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psnet.ahrq.gov/issue/association-between-implementation-intensivist-led-medical-emergency-team-and-mortality
July 13, 2010 - Study
Association between implementation of an intensivist-led medical emergency team and mortality.
Citation Text:
Karvellas CJ, de Souza IAO, Gibney RTN, et al. Association between implementation of an intensivist-led medical emergency team and mortality. BMJ Qual Saf. 2012;21(2):152…
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psnet.ahrq.gov/issue/actions-and-implementation-strategies-reduce-suicidal-events-veterans-health-administration
January 05, 2017 - Study
Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration.
Citation Text:
Mills PD, Neily J, Luan D, et al. Actions and Implementation Strategies to Reduce Suicidal Events in the Veterans Health Administration. The Joint Commission Journa…
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psnet.ahrq.gov/issue/implementation-participatory-organizational-change-long-term-care-improve-safety
February 01, 2012 - Study
Implementation of participatory organizational change in long term care to improve safety.
Citation Text:
Van Eerd D, D'Elia T, Ferron EM, et al. Implementation of participatory organizational change in long term care to improve safety. J Safety Res. 2021;78:9-18. doi:10.1016/j.jsr…
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psnet.ahrq.gov/issue/role-housestaff-implementing-medication-reconciliation-admission-academic-medical-center
March 30, 2011 - Commentary
The role of housestaff in implementing medication reconciliation on admission at an academic medical center.
Citation Text:
Evans AS, Lazar EJ, Tiase VL, et al. The role of housestaff in implementing medication reconciliation on admission at an academic medical center. Am J Me…
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psnet.ahrq.gov/issue/interventions-and-measurements-highly-reliableresilient-organization-implementations
July 21, 2021 - Review
Interventions and measurements of highly reliable/resilient organization implementations: a literature review.
Citation Text:
Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization implementations: a literature review. Appl Ergon…
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psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes
August 15, 2018 - Commentary
Root cause analysis of transfusion error: identifying causes to implement changes.
Citation Text:
Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…
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psnet.ahrq.gov/issue/changes-physician-practice-patterns-after-implementation-communication-and-resolution-program
September 01, 2018 - Study
Changes in physician practice patterns after implementation of a communication-and-resolution program.
Citation Text:
Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program. Health Serv Res. 2016;5…
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psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion-pumps
June 07, 2017 - Organizational Policy/Guidelines
ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps.
Citation Text:
ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. Horsham, PA: Institute for Safe Medication Practices; 2020.
Copy …
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psnet.ahrq.gov/issue/design-and-implementation-tool-pharmacists-register-potential-errors-prescribed-medication
March 09, 2022 - Study
Design and implementation of a tool for pharmacists to register potential errors in prescribed medication.
Citation Text:
Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication. Stud Health Tech…
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - Sarah Mossburg: How have organizations implemented and used the RCA2 methodology since its
introduction
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - designed in a way that you could say, “Of these components of a
complex intervention, three must be implemented
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psnet.ahrq.gov/node/47272/psn-pdf
August 15, 2018 - Centers for Medicare and Medicaid Services hospital-
acquired conditions policy for central line–associated
bloodstream infection (CLABSI) and catheter-associated
urinary tract infection (CAUTI) shows minimal impact on
hospital reimbursement.
August 15, 2018
Calderwood MS, Kawai AT, Jin R, et al. Centers for medi…
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psnet.ahrq.gov/node/42099/psn-pdf
March 13, 2013 - Inpatient fall prevention programs as a patient safety
strategy: a systematic review.
March 13, 2013
Miake-Lye IM, Hempel S, Ganz DA, et al. Inpatient fall prevention programs as a patient safety strategy: a
systematic review. Ann Intern Med. 2013;158(5 Pt 2):390-396. doi:10.7326/0003-4819-158-5-201303051-
00005.
…
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psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
November 01, 2005 - experience of IHI, with our IMPACT Network and our colleagues in the Pursuing Perfection project—many had implemented … In fact, hospitals that have implemented RRTs have anecdotally reported an increase in nurse satisfaction
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psnet.ahrq.gov/issue/medication-injection-safety-knowledge-and-practices-among-anesthesiologists-new-york-state
August 25, 2021 - Study
Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011.
Citation Text:
Gounder P, Beers R, Bornschlegel K, et al. Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011. J Clin Anesth. 2013;25(7)…
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psnet.ahrq.gov/issue/clinical-and-medicolegal-implications-radiology-results-communication
August 20, 2018 - Review
The clinical and medicolegal implications of radiology results communication.
Citation Text:
Aryal B, Khorsand DA, Dubinsky TJ. The Clinical and Medicolegal Implications of Radiology Results Communication. Curr Probl Diagn Radiol. 2018;47(5):287-289. doi:10.1067/j.cpradiol.2017.09…
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psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
September 26, 2012 - Study
Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit.
Citation Text:
Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62(5):1223-7; disc…
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psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
November 16, 2022 - Study
Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography.
Citation Text:
Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Dementia (London). 202…
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psnet.ahrq.gov/issue/factors-influencing-diagnostic-accuracy-among-intensive-care-unit-clinicians-observational
October 24, 2018 - Study
Factors influencing diagnostic accuracy among intensive care unit clinicians - an observational study.
Citation Text:
Bergl PA, Shukla N, Shah J, et al. Factors influencing diagnostic accuracy among intensive care unit clinicians – an observational study. Diagnosis (Berl). 2024;11(…
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psnet.ahrq.gov/issue/comparison-traditional-trigger-tool-data-warehouse-based-screening-identifying-hospital
June 11, 2010 - Study
Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events.
Citation Text:
O'Leary KJ, Devisetty VK, Patel AR, et al. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse ev…