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Total Results: 2,288 records

Showing results for "establish".

1861. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40643/psn-pdf
      July 27, 2011 - Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents. July 27, 2011 Redwood S, Rajakumar A, Hodson J, et al. Does the implementation of an electronic prescribing system create un…

1862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43945/psn-pdf
      September 09, 2015 - Hospital and procedure incidence of pediatric retained surgical items. September 9, 2015 Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. https://psnet.ahrq.gov/issue/hospital-and-procedure-incid…

1863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39972/psn-pdf
      January 22, 2017 - Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. January 22, 2017 Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream infections. Jt Comm J Qual Patient S…

1864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44682/psn-pdf
      March 15, 2016 - On resident duty hour restrictions and neurosurgical training: review of the literature. March 15, 2016 Bina RW, Lemole M, Dumont TM. On resident duty hour restrictions and neurosurgical training: review of the literature. J Neurosurg. 2016;124(3):842-8. doi:10.3171/2015.3.JNS142796. https://psnet.ahrq.gov/issue/r…

1865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43030/psn-pdf
      March 26, 2014 - Recommendations for practitioners and manufacturers to address system-based causes of vaccine errors. March 26, 2014 ISMP Medication Safety Alert! Acute care edition. March 13, 2014;19:1-2,4-5.   https://psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based- causes-vaccine-…

1866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46895/psn-pdf
      March 14, 2018 - Rapid response teams: what's the latest? March 14, 2018 Jackson SA. Rapid response teams: What's the latest? Nursing (Brux). 2017;47(12):34-41. doi:10.1097/01.NURSE.0000526885.10306.21. https://psnet.ahrq.gov/issue/rapid-response-teams-whats-latest Rapid response systems are an established strategy to prevent in-h…

1867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46457/psn-pdf
      December 20, 2017 - Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. December 20, 2017 Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/dx-2017-0010. https://psnet.ah…

1868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34715/psn-pdf
      February 18, 2011 - Continuous improvement as an ideal in health care. February 18, 2011 Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56. https://psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care Two approaches to improving quality in health care are illustrated in this artic…

1869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49674/psn-pdf
      December 01, 2012 - Establish a plan for PICC management with patients that require management outside the insertion facility

1870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49713/psn-pdf
      June 01, 2014 - Hospitals are advised to establish policies and procedures that contain specific air embolism prevention

1871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35038/psn-pdf
      January 02, 2017 - Using Six Sigma to reduce medication errors in a home- delivery pharmacy service. January 2, 2017 Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. https://psnet.ahrq.gov/issue/using-six-sigma-redu…

1872. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43625/psn-pdf
      October 29, 2014 - Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. October 29, 2014 Seelandt JC, Tschan F, Keller S, et al. Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. BMJ Qual Saf. 2014;23(11):918-29. doi:10.11…

1873. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44118/psn-pdf
      May 19, 2018 - Inadequate preoperative team briefings lead to more intraoperative adverse events. May 19, 2018 Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181. https://psnet.ahrq.gov/issue/inadequate-…

1874. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45975/psn-pdf
      May 07, 2018 - Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. May 7, 2018 ISMP Medication Safety Alert! Acute care edition. March 23, 2017;22:1-5. https://psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and- reliability-outcomes…

1875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47419/psn-pdf
      January 22, 2019 - Implementing safety hotlines: Stamford Health's experience and future opportunities. January 22, 2019 Cardiello R, Johnston S, Kiely S. Implementing safety hotlines: Stamford Health's experience and future opportunities. J Healthc Risk Manag. 2019;38(3):24-31. doi:10.1002/jhrm.21347. https://psnet.ahrq.gov/issue/i…

1876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43149/psn-pdf
      July 23, 2014 - FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. July 23, 2014 Washington, DC: Office of the National Coordinator for Health Information Technology, Federal Communications Commission. Silver Spring, MD: Food and Drug Administration. April 2014. https://psnet.ahrq.gov/issue…

1877. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46348/psn-pdf
      June 13, 2018 - The nexus of nursing leadership and a culture of safer patient care. June 13, 2018 Murray M, Sundin D, Cope V. The nexus of nursing leadership and a culture of safer patient care. J Clin Nurs. 2018;27(5-6):1287-1293. doi:10.1111/jocn.13980. https://psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-pa…

1878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44691/psn-pdf
      December 02, 2015 - Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. December 2, 2015 Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(21):1809-15. doi:10.2106/JBJS.O.0…

1879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41891/psn-pdf
      March 11, 2013 - Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. March 11, 2013 Sydor DT, Bould MD, Naik VN, et al. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Br J Anaesth. 2013;110(3):463-71. doi:10.1093/bja/aes396. https://…

1880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43645/psn-pdf
      November 12, 2014 - Health IT and Clinical Decision Support Systems. November 12, 2014 Ohno-Machado L, ed. J Am Med Inform Assoc. 2014;21:e180-e375. https://psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems A universal agreement on how to calculate the return on investment for health information technology (IT) and…