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Showing results for "implemented".

1. High-reliability organisation principles implemented in dentistry. | PSNet
   psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemented-dentistry
   April 06, 2022 - Commentary High-reliability organisation principles implemented in dentistry. … High-reliability organisation principles implemented in dentistry. … High-reliability organisation principles implemented in dentistry. … High-priority drug-drug interaction clinical decision support overrides in a newly implemented … May 20, 2020 Can SBAR be implemented with high fidelity and does it improve communication

2. Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. | PSNet
   psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
   January 08, 2025 - Review Patient safety incident reporting and learning guidelines implemented by health … Patient safety incident reporting and learning guidelines implemented by health care professionals in … Patient safety incident reporting and learning guidelines implemented by health care professionals in

3. Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. | PSNet
   psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare
   June 22, 2022 - Review Can SBAR be implemented with high fidelity and does it improve communication … Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers … Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers

4. Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study. | PSNet
   psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
   April 12, 2023 - In this AHRQ-funded quality improvement study, five hospitals implemented a standardized approach to … The toolkit was implemented at each study site by a pharmacist and a hospitalist with support from … However, significant differences existed between the study sites, with sites that successfully implemented

5. “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) | PSNet
   psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
   February 26, 2025 - Widespread staff education and a standardized workflow were developed to ensure that BHVS was implemented … Use By Other Organizations The innovation has been implemented in 12 clinics in a safety-net health … network in the San Francisco area and shared through publication. 1 Date First Implemented … Of the SFHN population, 75% is insured by Medicaid, and the innovation was implemented in SFHN’s primary … Regardless of how the BHVS process is initially implemented, it should be ensured that all staff know

6. High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. | PSNet
   psnet.ahrq.gov/issue/high-priority-drug-drug-interaction-clinical-decision-support-overrides-newly-implemented
   March 09, 2022 - High-priority drug-drug interaction clinical decision support overrides in a newly implemented … High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial … High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial

7. The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation | PSNet
   psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
   April 01, 2005 - KPSC implemented an electronic surveillance system 4 to identify patients with rectal bleeding and/or … Date First Implemented 2010 Problem Addressed Diagnostic errors are … Based on those findings, Kaiser implemented interventions to improve the diagnosis of ectopic pregnancy … The intervention must have actionable results that can be implemented within the innovating organization … Sustaining This Innovation It is important that the interventions have actions that are implemented

8. Submit Innovations Landing | PSNet
   psnet.ahrq.gov/submit-innovations-landing
   February 26, 2025 - organizations are encouraged to submit new or reimagined patient safety innovations that have been implemented … Applicable and scalable to other sites Employing tools or systems that are not proprietary/commercial Implemented … care setting, unit, department) are acceptable, however multi-site innovations will be prioritized Implemented

9. STAMP: a 5-year project to reduce paediatric prescribing errors. | PSNet
   psnet.ahrq.gov/issue/stamp-5-year-project-reduce-paediatric-prescribing-errors
   June 26, 2019 - The authors summarize the STAMP interventions originally implemented in 2017 and discuss the new interventions … implemented during the COVID-19 pandemic (between July 2020 and August 2021), which led to sustained

10. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. | PSNet
    psnet.ahrq.gov/issue/impact-communication-and-patient-hand-tool-sbar-patient-safety-systematic-review
    July 07, 2021 - Standardized handoff tools are increasingly implemented to improve communication between health care … September 21, 2016 Can SBAR be implemented with high fidelity and does it improve communication

11. Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes | PSNet
    psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
    February 26, 2025 - found that AMI 30-day standardized mortality rates decreased between 0.5% and 1.5% after the hospitals implemented … multidisciplinary patient care teams Additional care navigators Use By Other Organizations Prime has implemented … Interest has centered on how Prime implemented the social needs screening tools and how to conduct real-time … Date First Implemented 2018 Problem Addressed Recent research has … Based on these and other findings, Prime tailored the initiative to local needs and implemented it at

12. Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals. | PSNet
    psnet.ahrq.gov/issue/effects-nurse-patient-ratio-legislation-nurse-staffing-and-patient-mortality-readmissions-and
    September 09, 2020 - improved patient outcomes , policies setting minimum nurse-to-patient ratios in hospitals are rarely implemented … In 2016, select Queensland (Australia) hospitals implemented minimum nurse staffing ratios.

13. Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. | PSNet
    psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
    October 30, 2024 - The Centers for Medicare and Medicaid Services (CMS) first implemented a policy of nonpayment for specific … In 2014, they implemented a value-based purchasing program (the Hospital-Acquired Condition Reduction

14. Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. | PSNet
    psnet.ahrq.gov/issue/evaluating-prevalence-four-recommended-practices-suicide-prevention-following-hospital
    June 07, 2023 - Most of the responding hospitals had implemented some of the recommended suicide prevention strategies … , and 4% had implemented all four components.

15. 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 - the nurse had worked a double shift the day before), failed safety systems (the hospital had recently implemented … A range of safety interventions were implemented as a result.

16. Technology as a Tool for Improving Patient Safety | PSNet
    psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
    April 26, 2023 - errors and cost across all healthcare settings. 1 However, if technological approaches are designed or implemented … There were also studies in 2022 that showed successful outcomes of well-implemented CPOE systems. … One in-depth pre-post, mixed-methods study showed that a fully implemented CPOE system significantly … Finally, an algorithm to detect patients in need of follow-up after test results was developed and implemented … External validation of a widely implemented proprietary sepsis prediction model in hospitalized patients

17. Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers. | PSNet
    psnet.ahrq.gov/innovation/implementation-medication-reconciliation-risk-stratification-tool-integrated-within
    April 12, 2023 - This article describes the experiences of three academic medical centers which implemented risk scoring … Two of the academic medical centers (AMC 1, AMC 2) implemented risk stratification scoring tools developed

18. Suicide Prevention in an Emergency Department Population: ED-SAFE | PSNet
    psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
    July 23, 2024 - attempts, and therefore, the reduction is most likely tied to the innovation itself. 6 The ED-SAFE 2 trial implemented … solutions to close these gaps, and oversaw the implementation of ED-SAFE 2. 3 Additionally, the innovators implemented … with the Zero Suicide model, an emerging model for suicide prevention in healthcare. 7 Date First Implemented … When all elements of ED-SAFE 1 are implemented, the intervention costs around $1,000 per patient, per … Before this innovation is implemented, it is critical that the innovation organization agree on a standard

19. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33569/psn-pdf
    June 15, 2024 - quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program A variety of policy initiatives have been implemented … Since those penalties were implemented in 2012, more than 2600 hospitals had a proportion of their annual … appears to be effective, as readmission rates for Medicare patients have decreased since the HRRP was implemented

20. Teamwork Training | PSNet
    psnet.ahrq.gov/primer/teamwork-training
    September 15, 2024 - TeamSTEPPS has been successfully implemented in a variety of clinical settings, including  intensive … Teamwork training programs have been implemented in a wide variety of clinical environments, including … facilities participate in the TeamSTEPPS program, and the Medical Team Training program is being widely implemented