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Showing results for "implement".

  1. Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. | PSNet

    psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside
    March 15, 2022 - November 16, 2015 Implement strategies to prevent persistent medication errors and hazards

  2. AHA Patient Safety Initiative. | PSNet

    psnet.ahrq.gov/issue/aha-patient-safety-initiative
    April 15, 2021 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement

  3. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
    November 01, 2006 - Unintended Consequences Acknowledge that unintended consequences are bound to occur following any effort to implement … change Educate staff about the change Implement failure mode effects analysis (FMEA) Systematic, … failures Reducing the Burden of Unintended Consequences Minimize reliance on human vigilance Implement

  4. CHPSO Annual Reports. | PSNet

    psnet.ahrq.gov/issue/chpso-2019-annual-report
    March 20, 2024 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement

  5. Total systems safety supports practitioners in partnering with families to protect patients. | PSNet

    psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
    April 17, 2024 - May 1, 2024 Implement strategies to prevent persistent medication errors and hazards:

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46296/psn-pdf
    September 24, 2017 - The hospitals involved in this study subsequently participated in a program to implement the Surgical

  7. Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. | PSNet

    psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
    March 14, 2023 - June 28, 2023 Implement strategies to prevent persistent medication errors and hazards

  8. Patient death tied to lack of proper escalation process for barcode scanning failures. | PSNet

    psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
    November 01, 2023 - November 8, 2017 Implement strategies to prevent persistent medication errors and hazards

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33630/psn-pdf
    March 01, 2006 - However, the most effective way to teach and implement these concepts is much less clear. … our judgment, classroom-based team training with low-level simulation is the most effective way to implement … Ultimately the best way to teach and implement team training may be through a combination of classroom

  10. Using implementation safety indicators for CPOE implementation. | PSNet

    psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation
    August 04, 2021 - Study Using implementation safety indicators for CPOE implementation. Citation Text: Weir C, McCarthy CA. Using implementation safety indicators for CPOE implementation. Jt Comm J Qual Saf. 2009;35(1):21-28. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  11. Achieving dialysis safety: the critical role of higher-functioning teams. | PSNet

    psnet.ahrq.gov/issue/achieving-dialysis-safety-critical-role-higher-functioning-teams
    August 04, 2021 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement

  12. Resilience Engineering in Practice: a Guidebook. | PSNet

    psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
    February 06, 2019 - April 19, 2023 Implement strategies to prevent persistent medication errors and hazards

  13. Drug shortages: national survey reveals high level of frustration, low level of safety. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
    April 05, 2023 - Copy Citation Related Resources From the Same Author(s) Implement strategies

  14. Pump up the volume: how to prioritize events and analyze error data. | PSNet

    psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
    March 14, 2023 - February 1, 2023 Implement strategies to prevent persistent medication errors and hazards

  15. Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. | PSNet

    psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
    March 14, 2023 - March 8, 2017 Implement strategies to prevent persistent medication errors and hazards

  16. Daily check-in for safety: from best practice to common practice. | PSNet

    psnet.ahrq.gov/issue/daily-check-safety-best-practice-common-practice
    February 13, 2018 - April 11, 2012 Leading clinical handover improvement: a change strategy to implement

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41909/psn-pdf
    December 12, 2012 - patient-level clinical outcomes, and extra staffing was required (at one of the two hospitals) to implement

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49759/psn-pdf
    May 01, 2016 - MFS) as shown in Table 2.(8) The MFS identifies individual fall risk factors, which can be used to implement … fall risk screening, (ii) develop a tailored fall prevention plan for individual patients, and (iii) implement … everyone understands the rationale for each intervention and agrees to work with the health care team to implement … medications used to treat comorbidities Consider toileting schedule Need for assisted toileting Implement … schedule: assist to bathroom, assist to commode, or provide bedpan Urinary incontinence/frequency Implement

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33669/psn-pdf
    May 01, 2018 - Implement the CDSS in a test unit, and immediately measure workflow changes and initial provider response … Our academic group has recently completed an effort to design and implement an alerting system to avoid

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43506/psn-pdf
    September 10, 2014 - Ashish Jha recommends several reforms the VA should implement to transform its culture and restore its
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