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Showing results for "implemented".

4581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33733/psn-pdf
      July 01, 2012 - Patient Safety and Health Information Technology: Learning from Our Mistakes July 1, 2012 Koppel R. Patient Safety and Health Information Technology: Learning from Our Mistakes. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes Perspe…

4582. Editorial Team | PSNet
      psnet.ahrq.gov/Information/Editor
      May 23, 2025 - Engine for CMS to identify innovations that would significantly improve quality and safety if spread and implemented

4583. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49847/psn-pdf
      November 01, 2018 - Written Signout: It Only Works If You Use The Right One November 1, 2018 Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one The Case A 75-year-old man was hospitalized due to a stro…

4584. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73121/psn-pdf
      April 07, 2021 - The impact of introducing automated dispensing cabinets, barcode medication administration, and closed- loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review. April 7, 2021 Zheng WY, Lichtner V, Van Dort BA, et al. The impact of intr…

4585. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46542/psn-pdf
      June 19, 2018 - Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency department: a randomised controlled trial. June 19, 2018 Pevnick JM, Nguyen C, Jackevicius CA, et al. Improving admission medication reconciliation with pharmacists or pharmacy technicians in the emergency depar…

4586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47578/psn-pdf
      November 28, 2018 - Identifying electronic health record usability and safety challenges in pediatric settings. November 28, 2018 Ratwani RM, Savage E, Will A, et al. Identifying Electronic Health Record Usability And Safety Challenges In Pediatric Settings. Health Aff (Millwood). 2018;37(11):1752-1759. doi:10.1377/hlthaff.2018.0699. …

4587. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40189/psn-pdf
      February 02, 2011 - Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. February 2, 2011 Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized prescriber order entry: Effect on dispensing errors …

4588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37622/psn-pdf
      May 26, 2011 - Effect of computer order entry on prevention of serious medication errors in hospitalized children. May 26, 2011 Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious medication errors in hospitalized children. Pediatrics. 2008;121(3):e421-e427. doi:10.1542/peds.2007- 022…

4589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38553/psn-pdf
      April 14, 2010 - The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. April 14, 2010 van Rosse F, Maat B, Rademaker CMA, et al. The effect of computerized physician order entry on medication prescription errors and clinical out…

4590. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42900/psn-pdf
      September 19, 2016 - Suicide attempts and completions on medical-surgical and intensive care units. September 19, 2016 Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141. https://psnet.ahrq.gov/issue/suicide-attempts-and-compl…

4591. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37363/psn-pdf
      February 03, 2011 - Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital. February 3, 2011 Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's Hospital. JAMA. 2007;298(19):2267-74. h…

4592. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39730/psn-pdf
      December 21, 2014 - Surgical case listing accuracy: failure analysis at a high- volume academic medical center. December 21, 2014 Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archsurg.2010.112. https://psnet.a…

4593. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46587/psn-pdf
      January 23, 2019 - Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals. January 23, 2019 van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication administration errors in bar-code-assisted medication administration…

4594. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46135/psn-pdf
      July 11, 2017 - Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. July 11, 2017 Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):1208-1215. doi:10.1097/CCM.0000000000…

4595. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38455/psn-pdf
      January 02, 2017 - Clinical triggers: an alternative to a rapid response team. January 2, 2017 Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74. https://psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team A national cam…

4596. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45395/psn-pdf
      August 10, 2016 - Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. August 10, 2016 Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;354:i3835. doi:10.1136/bmj.i3835.…

4597. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45314/psn-pdf
      September 01, 2018 - The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. September 1, 2018 Lambert BL, Centomani NM, Smith KM, et al. The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and Outcomes. Health Serv Res. 2016;51(suppl 3)…

4598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44993/psn-pdf
      April 17, 2017 - Surgical patient safety outcomes in critical access hospitals: how do they compare? April 17, 2017 Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176. https://psnet.ahrq.gov/issue/surgica…

4599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43969/psn-pdf
      November 17, 2017 - Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. November 17, 2017 Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153. https://psnet.ahrq.gov/issue/transp…

4600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38628/psn-pdf
      May 13, 2009 - Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. May 13, 2009 Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. J Am Geriatr So…