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Showing results for "implement".

9921. Becoming a High Reliability Organization. | PSNet
      psnet.ahrq.gov/issue/becoming-high-reliability-organization
      May 04, 2015 - Special or Theme Issue Becoming a High Reliability Organization. Citation Text: Becoming a High Reliability Organization. VHA Forum. Summer 2020;1-12. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

9922. Administrative compensation for medical injuries: lessons from three foreign systems. | PSNet
      psnet.ahrq.gov/issue/administrative-compensation-medical-injuries-lessons-three-foreign-systems
      September 29, 2017 - Newspaper/Magazine Article Administrative compensation for medical injuries: lessons from three foreign systems. Citation Text: Mello MM, Kachalia A, Studdert DM. Administrative compensation for medical injuries: lessons from three foreign systems. Issue brief (Commonwealth Fund). 2011;1…

9923. New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. | PSNet
      psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
      December 15, 2021 - Book/Report New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Citation Text: New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 978311…

9924. Technology and error-prevention strategies: why are we still overlooking the IV room? | PSNet
      psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
      July 08, 2015 - Newspaper/Magazine Article Technology and error-prevention strategies: why are we still overlooking the IV room? Citation Text: Technology and error-prevention strategies: why are we still overlooking the IV room? ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.…

9925. Tenfold errors can lead to tragedy. | PSNet
      psnet.ahrq.gov/issue/tenfold-errors-can-lead-tragedy
      February 21, 2007 - Newspaper/Magazine Article Tenfold errors can lead to tragedy. Citation Text: Tenfold errors can lead to tragedy. Sipkoff M. Drug Topics. August 21, 2006. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

9926. Anesthesia Patient Safety Foundation. | PSNet
      psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation
      January 02, 2011 - Multi-use Website Anesthesia Patient Safety Foundation. Citation Text: Anesthesia Patient Safety Foundation. P.O. Box 6668, Rochester, MN 55903. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Lin…

9927. The competent surgeon: individual accountability in the era of "systems" failure. | PSNet
      psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
      May 30, 2014 - Commentary The competent surgeon: individual accountability in the era of "systems" failure. Citation Text: Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93. Copy Citation …

9928. Generic drug names: fertile ground for errors? | PSNet
      psnet.ahrq.gov/issue/generic-drug-names-fertile-ground-errors
      August 11, 2021 - Newspaper/Magazine Article Generic drug names: fertile ground for errors? Citation Text: Generic drug names: fertile ground for errors? Wynn P. Drug Topics. August 8, 2005. Copy Citation Save Save to your library Print Download PDF Share …

9929. Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization. | PSNet
      psnet.ahrq.gov/issue/parents-can-detect-contribute-or-be-affected-critical-events-during-childs-hospitalization
      June 10, 2018 - Newspaper/Magazine Article Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization. Citation Text: Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization. ISMP Medication Safety Alert! Acute Care…

9930. Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg. | PSNet
      psnet.ahrq.gov/issue/fatal-1000-fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg
      June 10, 2018 - September 28, 2016 Implement strategies to prevent persistent medication errors and hazards

9931. Smart pump custom concentrations without hard "low concentration" alerts. | PSNet
      psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts
      June 10, 2018 - April 29, 2018 Implement strategies to prevent persistent medication errors and hazards

9932. Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. | PSNet
      psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
      May 07, 2018 - April 26, 2023 Implement strategies to prevent persistent medication errors and hazards

9933. Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. | PSNet
      psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
      May 06, 2016 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement

9934. Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. | PSNet
      psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns
      June 10, 2018 - March 11, 2020 Implement strategies to prevent persistent medication errors and hazards

9935. Reconciling Doses | PSNet
      psnet.ahrq.gov/web-mm/reconciling-doses
      August 14, 2017 - implemented a medication reconciliation process as part of a larger medication safety program.( 6 ) To implement … hospital’s different levels of care, and each hospital’s varied populations, there is no one way to implement … proven improvement methodology (eg, such as the “Model for Improvement”) ( 8 ), hospitals can test and implement

9936. A 10-Rights framework for patient care quality and safety. | PSNet
      psnet.ahrq.gov/issue/10-rights-framework-patient-care-quality-and-safety
      July 23, 2010 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement

9937. High-reliability organizations (HROs): what they know that we don't (Part II). | PSNet
      psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-ii
      June 10, 2018 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement

9938. Omission of high-alert medications: a hidden danger. | PSNet
      psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
      January 11, 2017 - Verbal Orders and Medication Overrides: A Dangerous Combination April 24, 2024 Implement

9939. Overcoming barriers to patient safety. | PSNet
      psnet.ahrq.gov/issue/overcoming-barriers-patient-safety
      September 24, 2016 - and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement

9940. 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