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psnet.ahrq.gov/node/34747/psn-pdf
August 04, 2009 - The Improvement Guide: A Practical Approach to
Enhancing Organizational Performance. 2nd ed.
August 4, 2009
Langley GJ, Moen R, Nolan KM, et al. Hoboken, NJ: Jossey-Bass; 2009. ISBN: 9780470430880.
https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-
2nd-ed
Effec…
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psnet.ahrq.gov/node/40855/psn-pdf
November 23, 2011 - Patient Safety Dialogue: evaluation of an intervention
aimed at achieving an improved patient safety culture.
November 23, 2011
Öhrn A, Rutberg H, Nilsen P. Patient safety dialogue: evaluation of an intervention aimed at achieving an
improved patient safety culture. J Patient Saf. 2011;7(4):185-92. doi:10.1097/PTS.…
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psnet.ahrq.gov/node/45875/psn-pdf
May 10, 2017 - An improvement approach to integrate teaching teams in
the reporting of safety events.
May 10, 2017
Dunbar AE, Cupit M, Vath RJ, et al. An Improvement Approach to Integrate Teaching Teams in the
Reporting of Safety Events. Pediatrics. 2017;139(2). doi:10.1542/peds.2015-3807.
https://psnet.ahrq.gov/issue/improvemen…
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psnet.ahrq.gov/node/74703/psn-pdf
January 26, 2022 - Research to improve diagnosis: time to study the real
world.
January 26, 2022
Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf.
2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071.
https://psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world
Diagnostic …
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psnet.ahrq.gov/node/37422/psn-pdf
March 23, 2011 - Educational quality improvement report: outcomes from a
revised morbidity and mortality format that emphasised
patient safety.
March 23, 2011
Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised
morbidity and mortality format that emphasised patient safety. Qual S…
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psnet.ahrq.gov/node/844556/psn-pdf
February 15, 2023 - Using Machine Learning to Improve Patient Safety in the
Home or Remote Setting for Adults.
February 15, 2023
Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcare Improvement; 2022.
https://psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
T…
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psnet.ahrq.gov/node/43786/psn-pdf
December 17, 2014 - Aviation tools to improve patient safety.
December 17, 2014
Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10.
doi:10.1016/j.jopan.2014.09.004.
https://psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety
The aviation industry offers insights and tools applicable to error…
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psnet.ahrq.gov/node/46614/psn-pdf
November 29, 2017 - Interventions to improve hand hygiene compliance in the
ICU: a systematic review.
November 29, 2017
Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit
Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691.
https://psnet.ahrq.gov/issue/interventions-improve-hand…
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psnet.ahrq.gov/node/40349/psn-pdf
May 11, 2011 - Use of briefings and debriefings as a tool in improving
team work, efficiency, and communication in the
operating theatre.
May 11, 2011
Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work,
efficiency, and communication in the operating theatre. Postgrad Med J. 2…
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psnet.ahrq.gov/node/40342/psn-pdf
April 21, 2015 - Counterheroism, common knowledge, and ergonomics:
concepts from aviation that could improve patient safety.
April 21, 2015
Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics:
concepts from aviation that could improve patient safety. Milbank Q. 2011;89(1):4-38. doi:10.1111/…
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psnet.ahrq.gov/node/50709/psn-pdf
December 04, 2019 - Cognitive engineering to improve patient safety and
outcomes in cardiothoracic surgery
December 4, 2019
Zenati MA, Kennedy-Metz L, Dias RD. Cognitive Engineering to Improve Patient Safety and Outcomes in
Cardiothoracic Surgery. Semin Thorac Cardiovasc Surg. 2019. doi:10.1053/j.semtcvs.2019.10.011.
https://psnet.ah…
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psnet.ahrq.gov/node/39483/psn-pdf
May 25, 2010 - Teaching internal medicine residents quality improvement
and patient safety: a lean thinking approach.
May 25, 2010
Kim CS, Lukela MP, Parekh V, et al. Teaching internal medicine residents quality improvement and patient
safety: a lean thinking approach. Am J Med Qual. 2010;25(3):211-7. doi:10.1177/1062860609357466…
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psnet.ahrq.gov/node/40758/psn-pdf
September 07, 2011 - A review of educational strategies to improve nurses'
roles in recognizing and responding to deteriorating
patients.
September 7, 2011
Liaw SY, Scherpbier A, Klainin-Yobas P, et al. A review of educational strategies to improve nurses' roles
in recognizing and responding to deteriorating patients. Int Nurs Rev. 20…
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psnet.ahrq.gov/node/42019/psn-pdf
December 29, 2014 - Can incident reporting improve safety? Healthcare
practitioners' views of the effectiveness of incident
reporting.
December 29, 2014
Anderson JE, Kodate N, Walters R, et al. Can incident reporting improve safety? Healthcare practitioners'
views of the effectiveness of incident reporting. Int J Qual Health Care. 20…
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psnet.ahrq.gov/node/41685/psn-pdf
July 02, 2014 - Faculty member review and feedback using a sign-out
checklist: improving intern written sign-out.
July 2, 2014
Bump GM, Bost JE, Buranosky R, et al. Faculty member review and feedback using a sign-out checklist:
improving intern written sign-out. Acad Med. 2012;87(8):1125-31. doi:10.1097/ACM.0b013e31825d1215.
http…
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psnet.ahrq.gov/node/36838/psn-pdf
April 19, 2011 - A very public failure: lessons for quality improvement in
healthcare organisations from the Bristol Royal Infirmary.
April 19, 2011
Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from
the Bristol Royal Infirmary. Qual Health Care. 2001;10(4):250-6.
https://psn…
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psnet.ahrq.gov/node/46253/psn-pdf
August 28, 2017 - Diagnostic stewardship—leveraging the laboratory to
improve antimicrobial use.
August 28, 2017
Morgan DJ, Malani P, Diekema DJ. Diagnostic Stewardship-Leveraging the Laboratory to Improve
Antimicrobial Use. JAMA. 2017;318(7):607-608. doi:10.1001/jama.2017.8531.
https://psnet.ahrq.gov/issue/diagnostic-stewardship-l…
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psnet.ahrq.gov/node/41544/psn-pdf
July 25, 2012 - A performance improvement plan to increase nurse
adherence to use of medication safety software.
July 25, 2012
Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety
Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.06.004.
https://psnet.ahrq.gov/issue/perfo…
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psnet.ahrq.gov/node/866651/psn-pdf
September 04, 2024 - Diagnostic Stewardship as a Model to Improve the Quality
and Safety of Diagnosis.
September 4, 2024
Diagnostic Stewardship As A Model To Improve The Quality And Safety Of Diagnosis. Rockville, MD:
Agency for Healthcare Research and Quality; May 2024. AHRQ report no. 24-0010-6-EF
https://psnet.ahrq.gov/issue/diagno…
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psnet.ahrq.gov/node/47971/psn-pdf
June 14, 2019 - Evidence-based medicine: a cornerstone for clinical care
but not for quality improvement.
June 14, 2019
Mondoux S, Shojania KG. Evidence-based medicine: A cornerstone for clinical care but not for quality
improvement. J Eval Clin Pract. 2019;25(3):363-368. doi:10.1111/jep.13135.
https://psnet.ahrq.gov/issue/eviden…