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Showing results for "establish".

2281. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838197/psn-pdf
      September 28, 2022 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. September 28, 2022 Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. PSNet [internet]. 2022. https://psnet.…

2282. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867805/psn-pdf
      February 26, 2025 - In Conversation with David W. Bates about Are We Safer Today? February 26, 2025 Bates DW, Lee M, Mossburg SE. In Conversation with David W. Bates about Are We Safer Today? PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today Editor’s note: David W. Bates, …

2283. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33694/psn-pdf
      April 01, 2010 - Fortunately, there was the foresight to establish the National Quality Forum because it's easier if

2284. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33763/psn-pdf
      March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program? March 1, 2014 Huang SS. How Does Infection Prevention Fit Into a Safety Program? PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program Perspective In 1999, the Institute of Medicine (IOM) released the To …

2285. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46147/psn-pdf
      August 08, 2018 - A Department of Medicine infrastructure for patient safety and clinical quality improvement. August 8, 2018 Mathews SC, Pronovost P, Biddison LD, et al. A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement. Am J Med Qual. 2018;33(4):413-419. doi:10.1177/1062860617743324. http…

2286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39309/psn-pdf
      December 09, 2014 - Patient Safety in Emergency Medicine. December 9, 2014 Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278. https://psnet.ahrq.gov/issue/patient-safety-emergency-medicine The pace, diversity, and scope of an emergency department (ED) cre…

2287. 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…

2288. 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…

2289. 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…

2290. 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://…

2291. 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…

2292. 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…

2293. 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…

2294. 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-…

2295. 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…

2296. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46680/psn-pdf
      December 13, 2017 - Patient safety culture in care homes for older people: a scoping review. December 13, 2017 Gartshore E, Waring J, Timmons S. Patient safety culture in care homes for older people: a scoping review. BMC Health Serv Res. 2017;17(1):752. doi:10.1186/s12913-017-2713-2. https://psnet.ahrq.gov/issue/patient-safety-cultu…

2297. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44935/psn-pdf
      April 15, 2016 - Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta- analysis. April 15, 2016 Mekonnen AB, McLachlan AJ, Brien J-AE. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. J Clin Pharm Ther. 2016;41(2):12…

2298. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47106/psn-pdf
      August 15, 2018 - Imitating incidents: how simulation can improve safety investigation and learning from adverse events. August 15, 2018 Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097/SIH.0000000000000315. https://psnet.…

2299. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45573/psn-pdf
      November 16, 2016 - High reliability of care in orthopedic surgery: are we there yet? November 16, 2016 Anoushiravani AA, Sayeed Z, El-Othmani MM, et al. High Reliability of Care in Orthopedic Surgery: Are We There Yet? Orthop Clin North Am. 2016;47(4):689-95. doi:10.1016/j.ocl.2016.05.011. https://psnet.ahrq.gov/issue/high-reliabili…

2300. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46496/psn-pdf
      October 11, 2017 - Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. October 11, 2017 Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organization…