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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - There are evidence-based resident-resident handoff tools being implemented, including the I-PASS bundle … There are many possible solutions, but they must be implemented at a system-wide level to ensure no vulnerable
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - volumes. 30 These proposed solutions have shown promise but have not been studied rigorously enough or implemented … EMS provider to an ED and/or hospital provider, so inpatient orders and interventions could not be implemented
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - been shown to reduce medication errors and increase error detection . 29,30 This method can be implemented … Methods that have been implemented to assist this include developing and implementing order sets that
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - Although some projects need to be implemented across the entire hospital, much of the work should be … The leaders ensure that an integrated patient safety program is implemented throughout the hospital.
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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/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - Although some projects need to be implemented across the entire hospital, much of the work should be … The leaders ensure that an integrated patient safety program is implemented throughout the hospital.
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - In fact, hospitals that have implemented RRTs have anecdotally reported an increase in nurse satisfaction … experience of IHI, with our IMPACT Network and our colleagues in the Pursuing Perfection project—many had implemented
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - Subsequently, NASEM implemented several workshops that brought experts together to focus on different
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - Subsequently, NASEM implemented several workshops that brought experts together to focus on different
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psnet.ahrq.gov/issue/implementation-i-pass-handoff-program-diverse-clinical-environments-multicenter-prospective
April 24, 2018 - Study
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.
Citation Text:
Starmer AJ, Spector ND, O'Toole JK, et al. Implementation of the I‐PASS handoff program in diverse clinical environments: a mu…
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - Take-Home Points
Advanced care planning should be implemented and documented in a timely manner,
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - This practice is problematic as it bypasses the multi-level safety checks otherwise implemented in the
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Articles
published in 2020 highlighted a number of promising communication practices implemented in
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - reduce and eliminate this risk, several steps, including improved communications and checklists, must be implemented
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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - Since most inpatient facilities have now implemented of CPOE, it is necessary to evaluate what information
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psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - High Tech Solutions
High-tech solutions commonly implemented within health systems include: barcode
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - improvement and is essential for fostering a robust culture of safety within healthcare organizations when implemented … Sarah Mossburg: How have organizations implemented and used the RCA 2 methodology since its introduction
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - Sarah Mossburg: How have organizations implemented and used the RCA 2 methodology since its introduction … improvement and is essential for fostering a robust culture of safety within healthcare organizations when implemented
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psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - devices have not been shown to improve patient safety, and may increase patient risk if not wisely implemented
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psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
November 01, 2012 - adjustments to the drug library in the electronic health record (EHR) are required and may not be able to be implemented