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Showing results for "implemented".

  1. Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. | PSNet

    psnet.ahrq.gov/issue/computerized-prescriber-order-entry-and-opportunities-medication-errors-comparison-tradition
    April 02, 2008 - Study Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. Citation Text: Jozefczyk KG, Kennedy WK, Lin MJ, et al. Computerized prescriber order entry and opportunities for medication errors: comparison to traditi…

  2. Relationship of staff information sharing and advice networks to patient safety outcomes. | PSNet

    psnet.ahrq.gov/issue/relationship-staff-information-sharing-and-advice-networks-patient-safety-outcomes
    June 22, 2011 - Study Relationship of staff information sharing and advice networks to patient safety outcomes. Citation Text: Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10…

  3. Beyond the team: understanding interprofessional work in two North American ICUs. | PSNet

    psnet.ahrq.gov/issue/beyond-team-understanding-interprofessional-work-two-north-american-icus
    January 14, 2014 - Study Beyond the team: understanding interprofessional work in two North American ICUs. Citation Text: Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.000000000000113…

  4. Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. | PSNet

    psnet.ahrq.gov/issue/association-health-literacy-postoperative-outcomes-patients-undergoing-major-abdominal
    May 08, 2017 - Study Association of health literacy with postoperative outcomes in patients undergoing major abdominal surgery. Citation Text: Wright JP, Edwards GC, Goggins K, et al. Association of Health Literacy With Postoperative Outcomes in Patients Undergoing Major Abdominal Surgery. JAMA Surg. 2…

  5. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. | PSNet

    psnet.ahrq.gov/issue/risk-adjusted-cumulative-sum-early-detection-hospitals-excess-perioperative-mortality
    August 14, 2019 - Study Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. Citation Text: Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:1…

  6. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. | PSNet

    psnet.ahrq.gov/issue/risk-adverse-drug-events-neonates-treated-opioids-and-effect-bar-code-assisted-medication
    May 21, 2009 - Study Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. Citation Text: Morriss FH, Abramowitz PW, Nelson S, et al. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-cod…

  7. The host hospital 24-hour underreferral rate: an automated measure of call-center safety. | PSNet

    psnet.ahrq.gov/issue/host-hospital-24-hour-underreferral-rate-automated-measure-call-center-safety
    September 23, 2020 - Study The host hospital 24-hour underreferral rate: an automated measure of call-center safety. Citation Text: Hirsh DA, Simon HK, Massey R, et al. The host hospital 24-hour underreferral rate: an automated measure of call-center safety. Pediatrics. 2007;119(6):1139-1144. Copy Citati…

  8. Adverse events are common on the intensive care unit: results from a structured record review. | PSNet

    psnet.ahrq.gov/issue/adverse-events-are-common-intensive-care-unit-results-structured-record-review
    January 28, 2010 - Study Adverse events are common on the intensive care unit: results from a structured record review. Citation Text: Nilsson L, Pihl A, Tågsjö M, et al. Adverse events are common on the intensive care unit: results from a structured record review. Acta Anaesthesiol Scand. 2012;56(8):959…

  9. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. | PSNet

    psnet.ahrq.gov/issue/developing-implementing-evaluating-electronic-apparent-cause-analysis-across-health-care
    February 07, 2018 - Study Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Citation Text: Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2…

  10. Radiology errors: are we learning from our mistakes? | PSNet

    psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes
    May 26, 2011 - Study Radiology errors: are we learning from our mistakes? Citation Text: Mankad K, Hoey ETD, Jones JB, et al. Radiology errors: are we learning from our mistakes? Clin Radiol. 2009;64(10):988-93. doi:10.1016/j.crad.2009.06.002. Copy Citation Format: DOI Google Scholar Pu…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38422/psn-pdf
    January 31, 2011 - Joint Commission offers warnings, advice on adopting new health care IT systems. January 31, 2011 Mitka M. Joint commission offers warnings, advice on adopting new health care IT systems. JAMA. 2009;301(6):587-9. doi:10.1001/jama.2009.37. https://psnet.ahrq.gov/issue/joint-commission-offers-warnings-advice-adoptin…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836791/psn-pdf
    August 21, 2024 - TeamSTEPPS for Diagnosis Improvement. August 21, 2024 TeamSTEPPS for Diagnosis Improvement. https://psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement The recognition of diagnosis as a team activity is energizing new diagnostic process initiatives. Building on the established TeamSTEPPS® principles, this new Te…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50657/psn-pdf
    November 13, 2019 - Disclosure after adverse medical outcomes: a multidimensional challenge. November 13, 2019 O’Connell D. J Clin Outcomes Manag. 2019;26(5):213-218. https://psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge Disclosure of errors and adverse events is increasingly encouraged in …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39364/psn-pdf
    March 10, 2010 - Improving communication in the ICU using daily goals. March 10, 2010 Pronovost P, Berenholtz SM, Dorman T, et al. Improving communication in the ICU using daily goals. J Crit Care. 2003;18(2):71-5. https://psnet.ahrq.gov/issue/improving-communication-icu-using-daily-goals This study sought to improve communication…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49802/psn-pdf
    August 01, 2017 - Add-on Case and the Missing Checklist August 1, 2017 Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/add-case-and-missing-checklist The Case A 65-year-old woman was admitted for evaluation of abdominal pain and weight loss. Based on diagnostic data and ima…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38714/psn-pdf
    June 17, 2009 - Quality-monitoring program for bar-code–assisted medication administration.   June 17, 2009 Mims E, Tucker C, Carlson R, et al. Quality-monitoring program for bar-code-assisted medication administration. Am J Health Syst Pharm. 2009;66(12):1125-31. doi:10.2146/ajhp080172. https://psnet.ahrq.gov/issue/quality-monit…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840494/psn-pdf
    November 30, 2022 - Safety of anesthetic and perioperative medication practices. November 30, 2022 Meyer TA. Anesthesiology News. October 31, 2022. https://psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices Medication use in the surgical environment is complex and high-risk. This article describes steps tow…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44760/psn-pdf
    July 10, 2024 - Collaborative for Accountability and Improvement. July 10, 2024 University of Washington. https://psnet.ahrq.gov/issue/collaborative-accountability-and-improvement Communication-and-resolution programs (CRPs) are a promising strategy to improve respectful and effective discussions with patients and families after …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836892/psn-pdf
    April 07, 2022 - Critical Care, Department of Emergency Medicine, Michigan Medicine – bsbassin@med.umich.edu Date First Implemented

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50768/psn-pdf
    December 27, 2019 - This is a module that can be implemented as a stand-alone program or in combination with the complete
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