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Total Results: 4,695 records

Showing results for "implemented".

3761. Organizational Learning | PSNet
      psnet.ahrq.gov/curated-library/organizational-learning
      May 19, 2025 - encouraged to learn from their failures, but evidence shows that changes after errors are not always implemented … encouraged to learn from their failures, but evidence shows that changes after errors are not always implemented

3762. Maternal Safety and Perinatal Mental Health | PSNet
      psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
      March 28, 2023 - Christie Allen: The bundle is a tool and could be implemented by any AIM team. … These programs are implemented at the state level to provide resources to support OB/GYNs and other clinicians … Our goal is that all elements of the bundle are implemented. … The bundles are valuable tools, but they are piece of paper until they are implemented by a team with

3763. A framework for assessing reasoning about controversial end-of-life clinical decisions. | PSNet
      psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
      November 30, 2023 - possible to do so, must be reconciled with reasons at this level – meaning that no care plan ought to be implemented … It must therefore be part of all clinicians’ discretionary responsibility to observe how care is implemented … ethical duty to ensure that appropriate personnel are assigned so that a patient’s care plan can be implemented

3764. Signout Fallout | PSNet
      psnet.ahrq.gov/web-mm/signout-fallout
      November 16, 2022 - Drawing on the lessons from major patient safety successes that had implemented a bundle of complementary … the I-PASS Study Group was formed and led a multicenter project in which a refined handoff bundle was implemented

3765. Annual Perspective: Psychological Safety of Healthcare Staff | PSNet
      psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
      November 16, 2022 - The way these learning approaches are implemented is important for their efficacy. … Edmondson. 7  It is of interest to see if the interventions developed in these studies are successfully implemented

3766. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/73848
      July 01, 2022 - Building on the success of the Keystone ICU project model, this study also implemented a comprehensive … Building on the success of the Keystone ICU project model, this study also implemented a comprehensive

3767. Antibiotic and Opioid Stewardship in Dentistry | PSNet
      psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
      December 07, 2020 - When I was a resident, I implemented a stewardship program at a typical academic medical center and also … We’ve implemented stewardship in academic clinics, academic primary care medical clinics, in the emergency … At my prior institution, the University of Illinois at Chicago (UIC), we implemented an antibiotic stewardship

3768. Delay in Initiating Antibiotics Results in Fatal Error | PSNet
      psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
      August 02, 2015 - additional 6 hours for education and transfer of care.( 10 ) To meet these requirements, many programs have implemented … In addition to reporting within these and other conferences (eg, M&M conferences), we have also implemented

3769. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? | PSNet
      psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
      May 01, 2008 - In 1977, Indiana University's Regenstrief Institute implemented a new system in which laboratory and … Just because a hospital has implemented CPOE does not mean that they necessarily have the decision support … Still, only about 15% of the nation's hospitals have implemented it.

3770. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? | PSNet
      psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
      September 01, 2006 - Over the past decade, VA has implemented an impressive array of programs to improve safety, focusing … Many of these same programs are now being implemented in the private sector. … safety folks from more than 100 non-VA hospital systems in the US have come to us to be trained and have implemented

3771. Culture of Safety | PSNet
      psnet.ahrq.gov/primer/culture-safety
      September 15, 2024 - (e.g., rapid response teams ,   structured communication methods such as  SBAR )  are being widely implemented

3772. In Conversation With... Katie J. Suda, PharmD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
      December 07, 2020 - When I was a resident, I implemented a stewardship program at a typical academic medical center and also … We’ve implemented stewardship in academic clinics, academic primary care medical clinics, in the emergency … At my prior institution, the University of Illinois at Chicago (UIC), we implemented an antibiotic stewardship

3773. Classics and Emerging Classics | PSNet
      psnet.ahrq.gov/classics
      August 01, 2023 - The 3.0 version of the widely implemented program is organized around 5 key strategies: patient focus … This commentary lays out the benefits of safety culture and how it can be implemented organization-wide

3774. In Conversation with Elizabeth Salisbury-Afshar about Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet
      psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
      October 30, 2024 - Sarah Mossburg:  Could you talk about some common harm reduction strategies that are implemented outside … Salisbury-Afshar:  There are many opportunities, particularly related to some of the newer services being implemented … harm reduction that can be used in all settings, all the time, when dealing with PWUS, and are mainly implemented … More comprehensive drug-checking programs are also being implemented across the country that allow individuals

3775. E-prescribing: E for error? | PSNet
      psnet.ahrq.gov/web-mm/e-prescribing-e-error
      February 03, 2021 - The clinic had just implemented electronic prescribing—the ability to electronically transmit a new prescription … February 26, 2014 Perceptions of standards-based electronic prescribing systems as implemented

3776. In Conversation with…Barbara A. Blakeney, MS, RN | PSNet
      psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
      August 01, 2005 - The National Quality Forum developed quality indictors that, if implemented in hospitals nationally, … If mandates can be implemented without major unintended consequences that adversely affect access and

3777. Bad Writing, Wrong Medication | PSNet
      psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
      March 01, 2015 - greater use of information technology to improve medication safety.( 12 ) CPOE systems, when correctly implemented … Electronic medical records with computerized provider order entry systems, when implemented correctly

3778. The Role of Bar Coding and Smart Pumps in Safety | PSNet
      psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
      September 01, 2008 - And the places in the academic hospitals that have implemented this technology are naturally places where … some early evidence from the VA Hospital showing that, over the years as barcode technology has been implemented … any direct patient safety impact but definitely could increase the efficiency of the hospital if it's implemented

3779. The Unfinished Patient Safety Agenda | PSNet
      psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
      August 01, 2005 - The National Quality Forum developed quality indictors that, if implemented in hospitals nationally, … If mandates can be implemented without major unintended consequences that adversely affect access and

3780. Right Patient, Wrong Sample | PSNet
      psnet.ahrq.gov/web-mm/right-patient-wrong-sample
      June 01, 2004 - To ensure proper patient identification, the hospital had implemented a policy requiring a registered … between the values (“delta”) is greater than a defined limit, the result is flagged, and a procedure is implemented