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Showing results for "implement".

  1. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet

    psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
    February 12, 2020 - Commentary Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Citation Text: Smetzer JL, Baker C, Byrne FD, et al. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. Jt Comm J Qual Patient Saf. 2010;36(…

  2. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. | PSNet

    psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-prospective-medication-safety-risk
    June 05, 2024 - Study Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. Citation Text: Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk …

  3. An alternative strategy for studying adverse events in medical care. | PSNet

    psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
    June 03, 2020 - Study Classic An alternative strategy for studying adverse events in medical care. Citation Text: Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet. 1997;349(9048):309-13. Copy Citation Fo…

  4. Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. | PSNet

    psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
    March 13, 2013 - Book/Report Classic Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Citation Text: Shekelle PG, Wachter RM, Pronovost PJ, et al. Making Health Care Safer Ii: An Updated Critical Analysis Of The Evidence For…

  5. Caring for our own: deploying a systemwide second victim rapid response team. | PSNet

    psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team
    September 19, 2016 - Study Classic Caring for our own: deploying a systemwide second victim rapid response team. Citation Text: Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-2…

  6. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. | PSNet

    psnet.ahrq.gov/issue/reengineered-hospital-discharge-program-decrease-rehospitalization-randomized-trial
    August 04, 2021 - Study A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Citation Text: Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-87. Copy …

  7. The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. | PSNet

    psnet.ahrq.gov/issue/effect-structured-medication-review-followed-face-face-feedback-prescribers-adverse-drug
    January 18, 2013 - Study The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. Citation Text: Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect o…

  8. Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department. | PSNet

    psnet.ahrq.gov/issue/electronic-medical-record-based-interventions-encourage-opioid-prescribing-best-practices
    September 01, 2021 - Study Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department. Citation Text: Smalley CM, Willner MA, Muir MKR, et al. Electronic medical record-based interventions to encourage opioid prescribing best practices in the emer…

  9. Preventability and causes of readmissions in a national cohort of general medicine patients. | PSNet

    psnet.ahrq.gov/issue/preventability-and-causes-readmissions-national-cohort-general-medicine-patients
    January 25, 2017 - Study Classic Preventability and causes of readmissions in a national cohort of general medicine patients. Citation Text: Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients…

  10. Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. | PSNet

    psnet.ahrq.gov/issue/video-based-communication-assessment-physician-error-disclosure-skills-crowdsourced-laypeople
    August 21, 2024 - Study Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. Citation Text: White AA, King AM, D’Addario AE, et al. Video-based communicat…

  11. Promoting Use of an Integrated Personal Health Record for Prevention - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/promoting-use-integrated-personal-health-record-prevention/annual-summary/2012
    January 01, 2012 - Promoting Use of an Integrated Personal Health Record for Prevention - 2012 Project Name Promoting Use of an Integrated Personal Health Record for Prevention Principal Investigator Krist, Alexander H. Organization Virginia Commonwealth University Funding Mechanism P…

  12. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm
    September 23, 2020 - Study The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. Citation Text: Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fati…

  13. What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet

    psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
    August 16, 2023 - Study What are the experiences of team members involved in root cause analysis? A qualitative study. Citation Text: Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…

  14. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. | PSNet

    psnet.ahrq.gov/issue/success-resident-led-safety-council-model-satisfying-cler-pathways-excellence-patient-safety
    August 01, 2018 - Study Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. Citation Text: Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goal…

  15. Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system. | PSNet

    psnet.ahrq.gov/issue/preventing-potentially-inappropriate-medication-use-hospitalized-older-patients-computerized
    November 16, 2022 - Study Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system. Citation Text: Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in hospitalized older patients wi…

  16. Barriers to Meaningful Use in Medicaid - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/barriers-meaningful-use-medicaid/annual-summary/2012
    January 01, 2012 - Barriers to Meaningful Use in Medicaid - 2012 Project Name Barriers to Meaningful Use in Medicaid Principal Investigator Thompson, Chuck Organization RTI International Funding Mechanism Medicaid/CHIP Technical Assistance Contract Contract Number 290-07-10079…

  17. Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study. | PSNet

    psnet.ahrq.gov/issue/patients-and-family-members-views-how-clinicians-enact-and-how-they-should-enact-incident
    September 29, 2017 - Study Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study. Citation Text: Iedema R, Allen S, Britton K, et al. Patients' and family members' views on how clinicians enact and how they shoul…

  18. The impact of computerized provider order entry on medication errors in a multispecialty group practice. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
    August 31, 2011 - Study The impact of computerized provider order entry on medication errors in a multispecialty group practice. Citation Text: Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…

  19. Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system. | PSNet

    psnet.ahrq.gov/issue/improving-quality-and-safety-care-using-technovigilance-ethnographic-case-study-secondary-use
    March 05, 2014 - Study Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system. Citation Text: Dixon-Woods M, Redwood S, Leslie M, et al. Improving quality and safety of care using "techno…

  20. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. | PSNet

    psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-and-team-intervention-prevention-serious-medication
    February 10, 2011 - Study Classic Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. Citation Text: Bates DW, Leape L, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on preventio…
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