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psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
September 20, 2011 - Study
Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events.
Citation Text:
Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…
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psnet.ahrq.gov/issue/critical-care-checklists-keystone-project-and-office-human-research-protections-case
May 04, 2014 - Commentary
Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.
Citation Text:
Savel RH, Goldstein EB, Gropper MA. Critical care checklists, the Keystone Project, an…
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psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia-information
June 23, 2009 - Study
Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors.
Citation Text:
Nair BG, Peterson GN, Newman S-F, et al. Improving documentation of a beta-blocker quality measure throug…
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psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
October 19, 2022 - Study
Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors.
Citation Text:
Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized b…
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt1.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Overview
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Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Overview
Frameworks for Change an…
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www.ahrq.gov/action-alliance/overview/index.html
October 01, 2024 - Overview of the National Action Alliance for Patient and Workforce Safety
What Is the National Action Alliance? The National Action Alliance for Patient and Workforce Safety is a collective effort of federal agencies and private partners to improve the safety of patients and the healthcare workforce. Working to…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship7.html
August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Evaluation of Diagnostic Stewardship Implementation
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Table of Contents
Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis
Introduction
Background
Diagnostic E…
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psnet.ahrq.gov/issue/customized-triggers-program-childrens-hospitals-experience-improving-trigger-usability
September 01, 2021 - Study
A customized triggers program: a children's hospital's experience in improving trigger usability.
Citation Text:
Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e20…
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psnet.ahrq.gov/issue/quality-management-and-patient-safety-survey-results-102-hungarian-hospitals
September 16, 2015 - Study
Quality management and patient safety: survey results from 102 Hungarian hospitals.
Citation Text:
Makai P, Klazinga NS, Wagner C, et al. Quality management and patient safety: survey results from 102 Hungarian hospitals. Health Policy (New York). 2009;90(2-3):175-80. doi:10.1016/…
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psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals
September 18, 2024 - Study
Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals.
Citation Text:
Campione Russo A, Tilly J‐L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13…
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psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-hospitals
June 25, 2010 - Study
Am I safe here? Improving patients' perceptions of safety in hospitals.
Citation Text:
Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40.
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psnet.ahrq.gov/issue/armstrong-institute-residentfellow-scholars-multispecialty-curriculum-train-future-leaders
October 19, 2022 - Commentary
The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement.
Citation Text:
Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…
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psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
February 03, 2021 - Study
A system safety approach to assessing risks in the sepsis treatment process.
Citation Text:
Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408.
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psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
April 16, 2014 - Commentary
Introducing the safety score audit for staff member and patient safety.
Citation Text:
Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006.
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psnet.ahrq.gov/issue/adoption-order-entry-decision-support-chronic-care-physician-organizations
October 06, 2011 - Study
Adoption of order entry with decision support for chronic care by physician organizations.
Citation Text:
Simon JS, Rundall TG, Shortell SM. Adoption of order entry with decision support for chronic care by physician organizations. J Am Med Inform Assoc. 2007;14(4):432-9.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-education-cross-sectional-study-medical-students
September 23, 2020 - Study
Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes.
Citation Text:
Teigland CL, Blasiak RC, Wilson LA, et al. Patient safety and quality improvement education: a cross-sectional study of medical students' prefer…
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psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality
May 19, 2013 - Study
Lessons learned: use of event reporting by nurses to improve patient safety and quality.
Citation Text:
Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010…
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psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
April 24, 2018 - Commentary
From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective.
Citation Text:
Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…
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psnet.ahrq.gov/issue/determinants-success-quality-improvement-collaboratives-what-does-literature-show
May 22, 2013 - Study
Determinants of success of quality improvement collaboratives: what does the literature show?
Citation Text:
Hulscher M, Schouten LMT, Grol R, et al. Determinants of success of quality improvement collaboratives: what does the literature show? BMJ Qual Saf. 2013;22(1):19-31. doi:…
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psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety
October 19, 2022 - Commentary
Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations.
Citation Text:
Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats: Common data representation for Patient …