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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/d2-projectcharter.pdf
December 23, 2009 - INSTRUCTIONS: Project Charter
AHRQ Quality Indicators Toolkit
INSTRUCTIONS
Project Charter
What is this tool? The purpose of the project charter is to describe the performance improvement
rationale, goals, barriers, and anticipated resources to which the team will commit.
Who are the target audiences? St…
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psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
March 09, 2022 - Commentary
Positive deviance: a new tool for infection prevention and patient safety.
Citation Text:
Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013.
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psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
January 30, 2019 - Commentary
Classic
Risk mitigation in large scale systems: lessons from high reliability organizations.
Citation Text:
Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…
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psnet.ahrq.gov/issue/patient-safety-intensive-care-results-multinational-sentinel-events-evaluation-see-study
March 03, 2011 - Study
Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.
Citation Text:
Valentin A, Capuzzo M, Guidet B, et al. Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. Intensive Care …
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psnet.ahrq.gov/issue/identifying-organizational-cultures-promote-patient-safety
June 16, 2011 - Study
Identifying organizational cultures that promote patient safety.
Citation Text:
Singer SJ, Falwell A, Gaba DM, et al. Identifying organizational cultures that promote patient safety. Health Care Manag Rev. 2009;34(4):300-311. doi:10.1097/HMR.0b013e3181afc10c.
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psnet.ahrq.gov/issue/fake-it-til-you-make-it-pressures-measure-surgical-training
October 25, 2023 - Study
Emerging Classic
Fake it 'til you make it: pressures to measure up in surgical training.
Citation Text:
Patel P, Martimianakis MA, Zilbert NR, et al. Fake It 'Til You Make It: Pressures to Measure Up in Surgical Training. Acad Med. 2018;93(5):769-774. doi:…
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psnet.ahrq.gov/issue/patient-safety-curriculum-surgical-residency-programs-results-national-consensus-conference
September 16, 2009 - Commentary
Patient safety curriculum for surgical residency programs: results of a national consensus conference.
Citation Text:
Sachdeva AK, Philibert I, Leach DC, et al. Patient safety curriculum for surgical residency programs: results of a national consensus conference. Surgery. 20…
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psnet.ahrq.gov/issue/importance-preparation-doctors-handovers-acute-medical-assessment-unit-hierarchical-task
March 02, 2011 - Study
The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical …
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psnet.ahrq.gov/issue/medication-errors-involving-intravenous-administration-route-characteristics-voluntarily
January 31, 2018 - Review
Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors.
Citation Text:
Wolf ZR. Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily Reported Medication Errors. J Infus…
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psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
February 18, 2011 - Commentary
I-CaRe: a case review tool focused on improving inpatient care.
Citation Text:
Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61.
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psnet.ahrq.gov/issue/interdisciplinary-collaboration-maintain-culture-safety-labor-and-delivery-setting
January 02, 2017 - Commentary
Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting.
Citation Text:
Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. J Perinat Neonatal Nurs. 2013;27(2):…
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psnet.ahrq.gov/issue/system-errors-intrapartum-electronic-fetal-monitoring-case-review
May 16, 2012 - Commentary
System errors in intrapartum electronic fetal monitoring: a case review.
Citation Text:
Miller L. System errors in intrapartum electronic fetal monitoring: a case review. J Midwifery Womens Health. 2005;50(6):507-16.
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psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
April 03, 2019 - Book/Report
The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety.
Citation Text:
The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. Boston, MA: Betsy Lehman Center for Patient Saf…
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psnet.ahrq.gov/issue/developing-indicators-inpatient-adverse-drug-events-through-nonlinear-analysis-using
December 23, 2011 - Study
Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data.
Citation Text:
Nebeker JR, Yarnold PR, Soltysik RC, et al. Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data. Med…
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psnet.ahrq.gov/issue/science-human-factors-separating-fact-fiction
January 07, 2015 - Commentary
The science of human factors: separating fact from fiction.
Citation Text:
Russ AL, Fairbanks RJ, Karsh B-T, et al. The science of human factors: separating fact from fiction. BMJ Qual Saf. 2013;22(10):802-8. doi:10.1136/bmjqs-2012-001450.
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psnet.ahrq.gov/issue/pediatric-medication-safety-and-media-what-does-public-see
November 25, 2009 - Study
Pediatric medication safety and the media: what does the public see?
Citation Text:
Stebbing C, Kaushal R, Bates DW. Pediatric medication safety and the media: what does the public see? Pediatrics. 2006;117(6):1907-1914. doi:10.1542/peds.2005-2017.
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psnet.ahrq.gov/issue/interventions-reduce-medication-errors-adult-intensive-care-systematic-review
January 22, 2016 - Review
Interventions to reduce medication errors in adult intensive care: a systematic review.
Citation Text:
Manias E, Williams A, Liew D. Interventions to reduce medication errors in adult intensive care: a systematic review. Br J Clin Pharmacol. 2012;74(3). doi:10.1111/j.1365-2125.2…
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psnet.ahrq.gov/issue/factors-associated-reported-preventable-adverse-drug-events-retrospective-case-control-study
November 16, 2022 - Study
Factors associated with reported preventable adverse drug events: a retrospective, case-control study.
Citation Text:
Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Ann Pharmacother. 2012;46…
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psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network-study
July 12, 2010 - Study
Evaluating sample medications in primary care: a practice-based research network study.
Citation Text:
Hansen LB, Saseen JJ, Westfall JM, et al. Evaluating sample medications in primary care: a practice-based research network study. Jt Comm J Qual Patient Saf. 2006;32(12):688-692…
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psnet.ahrq.gov/issue/barriers-and-facilitators-related-implementation-surgical-safety-checklists-systematic-review
December 05, 2018 - Review
Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence.
Citation Text:
Bergs J, Lambrechts F, Simons P, et al. Barriers and facilitators related to the implementation of surgical safety checklists: a s…