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Author: Christine M. Walsh-Kelly, November 4, 2016

Building Knowledge
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Building knowledge, asking questions (2013) describes the challenges of performing PDSA cycles and makes recommendations for effective reporting in the literature.
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A Hastings Center Special Report. The Ethics of Using QI Methods to Improve Health Care Quality and Safety (2006) is a classic report which clarified the conduct and ethics of quality improvement activities, the similarities and differences between QI and research and the role of the IRB in QI activities.
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The IHI: Comparing Lean and Quality Improvement (2014) White Paper provides a description of the basic concepts of Lean and IHI-QI (Model for Improvement et al) methods, contrasts each method and provides recommendations for when each is the best approach.
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The run chart: a simple analytical tool for learning from variation in healthcare processes (2011) is a simple-to-read description of run chart construction and interpretation.
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Half Life of a Printed Handoff Document (2015) describes the limitations and potential risks associated with paper handoff documents.
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Fifteen years after to Err is Human: a success story to learn from provides key information about the quality and safety journey following the publication of the IOM report: To Err is Human in 2009. A framework to reduce preventable harm is outlined.
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Implementation of a structured hospital-wide morbidity and mortality rounds model describes the implementation of the structured Ottawa M&M Model (OM3) at a tertiary academic teaching hospital and the assessment of the impact on the quality of their M&M Conferences.
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The evolution of morbidity and mortality conferences is an editorial on the evolution of M&M Conferences with specific reference to the experience with OM3 at the Ottawa Hospital.