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Showing results for "implemented".

2901. Finding blunders in thyroid testing: experience in newborns. | PSNet
      psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
      March 04, 2020 - Study Finding blunders in thyroid testing: experience in newborns. Citation Text: Zilka LJ, Lott JA, Baker LC, et al. Finding blunders in thyroid testing: experience in newborns. J Clin Lab Anal. 2008;22(4):254-6. doi:10.1002/jcla.20247. Copy Citation Format: DOI Google S…

2902. Written Signout: It Only Works If You Use The Right One | PSNet
      psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
      April 24, 2018 - Written Signout: It Only Works If You Use The Right One Citation Text: Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: …

2903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847057/psn-pdf
      April 05, 2023 - Implement strategies to prevent persistent medication errors and hazards. April 5, 2023 ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4. https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards Medication mistakes are recognized contributors to p…

2904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38889/psn-pdf
      April 01, 2010 - Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. April 1, 2010 Peute LW, Aarts J, Bakker PJM, et al. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation. Int J Med Inform. 2010;79(4):e58-70. doi:…

2905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865493/psn-pdf
      April 03, 2024 - Implement strategies to prevent persistent medication errors and hazards: 2024. April 3, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4. https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024 Systemic failures can perpetuate unsafe care if a lack of p…

2906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50875/psn-pdf
      February 05, 2020 - Implementing Closing the Loop. Safe Practices for Diagnostic Results February 5, 2020 Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. https://psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results Health information technology (HIT) can improve record keepi…

2907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42355/psn-pdf
      February 11, 2015 - Advancing Successful Care Transitions to Improve Outcomes. February 11, 2015 Society of Hospital Medicine https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program This Web site provides resources associated with the Better Outcomes for Older adults through Safe Transitions project, called Projec…

2908. The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department | PSNet
      psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
      October 30, 2024 - currently in operation in the U.S., each with its own patient care and staffing model. 8 Date First Implemented

2909. Submit Your Toolkit | PSNet
      psnet.ahrq.gov/submit-your-toolkit-landing
      Breadcrumb Home Improvement Resources Toolkits Toolkit Submissions PSNet encourages healthcare-related organizations to help make care safer by submitting a Patient Safety Toolkit to support the implementation of products, services, processes, systems, policies, organizational stru…

2910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42083/psn-pdf
      March 13, 2013 - The top patient safety strategies that can be encouraged for adoption now. March 13, 2013 Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-5-201303051-00001. https://psnet.ahrq.go…

2911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838925/psn-pdf
      March 03, 2025 - Improving Quality and Safety in Healthcare. March 3, 2025 Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025. https://psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare Improvement activities are complex initiatives that require synergistic actions by organizations to be s…

2912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837038/psn-pdf
      May 04, 2022 - Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. May 4, 2022 London UK: Patient Safety Learning: 2022. https://psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs Unsafe care affects a wide range of individuals and organizations physically, emotionally, and financi…

2913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45619/psn-pdf
      August 16, 2017 - Checking the lists: a systematic review of electronic checklist use in health care. August 16, 2017 Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006. https://psnet.ahrq.gov/issue/checking-lists-s…

2914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73249/psn-pdf
      May 12, 2021 - I-PASS handover system: a decade of evidence demands action. May 12, 2021 Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314. https://psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action The I-PASS structu…

2915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42903/psn-pdf
      September 29, 2017 - How policy makers can smooth the way for communication-and-resolution programs. September 29, 2017 Sage WM, Gallagher TH, Armstrong S, et al. How policy makers can smooth the way for communication- and- resolution programs. Health Aff (Millwood). 2014;33(1):11-9. doi:10.1377/hlthaff.2013.0930. https://psnet.ahrq.g…

2916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37116/psn-pdf
      October 04, 2011 - Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation. October 4, 2011 Rask KJ, Culler SD, Scott T, et al. Adopting National Quality Forum medication safe practices: Progress and barriers to hospital implementation. J Hosp Med. 2007;2(4). doi:10.1002/jhm.187. …

2917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866072/psn-pdf
      June 05, 2024 - WHO Global Report on Patient Safety. June 5, 2024 Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458. https://psnet.ahrq.gov/issue/who-global-report-patient-safety Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the seven objectives of the…

2918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38474/psn-pdf
      March 10, 2011 - Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations. March 10, 2011 Were MC, Abernathy G, Hui SL, et al. Using computerized provider order entry and clinical decision support to improve referring physicians' …

2919. Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet
      psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
      May 31, 2023 - Date First Implemented 2006 Problem Addressed Severely injured patients

2920. Debriefing for Clinical Learning | PSNet
      psnet.ahrq.gov/primer/debriefing-clinical-learning
      September 15, 2024 - going around the circle giving each person the opportunity to share or use of a “talking stick” can be implemented