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Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. | PSNet

psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma

March 07, 2018 - Study Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. Citation Text: Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…

What is the value and impact of quality and safety teams? A scoping review. | PSNet

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December 06, 2017 - Review What is the value and impact of quality and safety teams? A scoping review. Citation Text: White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97. Copy Citation …

Creating a fellowship curriculum in patient safety and quality. | PSNet

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September 09, 2020 - Commentary Creating a fellowship curriculum in patient safety and quality. Citation Text: Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012. Copy Citation Format: …

Eliminating perioperative adverse events at Ascension Health. | PSNet

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November 16, 2022 - Commentary Eliminating perioperative adverse events at Ascension Health. Citation Text: Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66. Copy Citation Format: Google Scholar PubM…

Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. | PSNet

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July 10, 2024 - Commentary Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. Citation Text: Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…

Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice. | PSNet

psnet.ahrq.gov/issue/design-and-implementation-point-care-computerized-system-drug-therapy-stockholm-metropolitan

October 21, 2010 - Commentary Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice. Citation Text: SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care…

FMEA team performance in health care: a qualitative analysis of team member perceptions. | PSNet

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December 31, 2014 - Study FMEA team performance in health care: a qualitative analysis of team member perceptions. Citation Text: Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be. Copy Citation Format: DOI Go…

The next phase of health care improvement: what can we learn from social movements? | PSNet

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July 22, 2010 - Commentary The next phase of health care improvement: what can we learn from social movements? Citation Text: Bate P, Robert G, Bevan H. The next phase of healthcare improvement: what can we learn from social movements? Qual Saf Health Care. 2004;13(1):62-6. Copy Citation Format:…

Changing operating room culture: implementation of a postoperative debrief and improved safety culture. | PSNet

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December 03, 2014 - Study Changing operating room culture: implementation of a postoperative debrief and improved safety culture. Citation Text: Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 201…

Using standardized OR checklists and creating extended time-out checklists. | PSNet

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February 15, 2011 - Commentary Using standardized OR checklists and creating extended time-out checklists. Citation Text: Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007. Copy Citation Format: …

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. | PSNet

psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric

April 13, 2011 - Study Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. Citation Text: Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…

Preventing medication errors in the information age. | PSNet

psnet.ahrq.gov/issue/preventing-medication-errors-information-age

February 15, 2023 - Commentary Preventing medication errors in the information age. Citation Text: Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-58. doi:10.1097/01.NURSE.0000544230.51598.38. Copy Citation Format: DOI Google Scholar PubM…

Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. | PSNet

psnet.ahrq.gov/issue/transition-care-hospitalized-elderly-patients-development-discharge-checklist-hospitalists

November 16, 2022 - Commentary Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. Citation Text: Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists…

Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution. | PSNet

psnet.ahrq.gov/issue/evaluation-implementation-alert-issued-uk-national-patient-safety-agency-storage-and-handling

September 04, 2013 - Study Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution. Citation Text: Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by th…

Always having to say you're sorry: an ethical response to making mistakes in professional practice. | PSNet

psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice

September 09, 2011 - Review Always having to say you're sorry: an ethical response to making mistakes in professional practice. Citation Text: Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics. 2004;11(6):568-76. Copy Citation …

Implementing smart infusion pumps with dose-error reduction software: real-world experiences. | PSNet

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May 26, 2021 - Commentary Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Citation Text: Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. …

Preparing challenging medications for barcode scanning. | PSNet

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October 19, 2022 - Commentary Preparing challenging medications for barcode scanning. Citation Text: Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm. 2015;72(13):1089-90. doi:10.2146/ajhp140454. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. | PSNet

psnet.ahrq.gov/issue/quality-improvement-and-patient-care-checklists-intrahospital-transfers-involving-pediatric

September 23, 2020 - Study Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. Citation Text: Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.…

Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. | PSNet

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January 17, 2024 - Special or Theme Issue Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Citation Text: Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Auerbach AD, Bates DW, Rao JK, et al, ed…

Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. | PSNet

psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy

July 14, 2010 - Study Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Citation Text: Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Akins RB, Cole BR. J Patient …

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