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Total Results: 3,625 records

Showing results for "implemented".

221. The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE | PSNet
     psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
     June 19, 2024 - Versions of these interventions have been implemented in multiple facilities, for example, a blood clot … prevention program was implemented in Howard County General Hospital in Columbia, Maryland, following … Date First Implemented 2005 Problem Addressed Deep vein thrombosis … It was implemented in both an academic hospital and a community hospital and included targeting of blood

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861838/psn-pdf
     January 31, 2024 - harm to patients from ADEs after newly initiated medications, the Brigham and Women’s Hospital system implemented … Gordon Schiff, MD, gschiff@bwh.harvard.edu Alejandra Salazar, RPH, asalazar3@partners.org Date First Implemented … Considerations Use by Others (Use By Other Organizations) The innovation team reports other organizations have implemented

223. Duty Hours and Patient Safety | PSNet
     psnet.ahrq.gov/primer/duty-hours-and-patient-safety
     June 15, 2024 - In 2003, the Accreditation Council for Graduate Medical Education (ACGME) implemented rules  limiting … Reviews including data since the 2011 regulations were implemented have reached  similar conclusions

224. Human Factors Engineering | PSNet
     psnet.ahrq.gov/primer/human-factors-engineering
     December 15, 2024 - In the obstetric example above, the hospital had implemented a  barcode system  designed to prevent medication … defibrillator example above) is one basic example, but standardized processes are increasingly being implemented

225. Long-term Care and Patient Safety | PSNet
     psnet.ahrq.gov/primer/long-term-care-and-patient-safety
     February 24, 2022 - that computerized provider order entry (CPOE) and other medication safety strategies have not been implemented … well as the Coronavirus Commission on Safety and Quality in Nursing Homes that are continuing to be implemented … CMS has also implemented minimum staffing standards for long-term care facilities' conditions of participation

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73953/psn-pdf
     October 27, 2021 - This practice should be considered any time a patient is experiencing polypharmacy and should be implemented … when deprescribing is to communicate with the appropriate pharmacy to ensure the medication change is implemented … informatics staff, and patients, to ensure not only successful implementation but also the longevity of the implemented

227. Patient-specific electronic decision support reduces prescription of excessive doses. | PSNet
     psnet.ahrq.gov/issue/patient-specific-electronic-decision-support-reduces-prescription-excessive-doses
     November 02, 2010 - In this study, a custom-designed CDSS that focused on preventing excessive medication dosages was implemented

228. Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. | PSNet
     psnet.ahrq.gov/issue/effects-two-commercial-electronic-prescribing-systems-prescribing-error-rates-hospital
     September 01, 2016 - Although computerized provider order entry (CPOE) systems are being more widely implemented and appear

229. National cluster-randomized trial of duty-hour flexibility in surgical training. | PSNet
     psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training
     September 09, 2015 - policies have generated rigorous debate , particularly following the most recent ACGME changes implemented

230. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/840940
     March 22, 2024 - Innovation Process PSNet’s Submit an Innovation feature allows organizations to share successfully implemented

231. Root Cause Analysis Gone Wrong | PSNet
     psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
     August 28, 2024 - anesthesiologist, and no interventions to prevent similar errors or address systems issues were ever implemented … adverse events (such as retained foreign objects during surgery) recurred after RCA recommendations were implemented … Further, if such a solution does emerge, it needs to be implemented across the health system to avoid

232. The Danger of 10% Intravenous Calcium Chloride Extravasation. | PSNet
     psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
     April 24, 2024 - chloride or calcium gluconate extravasation have been published. 5,6 Therefore, great care should be implemented … , which is the time between extravasation and irreversible tissue necrosis. 4 If interventions are implemented … Quality Improvement Approach Based on the above case presentation, multiple system changes could be implemented

233. Deprescribing as a Patient Safety Strategy | PSNet
     psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
     December 15, 2024 - This practice should be considered any time a patient is experiencing polypharmacy and should be implemented … when deprescribing is to communicate with the appropriate pharmacy to ensure the medication change is implemented … informatics staff, and patients, to ensure not only successful implementation but also the longevity of the implemented

234. Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study. | PSNet
     psnet.ahrq.gov/issue/impact-commercial-order-entry-system-prescribing-errors-amenable-computerised-decision
     December 21, 2022 - All three hospitals implemented clinical decision support, but the type, nature, and efficacy varied

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867004/psn-pdf
     October 30, 2024 - the patients3 Use by Other Organizations The innovators are not aware of other systems that have implemented … Some, however, have implemented other solutions to this important patient safety issue.

236. Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle. | PSNet
     psnet.ahrq.gov/issue/severe-hypertension-pregnancy-progress-made-and-future-directions-patient-safety-quality
     October 23, 2024 - Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented

237. Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration | PSNet
     psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
     October 30, 2024 - in-hospital patient clinical deterioration), Kaiser Permanente Northern California (KPNC) developed and implemented … Use By Other Organizations The AAM program has been implemented in 21 hospitals within the KPNC system

238. Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. | PSNet
     psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways-combat-medication
     May 20, 2020 - s) High-priority drug-drug interaction clinical decision support overrides in a newly implemented

239. Preventing errors with high-risk medications. | PSNet
     psnet.ahrq.gov/issue/preventing-errors-high-risk-medications
     May 20, 2020 - s) High-priority drug-drug interaction clinical decision support overrides in a newly implemented

240. Experts offer smart tips for smart pumps. | PSNet
     psnet.ahrq.gov/issue/experts-offer-smart-tips-smart-pumps
     May 20, 2020 - s) High-priority drug-drug interaction clinical decision support overrides in a newly implemented