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psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear
May 24, 2012 - Commentary
Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry.
Citation Text:
Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. …
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psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning
October 16, 2012 - Study
Learning in action: developing safety improvement capabilities through action learning.
Citation Text:
Christiansen A, Prescott T, Ball J. Learning in action: developing safety improvement capabilities through action learning. Nurse Educ Today. 2014;34(2):243-7. doi:10.1016/j.ned…
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psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-improve-quality-care-cautionary-remarks
May 09, 2012 - Commentary
Analysis of medical malpractice claims to improve quality of care: cautionary remarks.
Citation Text:
Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178.
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psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
October 13, 2018 - Commentary
Creating the web-based intensive care unit safety reporting system.
Citation Text:
Holzmueller CG. Creating the Web-based Intensive Care Unit Safety Reporting System. Journal of the American Medical Informatics Association. 2004;12(2). doi:10.1197/jamia.m1408.
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psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
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…
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psnet.ahrq.gov/issue/next-phase-health-care-improvement-what-can-we-learn-social-movements
July 22, 2010 - Commentary
The next phase of health care improvement: what can we learn from social movements?
Citation Text:
Bate P, Robert G, Bevan H. The next phase of healthcare improvement: what can we learn from social movements? Qual Saf Health Care. 2004;13(1):62-6.
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psnet.ahrq.gov/issue/practices-prevent-venous-thromboembolism-brief-review
June 21, 2016 - Review
Practices to prevent venous thromboembolism: a brief review.
Citation Text:
Lau BD, Haut ER. Practices to prevent venous thromboembolism: a brief review. BMJ Qual Saf. 2014;23(3):187-95. doi:10.1136/bmjqs-2012-001782.
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DOI Google Scholar PubMed …
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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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digital.ahrq.gov/program-overview/research-stories/identifying-patients-high-need-during-care-transitions-improve-care-and-meet-social-needs
January 01, 2023 - Identifying Patients with High Need During Care Transitions to Improve Care and Meet Social Needs
Theme:
Engaging and Empowering Patients and Caregivers
Subtheme:
Improving Care During Patient Transitions
Using health information exchange to identify high-need patients during care transiti…
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psnet.ahrq.gov/issue/kaiser-permanentes-performance-improvement-system-part-4-creating-learning-organization
July 19, 2023 - Commentary
Kaiser Permanente's performance improvement system, part 4: creating a learning organization.
Citation Text:
Schilling L, Dearing JW, Staley P, et al. Kaiser Permanente's performance improvement system, Part 4: Creating a learning organization. Jt Comm J Qual Patient Saf. 2011…
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psnet.ahrq.gov/issue/patient-experience-source-understanding-origins-impact-and-remediation-diagnostic-errors
August 16, 2023 - Book/Report
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors.
Citation Text:
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. Schlesinger M, Grob R, Gleason K, et al. Rock…
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psnet.ahrq.gov/issue/problem-incident-reporting
February 28, 2024 - Commentary
The problem with incident reporting.
Citation Text:
Macrae C. The problem with incident reporting. BMJ Qual Saf. 2016;25(2):71-75. doi:10.1136/bmjqs-2015-004732.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/Report-to-Congress-2022-bulletin.pdf
January 01, 2022 - U.S. Preventive Services Task Force Highlights High-Priority Evidence Gaps in 2022 Report to Congress
www.uspreventiveservicestaskforce.org 1
U.S. Preventive Services Task Force Highlights High-Priority
Evidence Gaps in 2022 Report to Congress
Task Force calls for more research to improve healthy behavio…
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psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defining-clinical-reasoning
June 26, 2019 - Commentary
Emerging Classic
Drawing boundaries: the difficulty in defining clinical reasoning.
Citation Text:
Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning. Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0…
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psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research
May 25, 2022 - Commentary
Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research.
Citation Text:
Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/b…
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psnet.ahrq.gov/issue/identifying-causes-adverse-events-detected-automated-trigger-tool-through-depth-analysis
October 05, 2011 - Study
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
Citation Text:
Muething SE, Conway PH, Kloppenborg E, et al. Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. Qual Saf Health…
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psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
July 31, 2019 - Commentary
Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs.
Citation Text:
Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.…
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psnet.ahrq.gov/issue/health-literacy-past-present-and-future-workshop-summary
December 17, 2014 - Meeting/Conference Proceedings
Health Literacy: Past, Present, and Future: Workshop Summary.
Citation Text:
Health Literacy: Past, Present, and Future: Workshop Summary. Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. …
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digital.ahrq.gov/type-care/tertiary-care
January 01, 2023 - Tertiary Care
ML-ROVER: Machine Learning to Reduce Laboratory Test Overutilization
Description
The study will develop, validate, implement, and assess the usability of a machine learning based clinical decision support tool designed to reduce laboratory testing overutilization…
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psnet.ahrq.gov/issue/evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy
April 28, 2010 - Study
An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history.
Citation Text:
Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-pharmacist intervention for imp…