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Stueven J, Sklar DP, Kaloostian P, et al. Am J Med Qual. 2012;27:369-376.
Stueven J ; Sklar DP ; Kaloostian P; et al. A resident-led institutional patient safety and quality improvement process. Am J Med Qual. 2012; 27: 369-376
Close collaboration between resident physicians and hospital leadership led to significant improvements in patient safety in areas ranging from patient flow to faculty supervision.
What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones.
Lane-Fall MB, Davis JJ, Clapp JT, Myers JS, Riesenberg LA. Acad Med. 2018;93:904-910.
A guide to evaluation of quality improvement and patient safety educational programs: lessons from the VA Chief Resident in Quality and Safety Program.
Butcher RL, Carluzzo KL, Watts BV, Schifferdecker KE. Am J Med Qual. 2018 Sep 8; [Epub ahead of print].
Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education.
Charles R, Hood B, DeRosier JM, et al. Orthopedics. 2017;40:e628-e635.
Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety.
Neeman N, Sehgal NL. Acad Med. 2012;87:168-171.
Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events.
Wittich CM, Reed DA, Drefahl MM, et al. Acad Med. 2011;86:737-741.
Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.
Fleischut PM, Evans AS, Nugent WC, et al. Am J Med Qual. 2011;26:89-94.
Fellowships and Mentorships Program.
Horsham, PA. Institute for Safe Medication Practices.
Risky Business London 2019.
June 6-7, 2019. Kings Place, London, UK.
A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles.
Ogunyemi D, Hage N, Kim SK, Friedman P. Jt Comm J Qual Patient Saf. 2019 Mar 20; [Epub ahead of print].
Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System.
Radhakrishnan NS, Singh H, Southwick FS. Diagnosis (Berl). 2019 Mar 16; [Epub ahead of print].
Why do hundreds of US women die annually in childbirth?
Slomski A. JAMA. 2019;321:1239-1241.
Patient safety outcomes under flexible and standard resident duty-hour rules.
Silber JH, Bellini LM, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:905-914.
Sleep and alertness in a duty-hour flexibility trial in internal medicine.
Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:915-923.
The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives.
Durstenfeld MS, Statman S, Dikman A, et al. Am J Med Qual. 2019 Jan 18; [Epub ahead of print].
Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition.
Joint Commission and the American Nurses Association. Oakbrook, IL: Joint Commission Resources, Inc; 2018. ISBN: 9781635850611.
Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care.
Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of Medicine; 2019.
Harveian Oration 2018: improving quality and safety in healthcare.
Dixon-Woods M. Clin Med (Lond). 2019;19:47-56.
Individual Clinician Performance Issues
Long-term Care and Patient Safety
Triggers and Trigger Tools
Identification of warning signs during selection of surgical trainees.
Hagelsteen K, Johansson BM, Bergenfelz A, Mathieu C. J Surg Educ. 2019;76:684-693.
Data omission by physician trainees on ICU rounds.
Artis KA, Bordley J, Mohan V, Gold JA. Crit Care Med. 2019;47:403-409.
Patient Safety: Global Action on Patient Safety.
Executive Board EB144/29 144th session. Geneva, Switzerland: World Health Organization; December 12, 2018.
Lucian Leape Patient Safety Fellowship Award.
International Society for Quality in Health Care.
Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications.
Davis KK, Mahishi V, Singal R, et al. J Clin Med Res. 2019;11:7-14.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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