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psnet.ahrq.gov/issue/integrated-approach-reduce-perinatal-adverse-events-standardized-processes-interdisciplinary
September 01, 2018 - hospitals from 12 states and accounting for almost 350,000 deliveries, researchers found that successful implementation … August 4, 2010
A cluster randomized trial of two implementation strategies to deliver … Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation
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psnet.ahrq.gov/issue/didactic-and-simulation-nontechnical-skills-team-training-improve-perinatal-patient-outcomes
October 21, 2011 - This randomized trial showed that implementation of TeamSTEPPS , a teamwork training intervention, … January 3, 2017
Reductions in sepsis mortality and costs after design and implementation … October 27, 2021
Design and implementation of an analgesia, sedation, and paralysis order
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psnet.ahrq.gov/issue/development-icu-safety-reporting-system
May 27, 2011 - Initial data collected after implementation demonstrated wide variability in use, but consistency existed … August 26, 2011
Medication-error reporting and pharmacy resident experience during implementation … July 26, 2011
Design and implementation of an ICU incident registry.
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psnet.ahrq.gov/issue/reporting-and-using-near-miss-events-improve-patient-safety-diverse-primary-care-practices
June 22, 2011 - This study describes the successful implementation of a Web-based reporting system for near-miss events … June 22, 2011
Implementation of the I-PASS handoff program in diverse clinical environments … : a multicenter prospective effectiveness implementation study.
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psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
December 02, 2014 - This study describes the development and implementation of a network organizational model for learning … April 13, 2011
Implementation of the I-PASS handoff program in diverse clinical environments … : a multicenter prospective effectiveness implementation study.
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psnet.ahrq.gov/issue/supporting-clinicians-after-adverse-events-development-clinician-peer-support-program
April 24, 2018 - This study describes the implementation and early effects of a second victim peer support program at … January 12, 2022
Implementation of the I-PASS handoff program in diverse clinical environments … : a multicenter prospective effectiveness implementation study.
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psnet.ahrq.gov/issue/impact-pharmacist-led-admission-medication-reconciliation-patient-outcomes-large-health
March 17, 2010 - In the six months following implementation, 80,000 reconciliations were completed and nearly 40% required … Researchers identified a statistically significant decrease in both ADEs and complications after implementation … May 3, 2023
Implementation of an electronic system for medication reconciliation.
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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/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/issue/improving-quality-and-safety-care-using-technovigilance-ethnographic-case-study-secondary-use
March 05, 2014 - Ethnographic observations and semi-structured interview data showed that implementation of an electronic … February 27, 2019
Does the implementation of an electronic prescribing system create … June 13, 2012
Does the implementation of an electronic prescribing system create unintended
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
August 31, 2011 - Following implementation of CPOE, the study found that error frequency was reduced, particularly around … January 23, 2017
Implementation of the I-PASS handoff program in diverse clinical environments … : a multicenter prospective effectiveness implementation study.
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psnet.ahrq.gov/issue/effects-communication-and-resolution-program-hospitals-malpractice-claims-and-costs
October 11, 2017 - However, concerns that CRPs will increase malpractice costs has limited widespread implementation … October 11, 2017
Ensuring successful implementation of communication-and-resolution programmes … Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation
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psnet.ahrq.gov/issue/increased-appropriateness-customized-alert-acknowledgement-reasons-overridden-medication
January 07, 2015 - This randomized controlled trial found that the appropriateness of alert overrides increased with implementation … August 4, 2021
Implementation of the I-PASS handoff program in diverse clinical environments … : a multicenter prospective effectiveness implementation study.
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psnet.ahrq.gov/issue/preventable-proportion-healthcare-associated-infections-2005-2016-systematic-review-and-meta
April 26, 2017 - From the 144 studies ultimately included in the analysis, they found that implementation of evidence-based … September 30, 2015
Implementation of the I-PASS handoff program in diverse clinical environments … : a multicenter prospective effectiveness implementation study.
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psnet.ahrq.gov/issue/computerized-order-entry-limited-decision-support-prevent-prescription-errors-picu
January 31, 2018 - In this study, implementation of a CPOE system did not initially reduce adverse drug events in a pediatric … Case not closed: prescription errors 12 years after computerized physician order entry implementation … Case not closed: prescription errors 12 years after computerized physician order entry implementation
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psnet.ahrq.gov/issue/caring-those-who-care-guide-development-and-implementation-occupational-health-and-safety
June 27, 2018 - Book/Report
Caring for Those Who Care: Guide for the Development and Implementation … Citation Text:
Caring for Those Who Care: Guide for the Development and Implementation of Occupational … Citation
Citation Text:
Caring for Those Who Care: Guide for the Development and Implementation
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psnet.ahrq.gov/issue/sleep-science-schedules-and-safety-hospitals-challenges-and-solutions-pediatric-providers
November 16, 2022 - April 24, 2018
Patient safety after implementation of a coproduced family centered communication … December 19, 2018
I-PASS Mentored Implementation Handoff Curriculum: implementation guide … September 9, 2015
I-PASS mentored implementation handoff curriculum: champion training … November 19, 2018
Changes in medical errors after implementation of a handoff program … November 12, 2014
Development, implementation, and dissemination of the I-PASS Handoff
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - https://psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
implementation … clear that their success depends on appropriately targeting
the intervention and utilizing a careful implementation … Successful implementation of a checklist
requires extensive preparatory work to maximize safety culture … Failure to engage in appropriate
preparatory and monitoring before and after checklist implementation … Ethnographic studies of successful
and unsuccessful checklist implementation have been instrumental
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psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance
December 19, 2018 - December 19, 2018
Changes in medical errors after implementation of a handoff program … : a multicenter prospective effectiveness implementation study. … November 16, 2022
Development, implementation, and dissemination of the I-PASS Handoff … March 13, 2019
I-PASS Mentored Implementation Handoff Curriculum: implementation guide … January 23, 2019
Implementation, evaluation, and recommendations for extension of AHRQ
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psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy
July 14, 2010 - Study
Barriers to implementation of patient safety systems in healthcare institutions … Citation Text:
Barriers to implementation of patient safety systems in healthcare institutions: leadership … Copy URL
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Citation
Citation Text:
Barriers to implementation