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Maternal Safety | PSNet

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January 01, 2015 - They and others developed comprehensive perinatal safety programs that included careful attention to … Health Program , safety bundles were developed and implemented to help maternal care teams be ready … programs explicitly address respectful care as an essential component of quality and safety. … stakeholders, such as the Black Mamas Matter Alliance and Black Women Birthing Justice, have developed comprehensive … May 11, 2019 Impact of the Agency for Healthcare Research and Quality's Safety Program

Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. | PSNet

psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety

March 29, 2023 - Investigating racial and ethnic disparities in maternal care at the system level using patient safety … Investigating racial and ethnic disparities in maternal care at the system level using patient safety … Investigating racial and ethnic disparities in maternal care at the system level using patient safety … August 2, 2012 Changes in medical errors after implementation of a handoff program. … January 23, 2020 A comprehensive obstetrics patient safety program improves safety climate

Changes in prevalence of health care-associated infections in U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/changes-prevalence-health-care-associated-infections-us-hospitals

December 18, 2014 - Successful programs to avert HAIs include the comprehensive unit-based safety program to reduce catheter-related … bloodstream infections and the AHRQ Safety Program for Surgery to prevent surgical site infections … July 3, 2014 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … September 21, 2016 Implementation of the I-PASS handoff program in diverse clinical environments

Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. | PSNet

psnet.ahrq.gov/issue/encouraging-employees-speak-prevent-infections-opportunities-leverage-quality-improvement-and

January 23, 2017 - (s) What is the return on investment for implementation of a crew resource management program … April 24, 2018 Targeted implementation of the Comprehensive Unit-Based Safety Program … January 20, 2016 Adoption of technology to improve medication safety: perspectives of … December 3, 2014 Implementing a national program to reduce catheter-associated urinary … October 8, 2013 Tennessee Center for Patient Safety.

Organizational culture as a source of high reliability. | PSNet

psnet.ahrq.gov/issue/organizational-culture-source-high-reliability

December 03, 2018 - April 6, 2022 The presence and potential impact of psychological safety in the healthcare … September 29, 2017 A web-based tool for the Comprehensive Unit-based Safety Program ( … January 2, 2017 Giving voice to quality and safety matters at board level: a qualitative … August 24, 2016 Stories from the sharp end: case studies in safety improvement. … June 16, 2011 Structural and organizational issues in patient safety: a comparison of

Promoting patient safety: results of a TeamSTEPPS initiative. | PSNet

psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-initiative

October 17, 2012 - Promoting patient safety: results of a TeamSTEPPS initiative. … Poor communication is a persistent patient safety hazard. … A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program … July 23, 2010 I-PSI: short- and long-term efficacy of a comprehensive initiative to promote … patient safety event reporting by trainees.

Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle. | PSNet

psnet.ahrq.gov/issue/decreased-incidence-cesarean-surgical-site-infection-rate-hospital-wide-perioperative-bundle

September 08, 2021 - September 8, 2021 Pediatric medication safety in the emergency department. … April 14, 2021 Medication-related interventions to improve medication safety and patient … 2022 Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety … August 10, 2022 Implementation of the I-PASS handoff program in diverse clinical environments … September 2, 2020 Implementation of a comprehensive unit-based safety program to reduce

Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. | PSNet

psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed-methods-evaluation

May 19, 2021 - implementation of the MARQUIS toolkit , which supports hospitals in developing medication reconciliation programs … April 28, 2021 Improving medication reconciliation with comprehensive evaluation at a … July 21, 2021 Association between implementing comprehensive learning collaborative strategies … in a statewide collaborative and changes in hospital safety culture. … August 26, 2020 Pharmacist-led program to improve transitions from acute care to skilled

Towards high-reliability organising in healthcare: a strategy for building organisational capacity. | PSNet

psnet.ahrq.gov/issue/towards-high-reliability-organising-healthcare-strategy-building-organisational-capacity

January 06, 2016 - April 22, 2012 A web-based tool for the Comprehensive Unit-based Safety Program (CUSP … May 30, 2018 Leadership and vision for a culture of safety. … February 21, 2018 Leadership oversight for patient safety programs: an essential element … January 29, 2018 Where should patient safety be installed? … September 27, 2017 Patient safety and leadership: do you walk the walk?

Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. | PSNet

psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals

March 02, 2022 - Comprehensive implementation of reporting and learning systems (RLS, also known as incident reporting … systems) is important for its successful use as a patient safety improvement tool. … paediatric intensive care unit using the daily safety huddle tool. … May 18, 2022 A simulation systems testing program using HFMEA methodology can effectively … identify and mitigate latent safety threats for a new on-site helipad.

Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. | PSNet

psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive

March 09, 2022 - Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive … Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive … among fellows, residents, advanced practice providers (APPs) and physician assistants (PAs) at one Comprehensive … Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive … medical education incentive program.

Patient safety functions of state medical boards in the United States. | PSNet

psnet.ahrq.gov/issue/patient-safety-functions-state-medical-boards-united-states

April 13, 2022 - Commentary Patient safety functions of state medical boards in the United States. … Citation Text: Patient safety functions of state medical boards in the United States. Roy CG. … January 17, 2024 Development of the ICU safety reporting system. … February 25, 2015 A comprehensive quality assurance program for personnel and procedures … October 3, 2017 Medicare and Medicaid Programs; Hospital and Critical Access Hospital

Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study). | PSNet

psnet.ahrq.gov/issue/impact-pharmacist-involvement-transitional-care-high-risk-patients-through-medication

August 25, 2011 - August 21, 2013 Perceptions of hospital safety climate and incidence of readmission. … medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program … July 20, 2016 Developing a medication patient safety program, part 2: process and implementation … June 13, 2011 A comprehensive pharmacist intervention to reduce morbidity in patients … February 15, 2011 Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental

Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. | PSNet

psnet.ahrq.gov/issue/patient-involvement-improved-patient-safety-qualitative-study-nurses-perceptions-and

July 19, 2019 - Study Patient involvement for improved patient safety: a qualitative study of nurses … Patient involvement for improved patient safety: A qualitative study of nurses' perceptions and experiences … an improved patient safety culture. … May 31, 2017 Are measurements of patient safety culture and adverse events valid and … May 17, 2023 We Want to Know-a mixed methods evaluation of a comprehensive program designed

The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. | PSNet

psnet.ahrq.gov/issue/effect-structured-medication-review-followed-face-face-feedback-prescribers-adverse-drug

January 18, 2013 - December 21, 2022 Impact of a nationwide prospective drug utilization review program … to improve prescribing safety of potentially inappropriate medications in older adults: an interrupted … February 15, 2023 National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive … November 20, 2013 A comprehensive pharmacist intervention to reduce morbidity in patients … 14, 2010 View More See More About The Topic Hospitals Quality and Safety

Don't Dismiss the Dangerous: Obstetric Hemorrhage | PSNet

psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage

August 21, 2024 - protocols with the blood bank for emergency release and massive transfusions, and of course educational programs … The first step to implement such a program is to create a team that includes key obstetricians, nurses … , and the California Maternal Quality Care Collaborative ( 8 ) has a comprehensive toolkit at https … Comprehensive maternal hemorrhage protocols reduce the use of blood products and improve patient safety … Unit-standard, stage-based obstetric hemorrhage emergency management plan with checklists Support program

Pharmacy e-prescription dispensing before and after CancelRx implementation. | PSNet

psnet.ahrq.gov/issue/pharmacy-e-prescription-dispensing-and-after-cancelrx-implementation

October 05, 2022 - The impact of electronic communication of medication discontinuation (CancelRx) on medication safety … July 1, 2017 Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve … patient safety in an academic primary care practice. … 2024 A multi-method exploratory evaluation of a service designed to improve medication safety … The impact of electronic communication of medication discontinuation (CancelRx) on medication safety

Medication Safety Events Related to Diagnostic Imaging | PSNet

psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging

January 26, 2022 - Lammers, MD Professor Department of Anesthesiology and Pain Medicine Opioid Stewardship Program Physician … Pulmonary aspiration during procedural sedation: a comprehensive systematic review. … Road Map to a Medication Safety Program. … March 20, 2024 Psychological safety as a new ACGME requirement: a comprehensive all-in-one … guide to radiology residency programs.

Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management. | PSNet

psnet.ahrq.gov/issue/evaluation-electronic-health-record-implementation-pharmacist-interventions-related-oral

January 25, 2023 - implementation of an electronic health record–facilitated, pharmacist-led, standardized ordering and monitoring program … Related Resources From the Same Author(s) Determination of unnecessary blood transfusion by comprehensive … July 19, 2023 Seven features of safety in maternity units: a framework based on multisite … February 20, 2019 Validity of AHRQ patient safety indicators derived from ICD-10 hospital … The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety

Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. | PSNet

psnet.ahrq.gov/issue/comparison-traditional-trigger-tool-data-warehouse-based-screening-identifying-hospital

June 11, 2010 - September 30, 2015 A comprehensive estimation of the costs of 30-day postoperative complications … 2020 Structured interdisciplinary rounds in a medical teaching unit: improving patient safety … November 1, 2023 Implementation of the I-PASS handoff program in diverse clinical environments … 18, 2010 View More See More About The Topic Hospitals Quality and Safety

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