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psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
April 13, 2022 - study suggests that local improvement may be a fruitful method to enhance the proven but incompletely implemented
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psnet.ahrq.gov/issue/survey-nurses-experiences-applying-joint-commissions-medication-management-titration
September 15, 2021 - The Joint Commission implemented medication management titration standards in 2017, with revisions
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psnet.ahrq.gov/issue/trends-primary-care-clinician-perceptions-new-electronic-health-record
March 13, 2019 - This survey evaluated clinicians' perceptions of a newly implemented electronic medical record in three
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psnet.ahrq.gov/issue/intraoperative-sentinel-events-era-surgical-safety-checklists-results-national-survey
August 04, 2021 - Various surgical specialties have implemented surgical checklists to improve patient safety outcomes
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psnet.ahrq.gov/issue/effects-brief-team-training-program-surgical-teams-nontechnical-skills-interrupted-time
December 08, 2021 - This Australian hospital implemented a team training program for surgical teams focused on improving
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psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication
September 23, 2020 - According to a 3-month follow-up survey, the majority of patients had implemented the pharmacist's recommendations
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psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
April 14, 2021 - Investigators developed a 36-item list focused on errors common to this clinical setting and implemented
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psnet.ahrq.gov/issue/how-health-systems-decide-use-artificial-intelligence-clinical-decision-support
March 30, 2022 - ’s patient population; (3) it should generate a positive return on investment; and (4) it should be implemented
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psnet.ahrq.gov/issue/effects-rapid-response-systems-clinical-outcomes-systematic-review-and-meta-analysis
September 23, 2020 - Rapid response systems (RSS) have been widely endorsed and implemented , but controversy remains
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psnet.ahrq.gov/issue/indication-alerts-intercept-drug-name-confusion-errors-during-computerized-entry-medication
August 28, 2019 - While authors recommend that these alerts be implemented to decrease medication errors, they suggest
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psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals
September 25, 2019 - In 2019, the Veterans Health Administration (VHA) implemented a high reliability organization (HRO)
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psnet.ahrq.gov/issue/interventions-improve-team-effectiveness-systematic-review
September 29, 2021 - the heterogeneity of the interventions and the inability to measure the context in which they were implemented
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psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items
March 20, 2019 - After experiencing a high rate of RSIs, this United States health system implemented a bundle to reduce
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psnet.ahrq.gov/issue/serious-hazards-transfusion-evaluating-dangers-wrong-patient-autologous-salvaged-blood
May 11, 2022 - the systems issues that emerged during the root case analysis, as well as the corrective steps implemented
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psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality
March 10, 2019 - This children’s hospital implemented an I-PASS program to improve communication between attending physicians
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psnet.ahrq.gov/issue/systematic-review-and-evaluation-physiological-track-and-trigger-warning-systems-identifying
July 20, 2022 - Rapid response teams are being widely implemented in hospitals worldwide.
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
May 12, 2021 - In the study, 11 teams implemented 47 unique interventions, including increased patient engagement through
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psnet.ahrq.gov/issue/enhancing-psychological-safety-mental-health-services
May 12, 2021 - This commentary lays out the benefits of safety culture and how it can be implemented organization-wide
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psnet.ahrq.gov/issue/medication-reconciliation-community-nonteaching-hospital
October 19, 2012 - This article details how one community hospital implemented medication reconciliation and summarizes
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psnet.ahrq.gov/issue/effective-strategies-increase-reporting-medication-errors-hospitals
October 19, 2010 - The authors report on the success of a program implemented to build a nonblame culture and encourage