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Showing results for "implement".

  1. 2007 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2007-john-m-eisenberg-patient-safety-and-quality-awards
    January 06, 2017 - Award Recipient 2007 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2007 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2007;33(12):709-757. Copy Citation Save Save to your library Print Download P…

  2. The Swiss cheese model of safety incidents: are there holes in the metaphor? | PSNet

    psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
    February 24, 2011 - Commentary The Swiss cheese model of safety incidents: are there holes in the metaphor? Citation Text: Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71. Copy Citation Format: Google Scholar PubMed BibT…

  3. ISMP Medication Safety Intensive. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-safety-intensive
    February 05, 2025 - International Meeting/Conference ISMP Medication Safety Intensive. Citation Text: ISMP Medication Safety Intensive. Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern). Copy Citation Save Save to your library Print Do…

  4. Remote CPOE error—a situation that's more than remotely possible. | PSNet

    psnet.ahrq.gov/issue/remote-cpoe-error-situation-thats-more-remotely-possible
    May 07, 2018 - Newspaper/Magazine Article Remote CPOE error—a situation that's more than remotely possible. Citation Text: Remote CPOE error—a situation that's more than remotely possible. ISMP Medication Safety Alert! Acute Care Edition. May 31, 2007;12:1-3. Copy Citation Save …

  5. Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. | PSNet

    psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
    June 10, 2018 - Newspaper/Magazine Article Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. Citation Text: Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. ISMP Medication Safety Alert! Acute Care E…

  6. Best Practices for Administering SOPS Surveys. | PSNet

    psnet.ahrq.gov/issue/best-practices-administering-sops-surveys
    January 10, 2024 - Webinar Best Practices for Administering SOPS Surveys. Citation Text: Best Practices for Administering SOPS Surveys. Agency for Healthcare Research and Quality. January 24, 2024. Copy Citation Save Save to your library Print Download PDF Share …

  7. How safe are compounded drugs?    | PSNet

    psnet.ahrq.gov/issue/how-safe-are-compounded-drugs
    May 20, 2020 - Newspaper/Magazine Article How safe are compounded drugs?    Citation Text: How safe are compounded drugs?    Beyzarov E. Drug Topics. September 18, 2006. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…

  8. Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. | PSNet

    psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use-non-profiled
    May 07, 2014 - Newspaper/Magazine Article Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. Citation Text: Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. ISMP Medication …

  9. Non–operating room anesthesia challenges. | PSNet

    psnet.ahrq.gov/issue/non-operating-room-anesthesia-challenges
    November 28, 2018 - Newspaper/Magazine Article Non–operating room anesthesia challenges. Citation Text: Non–operating room anesthesia challenges. Smith MJ. Anesthesiology News. June 6, 2023. Copy Citation Save Save to your library Print Download PDF Share Face…

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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
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