
February 21, 2024
International Society for Quality in Health Care
https://psnet.ahrq.gov/issue/lucian-leape-patient-safety-fellowship-award
Inspired by the work and leadership of Dr. Lucian Leape, this award is a mentoring program to develop
physicians and leaders see…
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psnet.ahrq.gov/node/849137/psn-pdf
May 17, 2023 - Medical errors kill thousands of people each year. But are
hospitals getting any safer?
May 17, 2023
Weintraub K. USA Today. May 3, 2023.
https://psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
The semi-annual Leapfrog Hospital Safety Grades are recognized across…
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psnet.ahrq.gov/node/44781/psn-pdf
January 13, 2016 - Improving Pediatric Surgery Quality and Outcomes in the
21st Century.
January 13, 2016
Heiss K, ed. Semin Pediatr Surg. 2015;24:265-326.
https://psnet.ahrq.gov/issue/improving-pediatric-surgery-quality-and-outcomes-21st-century
Articles in this special issue introduce quality improvement principles, such as system…
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psnet.ahrq.gov/node/40483/psn-pdf
September 20, 2011 - Advancing the science of patient safety.
September 20, 2011
Shekelle PG, Pronovost P, Wachter R, et al. Advancing the science of patient safety. Ann Intern Med.
2011;154(10):693-6. doi:10.7326/0003-4819-154-10-201105170-00011.
https://psnet.ahrq.gov/issue/advancing-science-patient-safety
Research on patient safety…
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psnet.ahrq.gov/issue/patient-guide-10-ways-improve-communication-your-doctor
April 16, 2018 - Journal Article
Patient Guide: 10 Ways to Improve Communication with Your Doctor.
Citation Text:
Patient Guide: 10 Ways to Improve Communication With Your Doctor. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000199856.82316.50.
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DOI Google Scholar Bi…
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psnet.ahrq.gov/node/48000/psn-pdf
May 15, 2019 - Association between hospital safety culture and surgical
outcomes in a statewide surgical quality improvement
collaborative.
May 15, 2019
Odell DD, Quinn CM, Matulewicz RS, et al. Association Between Hospital Safety Culture and Surgical
Outcomes in a Statewide Surgical Quality Improvement Collaborative. J Am Coll …
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psnet.ahrq.gov/node/46342/psn-pdf
October 04, 2017 - Improving reconciliation following medical injury: a
qualitative study of responses to patient safety incidents
in New Zealand.
October 4, 2017
Moore J, Mello MM. Improving reconciliation following medical injury: a qualitative study of responses to
patient safety incidents in New Zealand. BMJ Qual Saf. 2017;26(10…
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psnet.ahrq.gov/node/45511/psn-pdf
July 21, 2017 - Can patient involvement improve patient safety? A cluster
randomised control trial of the Patient Reporting and
Action for a Safe Environment (PRASE) intervention.
July 21, 2017
Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve patient safety? A cluster
randomised control trial of the Patient R…
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psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex
April 26, 2023 - Multi-use Website
Core Elements of Hospital Diagnostic Excellence (DxEx).
Citation Text:
Core Elements of Hospital Diagnostic Excellence (DxEx). Centers for Disease Control and Prevention.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
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psnet.ahrq.gov/node/45279/psn-pdf
September 27, 2016 - Does clinical supervision of health professionals improve
patient safety? A systematic review and meta-analysis.
September 27, 2016
Snowdon DA, Hau R, Leggat SG, et al. Does clinical supervision of health professionals improve patient
safety? A systematic review and meta-analysis. Int J Qual Health Care. 2016;28(4)…
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psnet.ahrq.gov/node/47149/psn-pdf
June 06, 2018 - Reducing serious safety events and priority hospital-
acquired conditions in a pediatric hospital with the
implementation of a patient safety program.
June 6, 2018
Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired
Conditions in a Pediatric Hospital with the Imp…
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psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-opioid-management-primary-care
September 29, 2017 - Multi-use Website
Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care.
Citation Text:
Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. MacColl Center for Health Care Innovation at the Kaiser Permanente of Was…
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psnet.ahrq.gov/issue/patient-safety-organization-pso-program
December 24, 2008 - Multi-use Website
Classic
Patient Safety Organization (PSO) Program.
Citation Text:
Patient Safety Organization (PSO) Program. Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/patient-safe-future
March 04, 2010 - Book/Report
A Patient-Safe Future.
Citation Text:
A Patient-Safe Future. Patient Safety Learning: London, UK; September 2018.
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