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Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
Kotter, a professor at Harvard Business School, outlines the eight stages of a successful change process, as well as common mistakes and pitfalls at each of the stages. These mistakes include not... Read More
Two approaches to improving quality in health care are illustrated in this article. The first, called quality by inspection, is a system based on the belief that quality is best achieved by removing... Read More
Evaluating the impact of quality and safety interventions is an evolving science. While some have argued for a new... Read More
In order to develop a strategic plan to address patient safety issues, this study sought a national perspective to outline targets... Read More
Patient safety improvement initiatives are often chosen in the context of an existing tension between taking an evidence-based approach versus a practical one... Read More
This study reports on an AHRQ-funded effort to establish communication-and-resolution protocols for general surgery in five New York City hospitals.... Read More
Medication reconciliation is a targeted National Patient Safety Goal. This study describes the experiences of 50 Massachusetts hospitals that... Read More
This AHRQ-funded Partnerships in Implementing Patient Safety (PIPS) project report presents an implementation structure for medication safety and safety culture development in... Read More
The Keystone ICU project is a landmark achievement in patient safety. This project, funded by AHRQ, represented a collaboration between patient safety experts at Johns Hopkins... Read More
