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psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-prevent-catheter-associated-urinary
January 25, 2017 - October 27, 2021
Nursing implications of an early warning system implemented to reduce
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psnet.ahrq.gov/issue/association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events
March 05, 2008 - High-priority drug-drug interaction clinical decision support overrides in a newly implemented
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - In July 2003, the Accreditation Council for Graduate Medical Education (ACGME) implemented mandates reducing … Another technique—increasing redundancy—should be implemented.
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - Preoperative surgical huddles and time-outs have been implemented to reduce medical errors, improve patient … Finally, simulation has been implemented on many labor and delivery wards to improve team based medical … Both the preoperative huddle and the pre-incision time out checklists should be implemented on all labor
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psnet.ahrq.gov/web-mm/glucose-roller-coaster
February 02, 2022 - example, our full-fledged, hospital-wide computerized physician order entry system is presently being implemented … interventions that can improve signouts and cross-coverage while more expensive and complex systems are being implemented
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psnet.ahrq.gov/node/850678/psn-pdf
June 14, 2023 - in-hospital patient clinical deterioration), Kaiser
Permanente Northern California (KPNC) developed and implemented … Adoption Considerations Use by Others (Use By Other Organizations)
The AAM program has been implemented
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - For example, after a policy was implemented to require prior authorization for opioid prescriptions exceeding … In another example, a large health system implemented changes to its EHR program to encourage best practices … that medication preparation errors decreased in a teaching hospital after barcode technology was implemented
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - The authors report that use of their HRO-based tool, implemented in 38 Veterans Health Administration … further reducing them). 10 Moreover, a qualitative study found that HRO principles were unevenly implemented … Some of your work suggests that those principles are sometimes implemented unevenly. … Sarah Mossburg: What are some innovative ways that high reliability principles are implemented in health
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - clinical condition, a fall risk armband was applied, and general safety and fall-prevention measures were implemented … Given her multiple risk factors, fall prevention strategies should have been implemented earlier in the … Additionally, we do not know what personalized fall interventions were implemented aside from a belt
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - condition, a fall risk armband was applied, and general safety and fall-
prevention measures were implemented … Given her multiple risk factors,
fall prevention strategies should have been implemented earlier in … Additionally, we do not know what personalized fall
interventions were implemented aside from a belt
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - Use By Other Organizations
The HomeMeds Medication Safety Program is currently implemented in 65 sites … Date First Implemented
1993
Problem Addressed
Many community-dwelling … HomeMeds is implemented in 65 sites in 24 states, including hospital and health systems, university pharmacist
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psnet.ahrq.gov/node/867475/psn-pdf
February 26, 2025 - Approaches to Improving Safety
System Optimization of EHR Opioid Prescribing
Various safeguards may be implemented … A hospital that implemented such an alert for opioid prescriptions with oral morphine
equivalent doses
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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - universal screening may be relatively easy to implement, because depression screening is
already widely implemented … Recent studies have explored the use of universal screening in the
ED and found that it can be implemented
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psnet.ahrq.gov/node/33560/psn-pdf
June 15, 2024 - criticized for its lack of patient-centeredness, and in response, a growing number of institutions have
implemented
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psnet.ahrq.gov/basic-page/ucd-cmeceu-trainee-certification
November 01, 2019 - Accreditation
This activity has been planned and implemented in accordance with the accreditation requirements
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psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - Reassessments should be
implemented into workflows throughout each procedure to ensure safe and appropriate … Practice guidelines that specify
appropriate timing of patient reassessments should be implemented to
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psnet.ahrq.gov/print/pdf/node/866984
January 01, 2020 - This article describes a systematic team-based care approach to medication reconciliation implemented … This article describes a systematic team-based care approach to medication reconciliation implemented
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 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
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Many hospitals have implemented institutional warfarin dosing policies that require the medication to … Although not widespread, many hospitals have implemented CPOE with clinical decision support to aid in
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - operating room—implementation of the Universal Protocol could have been effective, but only if completely implemented … It is up to the health care administrators, providers, and surgeons to ensure that the protocol is implemented