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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - A psychiatry program implemented a face-to-face and written sign-out
process for the academic year-end
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Some potential or implemented approaches to date include the following:
Self-reporting tools: Hospitals
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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - technology and cultivating a culture of reporting and learning from errors.( 1,4 ) Organizations that have implemented
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psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - Control A well-studied and well-designed, uniform algorithm for insulin administration should be implemented
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psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
August 31, 2020 - Articles published in 2020 highlighted a number of promising communication practices implemented in response
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psnet.ahrq.gov/node/849592/psn-pdf
May 31, 2023 - restrictions on visitation.7
Contact the Innovator
Patricia Dykes PDYKES@BWH.HARVARD.EDU
Date First Implemented
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psnet.ahrq.gov/node/60330/psn-pdf
May 05, 2020 - Conclusion
If implemented appropriately, telehealth can be an incredibly effective approach to ensuring
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psnet.ahrq.gov/issue/development-and-implementation-checklists-obstetrics
July 13, 2010 - Commentary
The development and implementation of checklists in obstetrics.
Citation Text:
Medicine S for M-F, Bernstein PS, Combs A, et al. The development and implementation of checklists in obstetrics. Am J Obstet Gynecol. 2017;217(2):B2-B6. doi:10.1016/j.ajog.2017.05.032.
Copy Citat…
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - Although some projects need to be implemented across the entire hospital, much of the work should be … The leaders ensure that an integrated patient safety program is implemented throughout the hospital.
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psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
November 01, 2005 - experience of IHI, with our IMPACT Network and our colleagues in the Pursuing Perfection project—many had implemented … In fact, hospitals that have implemented RRTs have anecdotally reported an increase in nurse satisfaction
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psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - Although some projects need to be implemented across the entire hospital, much of the work should be … The leaders ensure that an integrated patient safety program is implemented throughout the hospital.
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - In fact, hospitals that have implemented RRTs have anecdotally reported an increase in nurse satisfaction … experience of IHI, with our IMPACT Network and our colleagues in the Pursuing Perfection project—many had implemented
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psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
November 01, 2012 - adjustments to the drug library in the electronic health record (EHR) are required and may not be able to be implemented
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - resources
Rules and Policies
Adopting a policy to oversee how REMS requirements are assessed and implemented
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psnet.ahrq.gov/web-mm/double-dosing-rules
February 03, 2010 - The policy mandating that all new medications be given within 4 hours of being ordered had just been implemented
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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - The Commentary Warfarin is a highly effective, widely implemented, and well-proven intervention that
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psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
September 01, 2015 - interventions and development of hospital protocols aimed at decreasing the use of sleep aids should be implemented
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psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - devices have not been shown to improve patient safety, and may increase patient risk if not wisely implemented
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - and spread in other settings, it also offers proof of concept that rigorously designed, thoughtfully implemented
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psnet.ahrq.gov/web-mm/miscalculated-risk
March 01, 2015 - Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician