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psnet.ahrq.gov/node/45855/psn-pdf
March 15, 2017 - The development and implementation of cognitive aids
for critical events in pediatric anesthesia: the … The Development and Implementation of Cognitive Aids for
Critical Events in Pediatric Anesthesia: The … https://psnet.ahrq.gov/issue/development-and-implementation-cognitive-aids-critical-events-pediatric- … the development and testing of three critical event checklists in
children's hospitals and provides implementation … https://psnet.ahrq.gov/issue/development-and-implementation-cognitive-aids-critical-events-pediatric-anesthesia-society
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psnet.ahrq.gov/node/38122/psn-pdf
September 05, 2009 - Implementation of a preoperative briefing protocol
improves accuracy of teamwork assessment in the … Implementation of a preoperative briefing protocol improves accuracy of
teamwork assessment in the operating … https://psnet.ahrq.gov/issue/implementation-preoperative-briefing-protocol-improves-accuracy-teamwork … -
assessment-operating
Implementation of a preoperative checklist focusing on interdisciplinary teamwork … https://psnet.ahrq.gov/issue/implementation-preoperative-briefing-protocol-improves-accuracy-teamwork-assessment-operating
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psnet.ahrq.gov/node/40091/psn-pdf
December 15, 2010 - Implementation of a telepharmacy service to provide
round-the-clock medication order review by pharmacists … Implementation of a telepharmacy service to provide round-the-
clock medication order review by pharmacists … https://psnet.ahrq.gov/issue/implementation-telepharmacy-service-provide-round-clock-medication-order … -
review-pharmacists
This case study describes the implementation of a health information technology–based … https://psnet.ahrq.gov/issue/implementation-telepharmacy-service-provide-round-clock-medication-order-review-pharmacists
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psnet.ahrq.gov/node/40742/psn-pdf
May 28, 2014 - Implementation of a protocol to reduce occurrence of
retained sponges after vaginal delivery. … Implementation of a protocol to reduce occurrence of retained
sponges after vaginal delivery. … https://psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal … -
delivery
This commentary discusses the development and implementation of a count procedure that successfully … https://psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
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psnet.ahrq.gov/node/41156/psn-pdf
March 02, 2012 - The implementation of a perioperative checklist increases
patients' perioperative safety and staff satisfaction … The implementation of a perioperative checklist increases
patients' perioperative safety and staff satisfaction … https://psnet.ahrq.gov/issue/implementation-perioperative-checklist-increases-patients-perioperative-safety … -
and-staff
Implementation of a modified version of the Surgical Safety Checklist resulted in improved … https://psnet.ahrq.gov/issue/implementation-perioperative-checklist-increases-patients-perioperative-safety-and-staff
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psnet.ahrq.gov/node/40507/psn-pdf
June 08, 2011 - From research to practice: factors affecting
implementation of prospective targeted injury-detection … From research to practice: factors affecting implementation of
prospective targeted injury-detection … https://psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury … adverse drug events and pressure ulcers, and recommends steps organizations can take to ensure
smoother implementation … https://psnet.ahrq.gov/issue/research-practice-factors-affecting-implementation-prospective-targeted-injury-detection
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psnet.ahrq.gov/node/42699/psn-pdf
October 30, 2013 - A prospective, observational study of the effects of
implementation strategy on compliance with a surgical … A prospective, observational study of the effects of implementation
strategy on compliance with a surgical … https://psnet.ahrq.gov/issue/prospective-observational-study-effects-implementation-strategy-compliance … -
surgical-safety
This observational study compared the implementation of the WHO Surgical Safety Checklist … https://psnet.ahrq.gov/issue/prospective-observational-study-effects-implementation-strategy-compliance-surgical-safety
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psnet.ahrq.gov/node/35229/psn-pdf
January 02, 2017 - Patient Safety Leadership WalkRounds™ at Partners
HealthCare: learning from implementation. … Patient Safety Leadership WalkRounds at Partners Healthcare:
learning from implementation. … https://psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-
implementation … This study summarizes the experience of four institutions in their design and implementation of Patient … Their findings and guidelines for
implementation provide the most comprehensive review to date.
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psnet.ahrq.gov/issue/implementing-handoff-communication
August 25, 2010 - improvement and patient safety training
January 13, 2021
Changes in medical errors after implementation … May 31, 2023
Implementation of the I-PASS handoff program in diverse clinical environments … : a multicenter prospective effectiveness implementation study. … Rates of medical errors and preventable adverse events among hospitalized children following implementation … April 15, 2009
Implementation of the SBAR communication technique in a tertiary center
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psnet.ahrq.gov/node/36500/psn-pdf
January 07, 2011 - Development and implementation of a patient safety
program in an academic, urban emergency department … Development and implementation of a patient safety
program in an academic, urban emergency department … https://psnet.ahrq.gov/issue/development-and-implementation-patient-safety-program-academic-urban-
emergency-department … The authors describe the implementation of a reporting program in an urban tertiary care facility, … https://psnet.ahrq.gov/issue/development-and-implementation-patient-safety-program-academic-urban-emergency-department
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psnet.ahrq.gov/node/36906/psn-pdf
September 01, 2011 - Implementation of a rapid response team decreases
cardiac arrest outside of the intensive care unit. … Implementation of a rapid response team decreases cardiac arrest outside of
the intensive care unit. … https://psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-
intensive-care-unit … rapid response team (RRT) in their hospital and found a
50% reduction in non-ICU cardiac arrests after implementation … https://psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
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psnet.ahrq.gov/node/44605/psn-pdf
November 04, 2015 - Implementation of safety checklists in surgery: a realist
synthesis of evidence. … Implementation of safety checklists in surgery: a realist synthesis of evidence. … https://psnet.ahrq.gov/issue/implementation-safety-checklists-surgery-realist-synthesis-evidence
Context … is an important component of successful checklist implementation initiatives. … https://psnet.ahrq.gov/issue/implementation-safety-checklists-surgery-realist-synthesis-evidence
https
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psnet.ahrq.gov/node/45126/psn-pdf
December 22, 2018 - Implementation of prescription drug monitoring programs
associated with reductions in opioid-related … Implementation of prescription drug monitoring programs associated
with reductions in opioid-related … https://psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions … whether implementing a drug monitoring program decreased opioid overdose deaths
compared to the pre-implementation … These
results clearly support universal implementation and strengthening of state prescription drug
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psnet.ahrq.gov/node/45277/psn-pdf
July 01, 2017 - Cultural transformation after implementation of crew
resource management: is it really possible? … Cultural Transformation After Implementation of Crew Resource
Management: Is It Really Possible? … https://psnet.ahrq.gov/issue/cultural-transformation-after-implementation-crew-resource-management-it … safety culture, as measured by
the AHRQ Hospital Survey on Patient Safety Culture, before and after implementation … They propose more widespread implementation of CRM as a strategy to enhance safety
culture.
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psnet.ahrq.gov/node/39581/psn-pdf
January 03, 2017 - An implementation strategy for a multicenter pediatric
rapid response system in Ontario. … https://psnet.ahrq.gov/issue/implementation-strategy-multicenter-pediatric-rapid-response-system-ontario … The widespread implementation of rapid response systems (RRS) has taken place despite mixed evidence … Proponents of RRS have argued that negative studies reflect
failed implementation of RRS, rather than … Successful implementation of the RRS has been achieved and has resulted in improved clinical
outcomes
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psnet.ahrq.gov/node/40875/psn-pdf
November 21, 2016 - Implementation of Condition Help: family teaching and
evaluation of family understanding. … Implementation of condition help: family teaching and evaluation of
family understanding. … https://psnet.ahrq.gov/issue/implementation-condition-help-family-teaching-and-evaluation-family-
understanding … This
implementation study reports on the training process for establishing a family-activated rapid … https://psnet.ahrq.gov/issue/implementation-condition-help-family-teaching-and-evaluation-family-understanding
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psnet.ahrq.gov/node/36207/psn-pdf
October 13, 2010 - Using failure mode and effects analysis to plan
implementation of smart i.v. pump technology. … Using failure mode and effects analysis to plan
implementation of smart i.v. pump technology. … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-plan-implementation-smart-iv-pump … of a smart pump
initiative and found that it was useful for identifying potential problems with the implementation … https://psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-plan-implementation-smart-iv-pump-technology
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psnet.ahrq.gov/node/37671/psn-pdf
July 25, 2008 - Improving transfusion safety: implementation of a
comprehensive computerized bar code-based tracking … Improving transfusion safety: implementation of a
comprehensive computerized bar code-based tracking … https://psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized- … In this study, implementation of a bar
code system reduced preventable transfusion errors. … https://psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
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psnet.ahrq.gov/node/41502/psn-pdf
October 03, 2012 - Implementation of a surgical comprehensive unit-based
safety program to reduce surgical site infections … Implementation of a surgical comprehensive unit-based safety
program to reduce surgical site infections … https://psnet.ahrq.gov/issue/implementation-surgical-comprehensive-unit-based-safety-program-reduce- … surgical-site
Implementation of a comprehensive unit-based safety program was associated with a reduction … https://psnet.ahrq.gov/issue/implementation-surgical-comprehensive-unit-based-safety-program-reduce-surgical-site
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psnet.ahrq.gov/node/44362/psn-pdf
November 20, 2015 - Barriers and facilitators related to the implementation of
surgical safety checklists: a systematic … Barriers and facilitators related to the implementation of surgical
safety checklists: a systematic … https://psnet.ahrq.gov/issue/barriers-and-facilitators-related-implementation-surgical-safety-checklists … culture in aligning different stakeholders—including surgeons,
anesthesiologists, and nurses—to enable implementation … https://psnet.ahrq.gov/issue/barriers-and-facilitators-related-implementation-surgical-safety-checklists-systematic-review