Results

Total Results: 3,625 records

Showing results for "implemented".

181. Wrong-Time Error With High-Alert Medication | PSNet
     psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
     February 01, 2014 - Without a detailed error-prevention plan implemented for each high-alert medication or medication class … That designation should trigger the development of risk reduction strategies, which should be implemented … associated with the drug still exist, and institution-specific risk reduction strategies should still be implemented

182. Quality and safety implications of emergency department information systems. | PSNet
     psnet.ahrq.gov/issue/quality-and-safety-implications-emergency-department-information-systems
     November 30, 2012 - Many emergency departments (EDs) have recently implemented electronic medical records (EMRs) specifically

183. Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. | PSNet
     psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2014-user-comparative-database-report
     April 23, 2014 - The report identifies several areas of strength: 83% of offices reported having fully implemented electronic

184. Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. | PSNet
     psnet.ahrq.gov/issue/assessing-and-improving-safety-culture-throughout-academic-medical-centre-prospective-cohort
     January 02, 2017 - The initiatives implemented included a comprehensive unit-based safety program ( CUSP ), specific teamwork

185. Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. | PSNet
     psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
     January 18, 2013 - Effective tools and interventions which can be implemented during each timepoint are discussed, including

186. The extent and importance of unintended consequences related to computerized provider order entry. | PSNet
     psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
     May 27, 2011 - classify the frequency of unintended consequences—positive and negative—encountered in hospitals that have implemented

187. Saving lives: a meta-analysis of team training in healthcare. | PSNet
     psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-healthcare
     October 31, 2017 - The authors suggest that team training should be widely implemented and that further studies should evaluate

188. The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. | PSNet
     psnet.ahrq.gov/issue/sages-fundamental-use-surgical-energy-program-fuse-history-development-and-purpose
     April 05, 2017 - The authors describe an international example to illustrate how this approach can be implemented to augment

189. Role of computerized physician order entry systems in facilitating medication errors. | PSNet
     psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors
     February 18, 2011 - physician order entry (CPOE) is expected to significantly reduce medication errors, systems must be implemented

190. Leveraging a safety event management system to improve organizational learning and safety culture. | PSNet
     psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture
     August 01, 2018 - This pediatric health system implemented a new safety event management system (SEMS) aimed at increased

191. Assessment of the global trigger tool to measure, monitor and evaluate patient safety in cancer patients: reliability concerns are raised. | PSNet
     psnet.ahrq.gov/issue/assessment-global-trigger-tool-measure-monitor-and-evaluate-patient-safety-cancer-patients
     April 22, 2015 - The Institute for Healthcare Improvement's Global Trigger Tool is being widely implemented as a means

192. Improving patient safety in intensive care units in Michigan. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan
     February 17, 2011 - detailed information on the organizational change model used as well as the interventions that were implemented

193. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. | PSNet
     psnet.ahrq.gov/issue/organisational-readiness-exploring-preconditions-success-organisation-wide-patient-safety
     February 01, 2011 - The Safer Patients Initiative was implemented at four United Kingdom sites in 2004 in collaboration

194. Potential harms resulting from patient–clinician real-time clinical encounters using video-based telehealth: a making healthcare safer rapid evidence review. | PSNet
     psnet.ahrq.gov/issue/potential-harms-resulting-patient-clinician-real-time-clinical-encounters-using-video-based
     February 14, 2017 - the studies included interventions to improve patient safety, but the authors note that interventions implemented

195. Medical team training: applying crew resource management in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration
     April 30, 2014 - While CRM programs are being implemented at the VA and elsewhere, a recent randomized trial in obstetrics

196. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. | PSNet
     psnet.ahrq.gov/issue/impact-comprehensive-safety-initiative-patient-controlled-analgesia-errors
     April 02, 2014 - Due to several critical incidents associated with PCA errors, this Canadian hospital system implemented

197. Teaching medical error disclosure to physicians-in-training: a scoping review. | PSNet
     psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review
     June 09, 2015 - This review found that when implemented, error disclosure training generally resulted in improved knowledge

198. Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department. | PSNet
     psnet.ahrq.gov/issue/retrospective-evaluation-computerized-physician-order-entry-adaptation-prevent-prescribing
     May 27, 2011 - This study implemented a standardized "quicklist" of commonly used pediatric medications within an existing

199. Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial. | PSNet
     psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication
     December 30, 2014 - The SBAR (situation, background, assessment, recommendation) communication tool has been implemented

200. A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. | PSNet
     psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research-and-practice
     May 23, 2012 - Similar problems were noted in studies of checklists , another widely implemented safety intervention