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psnet.ahrq.gov/issue/strategies-improving-communication-emergency-department-mediums-and-messages-noisy
November 17, 2010 - Commentary
Strategies for improving communication in the emergency department: mediums and messages in a noisy environment.
Citation Text:
Welch SJ, Cheung DS, Apker J, et al. Strategies for improving communication in the emergency department: mediums and messages in a noisy environ…
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psnet.ahrq.gov/issue/improving-patient-safety-hospitals-contributions-high-reliability-theory-and-normal-accident
October 13, 2010 - Commentary
Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory.
Citation Text:
Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory. Health Serv Res. 2006;…
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psnet.ahrq.gov/issue/patient-safety-part-ii-opportunities-improvement-patient-safety
August 19, 2009 - Review
Patient safety: Part II. Opportunities for improvement in patient safety.
Citation Text:
Elston DM, Stratman E, Johnson-Jahangir H, et al. Patient safety: Part II. Opportunities for improvement in patient safety. J Am Acad Dermatol. 2009;61(2):193-205; quiz 206. doi:10.1016/j.ja…
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psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician
April 30, 2014 - Study
Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician.
Citation Text:
Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…
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psnet.ahrq.gov/issue/patient-safety-learning-laboratories-advancing-patient-safety-through-design-systems
July 22, 2024 - Grant Announcement
Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional).
Citation Text:
Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Enginee…
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psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
November 22, 2017 - Book/Report
Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns.
Citation Text:
Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Washington, DC: United States Government …
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psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
February 03, 2011 - Commentary
Aiming higher to enhance professionalism: beyond accreditation and certification.
Citation Text:
Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818.
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psnet.ahrq.gov/issue/diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-call
September 13, 2023 - Book/Report
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action.
Citation Text:
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…
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psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
April 19, 2017 - Government Resource
Quality and Safety Between Ward and Board: a Biography of Artefacts Study.
Citation Text:
Quality and Safety Between Ward and Board: a Biography of Artefacts Study. Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals…
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psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
November 10, 2010 - Commentary
ReCASTing the RCA: an improved model for performing root cause analyses.
Citation Text:
Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533…
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psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia
February 03, 2021 - Commentary
Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia.
Citation Text:
Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.000…
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psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
June 26, 2019 - Commentary
The problem with Plan-Do-Study-Act cycles.
Citation Text:
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.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
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psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children
March 14, 2022 - Commentary
Preventing health care–associated harm in children.
Citation Text:
Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038.
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DOI Google Scholar PubMed BibTeX …
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psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned-development-action
September 17, 2010 - Study
Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans.
Citation Text:
Vigorito MC, McNicoll L, Adams L, et al. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-orie…
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psnet.ahrq.gov/issue/activating-knowledge-patient-safety-practices-canadian-academic-policy-partnership
January 08, 2015 - Commentary
Activating knowledge for patient safety practices: a Canadian academic-policy partnership.
Citation Text:
Harrison MB, Nicklin W, Owen M, et al. Activating knowledge for patient safety practices: a Canadian academic-policy partnership. Worldviews Evid Based Nurs. 2012;9(1):4…
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psnet.ahrq.gov/issue/actions-needed-address-employee-misconduct-process-and-ensure-accountability
July 11, 2018 - Book/Report
Actions Needed to Address Employee Misconduct Process and Ensure Accountability.
Citation Text:
Actions Needed to Address Employee Misconduct Process and Ensure Accountability. Washington, DC: United States Government Accountability Office; July 2018. Publication GAO-18-137. …
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psnet.ahrq.gov/issue/infusion-medication-error-reduction-two-person-verification-quality-improvement-initiative
June 19, 2019 - Commentary
Infusion medication error reduction by two-person verification: a quality improvement initiative.
Citation Text:
Subramanyam R, Mahmoud M, Buck D, et al. Infusion Medication Error Reduction by Two-Person Verification: A Quality Improvement Initiative. Pediatrics. 2016;138(6). …
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psnet.ahrq.gov/issue/implementing-team-based-daily-goals-sheet-non-icu-setting
January 03, 2017 - Commentary
Implementing a team-based daily goals sheet in a non-ICU setting.
Citation Text:
Holzmueller CG, Timmel J, Kent P, et al. Implementing a team-based daily goals sheet in a non-ICU setting. Jt Comm J Qual Patient Saf. 2009;35(7):384-8, 341.
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psnet.ahrq.gov/issue/improving-teamwork-impact-structured-interdisciplinary-rounds-medical-teaching-unit
December 21, 2014 - Study
Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.
Citation Text:
O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. do…
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psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-activities-academic-departments-medicine
July 02, 2014 - Study
Quality improvement and patient safety activities in academic departments of medicine.
Citation Text:
Neeman N, Sehgal NL, Davis RB, et al. Quality improvement and patient safety activities in academic departments of medicine. Am J Med. 2012;125(8):831-5. doi:10.1016/j.amjmed.201…