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Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46686/psn-pdf
    January 31, 2018 - Case not closed: prescription errors 12 years after computerized physician order entry implementation. January 31, 2018 Kadmon G, Pinchover M, Weissbach A, et al. Case Not Closed: Prescription Errors 12 Years after Computerized Physician Order Entry Implementation. J Pediatr. 2017;190:236-240.e2. doi:10.1016/j.jpe…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854254/psn-pdf
    October 04, 2023 - Implementing patient safety and quality improvement in dermatology. October 4, 2023 Marsch A, Khodosh R, Porter M, et al. J Am Acad Dermatol. 2023;89(4):641-54; 57-67. https://psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology Patient safety in dermatology has received increasing …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46717/psn-pdf
    April 16, 2018 - Reduction in opioid prescribing through evidence-based prescribing guidelines. April 16, 2018 Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436. https://psnet.ahrq.gov/issue/reductio…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44187/psn-pdf
    November 10, 2015 - A safe practice standard for barcode technology. November 10, 2015 Leung AA, Denham CR, Gandhi TK, et al. A safe practice standard for barcode technology. J Patient Saf. 2015;11(2):89-99. doi:10.1097/PTS.0000000000000049. https://psnet.ahrq.gov/issue/safe-practice-standard-barcode-technology Barcode technology has…

  5. U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument | PSNet

    psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
    February 26, 2025 - Date First Implemented 2013 Problem Addressed The innovation addresses

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39975/psn-pdf
    March 03, 2011 - Communication failure in the operating room. March 3, 2011 Halverson AL, Casey JT, Andersson J, et al. Communication failure in the operating room. Surgery. 2011;149(3):305-310. doi:10.1016/j.surg.2010.07.051. https://psnet.ahrq.gov/issue/communication-failure-operating-room Communication failures are a well-chara…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45690/psn-pdf
    June 28, 2017 - The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility. June 28, 2017 Everett TC, Morgan PJ, Brydges R, et al. The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857450/psn-pdf
    January 01, 2024 - Transforming team performance through reimplementation of the surgical safety checklist. December 6, 2023 Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/jamasurg.2023.5400. https://psnet…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44839/psn-pdf
    February 03, 2016 - Engaging frontline staff in performance improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside collaborative. February 3, 2016 Needleman J, Pearson ML, Upenieks V, et al. Engaging Frontline Staff in Performance Improvement: The American Organization of Nurse …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41679/psn-pdf
    April 17, 2013 - Impact of participation in the California Healthcare- Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals. April 17, 2013 Halpin HA, McMenamin SB, Simon LP, e…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44130/psn-pdf
    May 13, 2015 - Recent Evidence That Health IT Improves Patient Safety: Issue Brief. May 13, 2015 Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. https://psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief Rapid implementatio…

  12. In Conversation with…Jennifer Daley, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
    January 01, 2008 - these efforts, after our Risk Management Department found system-wide opportunities for improvement, we implemented

  13. A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries | PSNet

    psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
    July 23, 2024 - cesareans. 25 The AIM safety bundle and CMQCC Toolkits are available on-line. 26,27   Date First Implemented

  14. An engineered solution to the maladministration of spinal injections. | PSNet

    psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections
    March 14, 2022 - Study An engineered solution to the maladministration of spinal injections. Citation Text: Lawton R, Gardner P, Green B, et al. An engineered solution to the maladministration of spinal injections. Qual Saf Health Care. 2009;18(6):492-5. doi:10.1136/qshc.2007.025767. Copy Citation …

  15. Is there evidence of a July effect among patients undergoing hysterectomy surgery? | PSNet

    psnet.ahrq.gov/issue/there-evidence-july-effect-among-patients-undergoing-hysterectomy-surgery
    April 24, 2018 - Study Is there evidence of a July effect among patients undergoing hysterectomy surgery? Citation Text: Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.aj…

  16. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant. | PSNet

    psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns-extremely-preterm
    October 19, 2022 - Commentary Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant. Citation Text: Mannan K, Chow P, Lissauer T, et al. Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infan…

  17. Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. | PSNet

    psnet.ahrq.gov/issue/bringing-perioperative-emergency-manuals-your-institution-how-concept-implementation-10-steps
    November 15, 2018 - Commentary Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. Citation Text: Agarwala A, McRichards K, Rao V, et al. Bringing Perioperative Emergency Manuals to Your Institution: A "How To" from Concept to Implementation i…

  18. EHR safety: the way forward to safe and effective systems. | PSNet

    psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-systems
    December 12, 2012 - Commentary EHR safety: the way forward to safe and effective systems. Citation Text: Walker JM, Carayon P, Leveson N, et al. EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc. 2008;15(3):272-7. doi:10.1197/jamia.M2618. Copy Citation Format: …

  19. Factors affecting medical residents' decisions to work after call. | PSNet

    psnet.ahrq.gov/issue/factors-affecting-medical-residents-decisions-work-after-call
    October 19, 2022 - Study Factors affecting medical residents' decisions to work after call. Citation Text: Carr MM, Foreman AM, Friedel JE, et al. Factors affecting medical residents' decisions to work after call. J Patient Saf. 2024;20(1):16-21. doi:10.1097/pts.0000000000001175. Copy Citation Format…

  20. The foundational science of learning health systems. | PSNet

    psnet.ahrq.gov/issue/foundational-science-learning-health-systems
    June 26, 2019 - Commentary The foundational science of learning health systems. Citation Text: Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374. Copy Citation Format: DOI Google …
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