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psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe
February 02, 2022 - Study
Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist?
Citation Text:
Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the Wor…
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psnet.ahrq.gov/issue/implementation-bar-code-medication-administration-reduce-patient-harm
September 23, 2020 - Study
Implementation of bar-code medication administration to reduce patient harm.
Citation Text:
Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351. doi:10.1016/j.mayo…
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psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures
October 19, 2022 - Study
Evaluating implementation of a rapid response team: considering alternative outcome measures.
Citation Text:
Moriarty JP, Schiebel NE, Johnson MG, et al. Evaluating implementation of a rapid response team: considering alternative outcome measures. Int J Qual Health Care. 2014;26(1)…
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psnet.ahrq.gov/issue/implementing-standardized-safe-surgery-program-reduces-serious-reportable-events
October 30, 2024 - Study
Implementing a standardized safe surgery program reduces serious reportable events.
Citation Text:
Loftus T, Dahl D, OHare B, et al. Implementing a standardized safe surgery program reduces serious reportable events. J Am Coll Surg. 2015;220(1):12-17.e3. doi:10.1016/j.jamcollsurg.2…
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psnet.ahrq.gov/issue/implementing-interprofessional-patient-safety-learning-initiative-insights-participants
August 14, 2014 - Study
Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members.
Citation Text:
Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative: insights fr…
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psnet.ahrq.gov/node/45332/psn-pdf
August 27, 2018 - Guideline implementation: prevention of retained surgical
items.
August 27, 2018
Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48.
doi:10.1016/j.aorn.2016.05.005.
https://psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
Although i…
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psnet.ahrq.gov/node/47728/psn-pdf
February 20, 2019 - Implementation of bar-code medication administration to
reduce patient harm.
February 20, 2019
Thompson KM, Swanson KM, Cox DL, et al. Implementation of Bar-Code Medication Administration to
Reduce Patient Harm. Mayo Clin Proc Innov Qual Outcomes. 2018;2(4):342-351.
doi:10.1016/j.mayocpiqo.2018.09.001.
https://ps…
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psnet.ahrq.gov/node/44785/psn-pdf
January 27, 2016 - Reducing Adverse Drug Events Related to Opioids
Implementation Guide.
January 27, 2016
Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
Opioids are high-risk medication…
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psnet.ahrq.gov/node/854832/psn-pdf
October 25, 2023 - Achieving a successful patient safety program with
implementation of a harm reduction strategy.
October 25, 2023
Cohen JB. APSF Newsletter. 2023;38(10):93-95.
https://psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction-
strategy
Zero harm, while a laudable goal, has been…
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psnet.ahrq.gov/issue/sustained-user-engagement-health-information-technology-long-road-implementation-system
December 21, 2022 - Study
Sustained user engagement in health information technology: the long road from implementation to system optimization of computerized physician order entry and clinical decision support systems for prescribing in hospitals in England.
Citation Text:
Cresswell K, Lee L, Mozaffar H, e…
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psnet.ahrq.gov/issue/implementation-hand-hygiene-health-care-facilities-results-who-hand-hygiene-self-assessment
September 09, 2020 - Study
Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework global survey 2019.
Citation Text:
de Kraker MEA, Tartari E, Tomczyk S, et al. Implementation of hand hygiene in health-care facilities: results from the WHO Hand H…
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psnet.ahrq.gov/issue/drug-drug-interactions-and-actual-harm-hospitalized-patients-multicentre-study-examining
August 26, 2020 - Study
Drug-drug interactions and actual harm to hospitalized patients: a multicentre study examining the prevalence pre- and post-electronic medication system implementation.
Citation Text:
Li L, Baker J, Quirk R, et al. Drug-drug interactions and actual harm to hospitalized patients: a …
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psnet.ahrq.gov/node/47674/psn-pdf
December 19, 2018 - Patient safety after implementation of a coproduced
family centered communication programme: multicenter
before and after intervention study.
December 19, 2018
Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a coproduced family centered
communication programme: multicenter before and af…
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psnet.ahrq.gov/node/42946/psn-pdf
January 07, 2015 - Evaluation of medium-term consequences of
implementing commercial computerized physician order
entry and clinical decision support prescribing systems in
two 'early adopter' hospitals.
January 7, 2015
Cresswell K, Bates DW, Williams R, et al. Evaluation of medium-term consequences of implementing
commercial compu…
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psnet.ahrq.gov/node/43042/psn-pdf
December 18, 2014 - Introduction of surgical safety checklists in Ontario,
Canada.
December 18, 2014
Urbach DR, Govindarajan A, Saskin R, et al. Introduction of Surgical Safety Checklists in Ontario, Canada.
New Engl J Med. 2014;370(11):1029-1038. doi:10.1056/nejmsa1308261.
https://psnet.ahrq.gov/issue/introduction-surgical-safety-ch…
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psnet.ahrq.gov/node/60007/psn-pdf
March 04, 2020 - ISMP Guidelines for Optimizing Safe Implementation and
Use of Smart Infusion Pumps.
March 4, 2020
Horsham, PA: Institute for Safe Medication Practices; 2020.
https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion-
pumps
Smart pumps are widely available as a medicat…
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psnet.ahrq.gov/node/60755/psn-pdf
August 05, 2020 - Patient safety from executive hospital management to
wards: a qualitative study identifying factors influencing
implementation.
August 5, 2020
Conner T, Unsworth J, Machin A. Patient safety from executive hospital management to wards: a
qualitative study identifying factors influencing implementation. J Nurs Manag…
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psnet.ahrq.gov/issue/patient-safety-tool-kit
February 14, 2024 - Toolkit
Patient Safety Tool Kit.
Citation Text:
Patient Safety Tool Kit. WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596.
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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
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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