-
psnet.ahrq.gov/issue/resident-duty-hour-regulation-and-patient-safety-establishing-balance-between-concerns-about
May 20, 2009 - Commentary
Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery.
Citation Text:
Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance betwee…
-
psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - Anesthetic medications may depress or stop the patient's breathing altogether, and the anesthesiologist must establish … Failure to establish successful oxygenation in a patient who is not breathing spontaneously may result
-
psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - https://psnet.ahrq.gov//#6
https://psnet.ahrq.gov//#6
Seeking organizational leadership support to establish … The implementation team should establish measurable goals
and set expectations for clinical performance
-
psnet.ahrq.gov/issue/establishing-multi-institutional-quality-and-patient-safety-consortium-collaboration-across
June 24, 2009 - Commentary
Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school.
Citation Text:
Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collab…
-
psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - safety have been identified, there is still incomplete guidance on the precise interventions needed to establish … Second, there is a need to establish standardized measures of psychological safety that can be applied
-
psnet.ahrq.gov/issue/establishing-international-baseline-medication-safety-oncology-findings-2012-ismp
May 14, 2009 - Study
Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology.
Citation Text:
Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in…
-
psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
January 02, 2017 - Study
Rates and types of events reported to established incident reporting systems in two US hospitals.
Citation Text:
Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007;16(3):16…
-
psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - improve surgical and postoperative safety, the low baseline incidence of WSPEs makes it difficult to establish
-
psnet.ahrq.gov/node/35840/psn-pdf
May 27, 2011 - Development of the Leapfrog methodology for evaluating
hospital implemented inpatient computerized physician
order entry systems.
May 27, 2011
Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital
implemented inpatient computerized physician order entry systems. Qual…
-
psnet.ahrq.gov/node/845361/psn-pdf
March 29, 2023 - A standardized marking procedure for ENT operations to
prevent wrong-site surgery: development, establishment
and subsequent evaluation among patients and medical
personnel.
March 29, 2023
Rohrmeier C, Abudan Al-Masry N, Keerl R, et al. A standardized marking procedure for ENT operations to
prevent wrong-site sur…
-
psnet.ahrq.gov/node/40994/psn-pdf
December 18, 2014 - Implementing medication reconciliation in outpatient
pediatrics.
December 18, 2014
Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics.
Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993.
https://psnet.ahrq.gov/issue/implementing-medication-reconciliat…
-
psnet.ahrq.gov/node/44776/psn-pdf
April 15, 2016 - Best practices for chemotherapy administration in
pediatric oncology: quality and safety process
improvements (2015).
April 15, 2016
Looper K, Winchester K, Robinson D, et al. Best Practices for Chemotherapy Administration in Pediatric
Oncology: Quality and Safety Process Improvements (2015). J Pediatr Oncol Nurs.…
-
psnet.ahrq.gov/node/49848/psn-pdf
January 01, 2019 - medications may depress or stop the patient's
breathing altogether, and the anesthesiologist must establish … Failure to establish successful
oxygenation in a patient who is not breathing spontaneously may result
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15465959
Creating a Safe Environment
Establish
-
psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - cognitive demands, fatigue and care delivery stress can make this is a particularly challenging time to establish
-
psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - should incorporate available safety
technologies such as medication labeling and barcoding systems, and establish … Points
Waste medications either immediately after administration or at the end of surgical cases
Establish
-
psnet.ahrq.gov/node/43447/psn-pdf
November 20, 2015 - Evaluating the effect of safety culture on error reporting:
a comparison of managerial and staff perspectives.
November 20, 2015
Richter J, McAlearney AS, Pennell ML. Evaluating the effect of safety culture on error reporting: a
comparison of managerial and staff perspectives. Am J Med Qual. 2015;30(6):550-8.
doi:…
-
psnet.ahrq.gov/innovation/standardized-marking-procedure-ent-operations-prevent-wrong-site-surgery-development
February 01, 2013 - EMERGING INNOVATIONS
A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment and subsequent evaluation among patients and medical personnel.
Citation Text:
Rohrmeier C, Abudan Al-Masry N, Keerl R, et al. A standardized marking procedure for ENT…
-
psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - cognitive demands, fatigue and care
delivery stress can make this is a particularly challenging time to establish
-
psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - Spotlight
Spotlight
Discharged with IV antibiotics:
When issues arise, who manages
the complications?
Source and Credits
• This presentation is based on the February 2020 AHRQ
WebM&M Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Monica Donnel…