-
psnet.ahrq.gov/issue/implementing-fatigue-countermeasures-program-nurses-focus-group-analysis
February 19, 2010 - Study
Implementing a fatigue countermeasures program for nurses: a focus group analysis.
Citation Text:
Scott LD, Hofmeister N, Rogness N, et al. Implementing a fatigue countermeasures program for nurses: a focus group analysis. J Nurs Adm. 2010;40(5):233-40. doi:10.1097/NNA.0b013e3181d…
-
psnet.ahrq.gov/issue/implementing-distraction-free-practice-red-zone-medication-safety-initiative
November 16, 2022 - Commentary
Implementing a distraction-free practice with the Red Zone Medication Safety initiative.
Citation Text:
Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24. do…
-
psnet.ahrq.gov/issue/barriers-and-facilitators-related-implementation-surgical-safety-checklists-systematic-review
December 05, 2018 - Review
Barriers and facilitators related to the implementation of surgical safety checklists: a systematic review of the qualitative evidence.
Citation Text:
Bergs J, Lambrechts F, Simons P, et al. Barriers and facilitators related to the implementation of surgical safety checklists: a s…
-
psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study
April 24, 2018 - Study
Hospital admission medication reconciliation in medically complex children: an observational study.
Citation Text:
Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2009. doi…
-
psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - Introduction
The Veterans Health Administration (VHA) National Center for Patient Safety (NCPS) implemented … So, requiring certain key actions while remaining flexible about the way the actions were implemented
-
psnet.ahrq.gov/node/42396/psn-pdf
July 31, 2013 - Developing and implementing a standardized process for
Global Trigger Tool application across a large health
system.
July 31, 2013
Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global
trigger tool application across a large health system. Jt Comm J Qual Saf. 2013;39(…
-
psnet.ahrq.gov/node/38449/psn-pdf
March 04, 2009 - A model for increasing patient safety in the intensive care
unit: increasing the implementation rates of proven safety
measures.
March 4, 2009
Krimsky WS, Mroz IB, McIlwaine JK, et al. A model for increasing patient safety in the intensive care unit:
increasing the implementation rates of proven safety measures. Q…
-
psnet.ahrq.gov/node/38331/psn-pdf
October 20, 2010 - Assessment of the implementation of a national patient
safety alert to reduce wrong site surgery.
October 20, 2010
Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to
reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):409-15. doi:10.1136/qshc.2007.0230…
-
psnet.ahrq.gov/node/73252/psn-pdf
January 01, 2022 - Why test results are still getting "lost" to follow-up: a
qualitative study of implementation gaps.
May 12, 2021
Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative
study of implementation gaps. J Gen Intern Med. 2022;37(1):137-144. doi:10.1007/s11606-021…
-
psnet.ahrq.gov/node/865514/psn-pdf
April 10, 2024 - Drug-drug interactions and actual harm to hospitalized
patients: a multicentre study examining the prevalence
pre- and post-electronic medication system
implementation.
April 10, 2024
Li L, Baker J, Quirk R, et al. Drug-drug interactions and actual harm to hospitalized patients: a multicentre
study examining the …
-
psnet.ahrq.gov/node/47387/psn-pdf
September 12, 2018 - Guideline implementation: team communication.
September 12, 2018
Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J.
2018;108(2):165-177. doi:10.1002/aorn.12300.
https://psnet.ahrq.gov/issue/guideline-implementation-team-communication
Although team development has rec…
-
psnet.ahrq.gov/node/43875/psn-pdf
September 19, 2016 - Implementation of a "second victim" program in a
pediatric hospital.
September 19, 2016
Krzan KD, Merandi J, Morvay S, et al. Implementation of a "second victim" program in a pediatric hospital.
Am J Health Syst Pharm. 2015;72(7):563-7. doi:10.2146/ajhp140650.
https://psnet.ahrq.gov/issue/implementation-second-vic…
-
psnet.ahrq.gov/node/73255/psn-pdf
May 12, 2021 - Implementing High-Quality Primary Care: Rebuilding the
Foundation of Health Care.
May 12, 2021
National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National
Academies Press.
https://psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
Primary…
-
psnet.ahrq.gov/node/42235/psn-pdf
June 03, 2013 - Surgical safety checklist: implementation in an
ambulatory surgical facility.
June 3, 2013
Morgan PJ, Cunningham L, Mitra S, et al. Surgical safety checklist: implementation in an ambulatory
surgical facility. Can J Anaesth. 2013;60(6):528-38. doi:10.1007/s12630-013-9916-8.
https://psnet.ahrq.gov/issue/surgical-sa…
-
psnet.ahrq.gov/node/34994/psn-pdf
September 29, 2017 - Advances in Patient Safety: From Research to
Implementation.
September 29, 2017
Henriksen K, Battles JB, Marks ES, et al, eds. Rockville, MD: Agency for Healthcare Research and Quality
(US); 2005.
https://psnet.ahrq.gov/issue/advances-patient-safety-research-implementation
With 4 volumes and 140 articles (all of …
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - PowerPoint Presentation
Spotlight
Signout Fallout
1
Source and Credits
This presentation is based on the February 2018
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Amy J. Starmer, MD, MPH, and Christopher P. Landrigan, MD, MPH, Harvard M…
-
psnet.ahrq.gov/node/50575/psn-pdf
October 23, 2019 - Dynamic pocket card for implementing ISBAR in shift
handover communication.
October 23, 2019
Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift
Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831.
https://psnet.ahrq.gov/issue/dynam…
-
psnet.ahrq.gov/node/43831/psn-pdf
January 21, 2015 - Implementation of standardized dosing units for I.V.
medications.
January 21, 2015
Jung B, Couldry R, Wilkinson S, et al. Implementation of standardized dosing units for i.v. medications. Am
J Health Syst Pharm. 2014;71(24):2153-8. doi:10.2146/ajhp140046.
https://psnet.ahrq.gov/issue/implementation-standardized-do…
-
psnet.ahrq.gov/node/46169/psn-pdf
June 07, 2017 - associations-between-hospital-characteristics-measure-reporting-and-centers-
medicare-medicaid
The Centers for Medicare and Medicaid Services (CMS) recently implemented
-
psnet.ahrq.gov/node/37942/psn-pdf
May 04, 2014 - improving-handoff-communications-critical-care-utilizing-simulation-based-
training-toward
Simulation training is being widely implemented