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Showing results for "implemented".

  1. Creating a distraction simulation for safe medication administration. | PSNet

    psnet.ahrq.gov/issue/creating-distraction-simulation-safe-medication-administration
    May 27, 2011 - Commentary Creating a distraction simulation for safe medication administration. Citation Text: Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004. Copy Citation Format: …

  2. Strategies to reduce diagnostic errors: a systematic review | PSNet

    psnet.ahrq.gov/issue/strategies-reduce-diagnostic-errors-systematic-review
    February 02, 2022 - Review Strategies to reduce diagnostic errors: a systematic review Citation Text: Abimanyi-Ochom J, Mudiyanselage SB, Catchpool M, et al. Strategies to reduce diagnostic errors: a systematic review. BMC Med Inform Decis Mak. 2019;19(1):174. doi:10.1186/s12911-019-0901-1. Copy Citation …

  3. Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption. | PSNet

    psnet.ahrq.gov/issue/comparative-safety-endovascular-aortic-aneurysm-repair-over-open-repair-using-patient-safety
    November 16, 2022 - Study Comparative safety of endovascular aortic aneurysm repair over open repair using Patient Safety Indicators during adoption. Citation Text: Rose J, Evans C, Barleben A, et al. Comparative safety of endovascular aortic aneurysm repair over open repair using patient safety indicators …

  4. Medication reconciliation to facilitate transitions of care after hospitalization. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-facilitate-transitions-care-after-hospitalization
    December 02, 2015 - Commentary Medication reconciliation to facilitate transitions of care after hospitalization. Citation Text: Liu VC, Garwood CL. Medication reconciliation to facilitate transitions of care after hospitalization. Am J Health Syst Pharm. 2015;72(9):690-693. doi:10.2146/ajhp140133. Copy C…

  5. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. | PSNet

    psnet.ahrq.gov/issue/nursing-assessment-continuous-vital-sign-surveillance-improve-patient-safety-medicalsurgical
    May 01, 2019 - Study Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Citation Text: Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nu…

  6. Computer physician order entry: benefits, costs, and issues. | PSNet

    psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues
    May 27, 2011 - Study Computer physician order entry: benefits, costs, and issues. Citation Text: Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  7. Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. | PSNet

    psnet.ahrq.gov/issue/video-registration-trauma-team-performance-emergency-department-results-2-year-analysis-level
    November 16, 2022 - Study Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. Citation Text: Lubbert PHW, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the emergency department: the …

  8. Causes of near misses in critical care of neonates and children. | PSNet

    psnet.ahrq.gov/issue/causes-near-misses-critical-care-neonates-and-children
    July 19, 2023 - Study Causes of near misses in critical care of neonates and children. Citation Text: Tourgeman-Bashkin O, Shinar D, Zmora E. Causes of near misses in critical care of neonates and children. Acta Paediatr. 2008;97(3):299-303. doi:10.1111/j.1651-2227.2007.00616.x. Copy Citation Fo…

  9. A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. | PSNet

    psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals-used-detect
    March 28, 2012 - Review A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. Citation Text: Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event mon…

  10. Best practices for safe handling of products containing concentrated potassium. | PSNet

    psnet.ahrq.gov/issue/best-practices-safe-handling-products-containing-concentrated-potassium
    April 22, 2011 - Study Best practices for safe handling of products containing concentrated potassium. Citation Text: Tubman M, Majumdar SR, Lee D, et al. Best practices for safe handling of products containing concentrated potassium. BMJ. 2005;331(7511):274-7. Copy Citation Format: Googl…

  11. Systematic review of malpractice litigation in the diagnosis and treatment of acute stroke | PSNet

    psnet.ahrq.gov/issue/systematic-review-malpractice-litigation-diagnosis-and-treatment-acute-stroke
    October 19, 2022 - Journal Article Systematic review of malpractice litigation in the diagnosis and treatment of acute stroke Citation Text: Haslett JJ, Genadry L, Zhang X, et al. Systematic Review of Malpractice Litigation in the Diagnosis and Treatment of Acute Stroke. Stroke. 2019;50(10):2858-2864. doi:…

  12. Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. | PSNet

    psnet.ahrq.gov/issue/improving-quality-written-prescriptions-general-hospital-influence-10-years-serial-audits-and
    August 24, 2022 - Study Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. Citation Text: Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital: the influence of …

  13. Determinants of adverse events in hospitals—the potential role of patient safety culture. | PSNet

    psnet.ahrq.gov/issue/determinants-adverse-events-hospitals-potential-role-patient-safety-culture
    October 22, 2008 - Study Determinants of adverse events in hospitals—the potential role of patient safety culture. Citation Text: Kline TJB, Willness C, Ghali WA. Determinants of adverse events in hospitals--the potential role of patient safety culture. J Healthc Qual. 2008;30(1):11-7. Copy Citation …

  14. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. | PSNet

    psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist
    September 23, 2020 - Study Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Citation Text: Hart EM, Owen H. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Anesth Analg. 2005;101(1):246-50, table of contents. Copy Citation Format: Googl…

  15. From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. | PSNet

    psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
    April 24, 2018 - Commentary From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. Citation Text: Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…

  16. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. | PSNet

    psnet.ahrq.gov/issue/dna-damage-response-and-patient-safety-engaging-our-molecular-biology-oriented-colleagues
    March 11, 2020 - Commentary The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. Citation Text: Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. International Journal for Quality in Health Care. 2…

  17. In Conversation With… Amy J. Starmer, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
    May 31, 2023 - In Conversation With… Amy J. Starmer, MD, MPH April 1, 2016  Citation Text: In Conversation With… Amy J. Starmer, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33759/psn-pdf
    October 01, 2012 - ref14 https://psnet.ahrq.gov//#ref15 skills among health care professionals" that is currently being implemented

  19. Toolkits | PSNet

    psnet.ahrq.gov/toolkits
    March 01, 2025 - Toolkits Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols. Want to submit a Toolkit? Has your organization deve…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33841/psn-pdf
    September 01, 2017 - In Conversation With… Andrew Gettinger, MD September 1, 2017 In Conversation With… Andrew Gettinger, MD. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md Editor's note: Dr. Gettinger is the Chief Medical Information Officer and the Executive Director of the Office of Cli…
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