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psnet.ahrq.gov/node/44117/psn-pdf
December 04, 2016 - The TRANSFORM patient safety project: a microsystem
approach to improving outcomes on inpatient units.
December 4, 2016
Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem
approach to improving outcomes on inpatient units. J Gen Intern Med. 2015;30(4):425-33.
doi:10.1007…
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psnet.ahrq.gov/node/45137/psn-pdf
May 18, 2016 - Less is more: a project to reduce the number of PIMs
(potentially inappropriate medications) on an elderly care
ward.
May 18, 2016
Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially
inappropriate medications) on an elderly care ward. BMJ Qual Improv Rep. 2016;5(1).
…
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psnet.ahrq.gov/node/37856/psn-pdf
June 16, 2011 - Improving patient safety in intensive care units in
Michigan.
June 16, 2011
Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in
Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09.002.
https://psnet.ahrq.gov/issue/improving-patient-safety-intensive-…
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psnet.ahrq.gov/node/38479/psn-pdf
March 11, 2009 - Assessing the effectiveness of quality improvement
strategies in Europe: the MARQuIS project.
March 11, 2009
Qual Saf Health Care. 2009;18(suppl 1):i1-i80.
https://psnet.ahrq.gov/issue/assessing-effectiveness-quality-improvement-strategies-europe-marquis-
project
Articles in this supplement highlight findings fro…
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psnet.ahrq.gov/node/38701/psn-pdf
June 28, 2011 - Selection of indicators for continuous monitoring of
patient safety: recommendations of the project 'safety
improvement for patients in Europe.'
June 28, 2011
Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety:
recommendations of the project 'safety improvement f…
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psnet.ahrq.gov/node/40824/psn-pdf
October 05, 2011 - Quality improvement project to reduce perioperative
opioid oversedation events in a paediatric hospital.
October 5, 2011
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid
oversedation events in a paediatric hospital. BMJ Qual Saf. 2011;20(10):895-902.
doi:10.1136/bmj…
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psnet.ahrq.gov/node/41183/psn-pdf
February 29, 2012 - Increasing the use of 'smart' pump drug libraries by
nurses: a continuous quality improvement project.
February 29, 2012
Harding AD. Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement
project. Am J Nurs. 2012;112(1):26-37. doi:10.1097/01.NAJ.0000410360.20567.55.
https://p…
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psnet.ahrq.gov/node/40064/psn-pdf
July 08, 2013 - Hand Hygiene Project: Best Practices from Hospitals
Participating in the Joint Commission Center for
Transforming Healthcare Project.
July 8, 2013
Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010.
https://psnet.ahrq.gov/issue/hand-hygiene-project-best-practices-hospitals-part…
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psnet.ahrq.gov/node/41126/psn-pdf
February 01, 2013 - The AMÉLIE project: failure mode, effects and criticality
analysis: a model to evaluate the nurse medication
administration process on the floor.
February 1, 2013
Nguyen C, Côté J, Lebel D, et al. The AMÉLIE project: failure mode, effects and criticality analysis: a model
to evaluate the nurse medication administr…
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psnet.ahrq.gov/node/37709/psn-pdf
April 23, 2008 - Inappropriate medication use in the elderly: results from a
quality improvement project in 99 primary care practices.
April 23, 2008
Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a
quality improvement project in 99 primary care practices. Am J Geriatr Pharmacot…
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psnet.ahrq.gov/node/43285/psn-pdf
July 16, 2014 - Outcomes of a quality improvement project for educating
nurses on medication administration and errors in
nursing homes.
July 16, 2014
Tenhunen ML, Tanner EK, Dahlen R. Outcomes of a quality improvement project for educating nurses on
medication administration and errors in nursing homes. J Contin Educ Nurs. 2014;…
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psnet.ahrq.gov/node/47810/psn-pdf
March 13, 2019 - Debriefing in the OR: a quality improvement project.
March 13, 2019
Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J.
2019;109(3):336-344. doi:10.1002/aorn.12616.
https://psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project
Debriefing has emerged as a s…
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psnet.ahrq.gov/node/36758/psn-pdf
August 10, 2011 - Seven hundred and fifty-nine (759) chances to learn: a 3-
year pilot project to analyse transfusion-related near-miss
events in the Republic of Ireland.
August 10, 2011
Lundy D, Laspina S, Kaplan H, et al. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot
project to analyse transfusion-related ne…
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psnet.ahrq.gov/node/44422/psn-pdf
November 17, 2017 - Stop the noise: a quality improvement project to decrease
electrocardiographic nuisance alarms.
November 17, 2017
Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease
Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15-22; quiz 1p following 22.
doi:10.4…
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psnet.ahrq.gov/node/45726/psn-pdf
December 14, 2016 - National Cancer Institute–American Society of Clinical
Oncology Teams in Cancer Care Project.
December 14, 2016
J Oncol Pract. 2016;12(11):955-1194.
https://psnet.ahrq.gov/issue/national-cancer-institute-american-society-clinical-oncology-teams-cancer-
care-project
Team-based care has been adopted in various spec…
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psnet.ahrq.gov/node/45445/psn-pdf
September 27, 2016 - Using Kotter's change model for implementing bedside
handoff: a quality improvement project.
September 27, 2016
Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality
Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.1097/NCQ.0000000000000212.
https:/…
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psnet.ahrq.gov/node/47361/psn-pdf
April 07, 2019 - Implementing bedside handoff in the emergency
department: a practice improvement project.
April 7, 2019
Campbell D, Dontje K. Implementing Bedside Handoff in the Emergency Department: A Practice
Improvement Project. J Emerg Nurs. 2019;45(2):149-154. doi:10.1016/j.jen.2018.09.007.
https://psnet.ahrq.gov/issue/imple…
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psnet.ahrq.gov/node/37601/psn-pdf
March 19, 2008 - Patient Safety Education Project.
March 19, 2008
Buehler Center on Aging, Health & Society; Northwestern University.
https://psnet.ahrq.gov/issue/patient-safety-education-project
This Web site provides information on the Patient Safety Education Project (PSEP), an initiative to build a
core patient safety curricul…
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psnet.ahrq.gov/node/43975/psn-pdf
July 18, 2016 - Influence of the Comprehensive Unit-based Safety
Program in ICUs: evidence from the Keystone ICU project.
July 18, 2016
Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence
From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-357. doi:10.1177/1062860615571963.
…
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psnet.ahrq.gov/node/43627/psn-pdf
November 12, 2014 - The 5th National Audit Project (NAP5) on accidental
awareness during general anaesthesia: patient
experiences, human factors, sedation, consent and
medicolegal issues.
November 12, 2014
Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness
during general anaesthesia: p…