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psnet.ahrq.gov/node/845297/psn-pdf
January 01, 2024 - An analysis of prehospital pediatric medication dosing
errors after implementation of a state-wide EMS … An analysis of prehospital pediatric medication dosing errors after
implementation of a state-wide EMS … https://psnet.ahrq.gov/issue/analysis-prehospital-pediatric-medication-dosing-errors-after-implementation … Despite implementation of written guidelines, researchers found that
35% of prehospital medication administrations … https://psnet.ahrq.gov/issue/analysis-prehospital-pediatric-medication-dosing-errors-after-implementation-state-wide-ems
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psnet.ahrq.gov/node/837763/psn-pdf
August 03, 2022 - Implementation of hand hygiene in health-care facilities:
results from the WHO Hand Hygiene Self-Assessment … Implementation of hand hygiene in health-care facilities:
results from the WHO Hand Hygiene Self-Assessment … https://psnet.ahrq.gov/issue/implementation-hand-hygiene-health-care-facilities-results-who-hand-hygiene … This study
examined the level of hand hygiene implementation using the WHO Hand Hygiene Self-Assessment … Over half of the participants indicated they had intermediate hand hygiene implementation,
particularly
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psnet.ahrq.gov/node/845358/psn-pdf
March 29, 2023 - Implementation of a medication reconciliation risk
stratification tool integrated within an electronic … Implementation of a medication reconciliation risk stratification tool
integrated within an electronic … However, previous research has
documented implementation challenges and the potential for patient harm … In
addition to implementation of the risk stratification tools, each of the medical centers introduced … Although AMC 2 used the same risk stratification tool, they used a different implementation plan and
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psnet.ahrq.gov/node/73495/psn-pdf
July 14, 2021 - Implementation strategies in the context of medication
reconciliation: a qualitative study. … Implementation strategies in the context of medication
reconciliation: a qualitative study. … https://psnet.ahrq.gov/issue/implementation-strategies-context-medication-reconciliation-qualitative-study … Thematic analyses suggest that the most commonly used implementation strategies
included restructuring … https://psnet.ahrq.gov/issue/implementation-strategies-context-medication-reconciliation-qualitative-study
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psnet.ahrq.gov/node/45522/psn-pdf
January 01, 2020 - Is communication improved with the implementation of an
obstetrical version of the World Health Organization … Is Communication Improved With the Implementation of
an Obstetrical Version of the World Health Organization … https://psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health- … This retrospective chart review
examined communication among staff members before and after implementation … about reason for cesarean deliveries among
the obstetric, anesthesiology, and pediatric staff after implementation
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psnet.ahrq.gov/node/74005/psn-pdf
October 27, 2021 - The postpartum hemorrhage patient safety bundle
implementation at a single institution: successes, … The postpartum hemorrhage patient safety bundle implementation at
a single institution: successes, failures … https://psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-
institution-successes … This
article describes the implementation of a postpartum hemorrhage patient safety bundle. … Successes,
challenges and recommendations for implementation are included.
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psnet.ahrq.gov/node/60762/psn-pdf
August 05, 2020 - Implementation and sustainability of a medication
reconciliation toolkit: a mixed methods evaluation … Implementation and sustainability of a medication
reconciliation toolkit: a mixed methods evaluation … https://psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed … methods-evaluation
This mixed-methods study assessed the barriers and facilitators to hospitals’ implementation … sustain the toolkit by shifting staff responsibilities, adding pharmacy
staff, and using a range of implementation
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psnet.ahrq.gov/node/61087/psn-pdf
January 01, 2022 - A high-reliability organization framework for health care:
a multiyear implementation strategy and associated … A high-reliability organization framework for health care: a
multiyear implementation strategy and associated … https://psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation … This
article describes the implementation of a high-reliability hospital framework on patient safety … Three years after implementation, patient safety culture and event
reporting rates improved, and the
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psnet.ahrq.gov/node/867451/psn-pdf
January 21, 2025 - Engineering Safety into Practice through Implementation
of the EHR SAFER Guides. … Engineering Safety into Practice through
Implementation of the EHR SAFER Guides. … https://psnet.ahrq.gov/issue/engineering-safety-practice-through-implementation-ehr-safer-guides
Health … information technology implementation and use can introduce variables into care processes that can … https://psnet.ahrq.gov/issue/engineering-safety-practice-through-implementation-ehr-safer-guides
https
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psnet.ahrq.gov/node/867696/psn-pdf
March 05, 2025 - Textbook of Rapid Response Systems: Concept and
Implementation. … March 5, 2025
Textbook Of Rapid Response Systems: Concept And Implementation. (DeVita MA, ed.). … https://psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation
Rapid response … This book supports the implementation and effective use of strategies that
support effective rapid response … https://psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/853612/psn-pdf
September 20, 2023 - Pharmacy e-prescription dispensing before and after
CancelRx implementation. … Pharmacy e-prescription dispensing before and after CancelRx
implementation. … https://psnet.ahrq.gov/issue/pharmacy-e-prescription-dispensing-and-after-cancelrx-implementation
Previous … After CancelRx
implementation, the proportion of e-prescriptions sold after discontinuation in the EHR … https://psnet.ahrq.gov/issue/pharmacy-e-prescription-dispensing-and-after-cancelrx-implementation
https
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psnet.ahrq.gov/node/865678/psn-pdf
April 24, 2024 - Enhancing implementation of the I-PASS handoff tool
using a provider handoff task force at a Comprehensive … Enhancing implementation of the I-PASS handoff tool using
a provider handoff task force at a Comprehensive … https://psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task … This article describes the implementation of an electronic health record (EHR)-based I-
PASS tool used … https://psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive
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psnet.ahrq.gov/node/73438/psn-pdf
June 30, 2021 - Implementation of patient safety structures and
processes in the patient-centered medical home. … Implementation of patient safety structures and processes in
the patient-centered medical home. … https://psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered- … https://psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home … https://psnet.ahrq.gov/issue/implementation-patient-safety-structures-and-processes-patient-centered-medical-home
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psnet.ahrq.gov/node/60898/psn-pdf
September 09, 2020 - Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system … Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system … https://psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program- … learning-health-system
This article describes the implementation of the Enhancing Quality of Prescribing … The authors
discuss lessons learned and provide insight which can inform implementation strategies at
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psnet.ahrq.gov/node/60250/psn-pdf
April 22, 2020 - Implementation of a comprehensive unit-based safety
program to reduce surgical site infections in cesarean … Implementation of a comprehensive unit-based safety program to
reduce surgical site infections in cesarean … https://psnet.ahrq.gov/issue/implementation-comprehensive-unit-based-safety-program-reduce-surgical- … Implementation of the bundle resulted in a 60% reduction in the risk of surgical site
infections, from … 1.5% in the preintervention period to 0.56% after implementation.
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psnet.ahrq.gov/node/73921/psn-pdf
October 06, 2021 - A systematic review of interventions used to enhance
implementation of and compliance with the World … A systematic review of interventions used to enhance implementation of and
compliance with the World … https://psnet.ahrq.gov/issue/systematic-review-interventions-used-enhance-implementation-and-
compliance-world-health … Surgical safety checklists (SSC) have been shown to improve outcomes, but effective implementation … https://psnet.ahrq.gov/issue/systematic-review-interventions-used-enhance-implementation-and-compliance-world-health
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psnet.ahrq.gov/node/854248/psn-pdf
October 04, 2023 - Reduced postdischarge incidents after implementation of
a hospital-to-home transition intervention for … Reduced postdischarge incidents after implementation of a hospital-to-
home transition intervention … https://psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-
transition-intervention … AE, rehospitalizations, and emergency department
visits were all reduced following implementation of … https://psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
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psnet.ahrq.gov/node/851069/psn-pdf
June 28, 2023 - Measurement and Monitoring of Safety Framework
(MMSF): learning from its implementation in Canada. … Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in
Canada. … https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-
implementation-canada … https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada … https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada
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psnet.ahrq.gov/node/867593/psn-pdf
January 22, 2025 - Becoming Hand Hygiene Heroes: implementation of an
infection prevention and control campaign for patient … Becoming hand hygiene heroes: implementation of an infection
prevention and control campaign for patient … https://psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-
control-campaign-patient … https://psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient … https://psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient
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psnet.ahrq.gov/node/866595/psn-pdf
August 28, 2024 - Implementation, Adoption, and Scaling Workgroup:
Landscape Assessment on the Use of Artificial
Intelligence … Implementation, Adoption, And Scaling Workgroup:
Landscape Assessment On The Use Of Artificial Intelligence … AHRQ Publication No. 24-0069-1
https://psnet.ahrq.gov/issue/implementation-adoption-and-scaling-workgroup-landscape-assessment-use … https://psnet.ahrq.gov/issue/implementation-adoption-and-scaling-workgroup-landscape-assessment-use-artificial … https://psnet.ahrq.gov/issue/implementation-adoption-and-scaling-workgroup-landscape-assessment-use-artificial