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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - At the initiation of the HEN 2.0 contract, LifePoint established the NQP as the framework to not only
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psnet.ahrq.gov/node/73200/psn-pdf
April 28, 2021 - diagnosis of diabetic ketoacidosis (DKA) in a patient with
type 1 diabetes; the correct diagnosis was not established … understood; however, proposed explanations include: more admissions for mild DKA (criteria
for which were established … Institute a specialized diabetes team for inpatient management along with established criteria
for when
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psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hospital-staffing-plans-nursing
May 04, 2015 - Legislation/Case Law
Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements.
Citation Text:
Enacting the Washington state patient safety act requiring hospital staffing plans for n…
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psnet.ahrq.gov/issue/making-business-case-quality-and-safety
January 19, 2022 - Commentary
Making the business case for quality and safety.
Citation Text:
Shah RK, Reinhart R, Cronin J. Making the business case for quality and safety. Otolaryngol Clin North Am. 2022;55(1):105-113. doi:10.1016/j.otc.2021.07.008.
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Format:
DOI Google Scholar …
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - At the initiation of the HEN 2.0 contract, LifePoint established the NQP as the framework to not only
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psnet.ahrq.gov/node/73412/psn-pdf
August 01, 2022 - Activity
A multi-sector partnership program called ARISE (Aspire to Realize Improved Safety and Equity)
established … Getting Started with This Innovation
Early on in implementation, a standard workflow should be established
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psnet.ahrq.gov/node/42667/psn-pdf
December 30, 2014 - Culture and behaviour in the English National Health
Service: overview of lessons from a large multimethod
study.
December 30, 2014
Dixon-Woods M, Baker R, Charles K, et al. Culture and behaviour in the English National Health Service:
overview of lessons from a large multimethod study. BMJ Qual Saf. 2014;23(2):10…
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psnet.ahrq.gov/node/856635/psn-pdf
January 01, 2024 - System planning for modern-day Just Culture to mitigate
worker distress and second victim response.
November 29, 2023
Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker
distress and second victim response. BMJ Lead. 2024;8(2):149-152. doi:10.1136/leader-2023-0008…
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psnet.ahrq.gov/node/849598/psn-pdf
May 31, 2023 - To test the idea of a remote monitoring team, WellSpan established
a small, 24-hour team of remote nurses … hospital location to oversee implementation
Standardized EHR alert technology across all locations
Established
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - diverse range of medical device types and substantial variation in their potential to cause harm, the FDA established … Established in September 2016, NEST is a multi-stakeholder partnership between health providers, patients
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psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
September 29, 2017 - Commentary
Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention.
Citation Text:
Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 201…
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psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
May 28, 2020 - diverse range of medical device types and substantial variation in their potential to cause harm, the FDA established … Established in September 2016, NEST is a multi-stakeholder partnership between health providers, patients
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psnet.ahrq.gov/node/49827/psn-pdf
April 01, 2018 - and the duration of mechanical ventilation.(5-7) Once physiologic and hemodynamic stability has
been established … Criteria for participation in early mobilization in the intensive care unit should be established to
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psnet.ahrq.gov/node/49510/psn-pdf
May 01, 2006 - Established guidelines consistently recommend that medications be prepared for one patient at a time … If the instructor in this case had established a culture in which students felt comfortable and were
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - Patient Safety and Quality Improvement Act (PSQIA) and, after the law's passage in 2005, the CHA
established … A board of directors was selected and a preliminary business plan established prior to hiring personnel
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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…
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - patient care outcomes.3 In addition, the Lean teams oversaw the implementation of the
interventions they established … senior leadership, a multidisciplinary team is convened, a
standard definition of suicide risk is established … Spot checks help the innovators
gauge whether the innovation is reaching the final target that was established
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psnet.ahrq.gov/node/46855/psn-pdf
February 21, 2018 - Leadership and vision for a culture of safety.
February 21, 2018
Gandhi TK. NEJM Catalyst. February 8, 2018.
https://psnet.ahrq.gov/issue/leadership-and-vision-culture-safety
Leadership has an important role in establishing a culture of safety in health care organizations. This
commentary describes key skills requ…
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psnet.ahrq.gov/node/35083/psn-pdf
March 29, 2007 - Patient Safety: Achieving a New Standard for Care.
March 29, 2007
Aspden P ed, Committee for Data Standards for Patient Safety, Institute of Medicine. Washington DC:
National Academies Press; 2004. ISBN 0309090776.
https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care
This report details findings…
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psnet.ahrq.gov/issue/prescription-errors-related-use-computerized-provider-order-entry-system-pediatric-patients
November 07, 2018 - May 4, 2022
Patient safety on the otolaryngology service: the role of an established