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Showing results for "implemented".

  1. Promoting Safety and Quality Through Human Resource Practices: Executive Summary. | PSNet

    psnet.ahrq.gov/issue/promoting-safety-and-quality-through-human-resource-practices-executive-summary
    September 14, 2011 - Book/Report Promoting Safety and Quality Through Human Resource Practices: Executive Summary. Citation Text: Promoting Safety and Quality Through Human Resource Practices: Executive Summary. McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare Researc…

  2. Recent Evidence That Health IT Improves Patient Safety: Issue Brief. | PSNet

    psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
    June 29, 2016 - Book/Report Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Citation Text: Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. …

  3. Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. | PSNet

    psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation-report-1
    May 21, 2014 - Book/Report Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. Citation Text: Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. Santa Monica, CA: RAND Corporation; 2005. ISBN 0833037870. Copy …

  4. Pro/con debate: color-coded medication labels. | PSNet

    psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
    December 23, 2008 - Newspaper/Magazine Article Pro/con debate: color-coded medication labels. Citation Text: Pro/con debate: color-coded medication labels. Janik LS, Vender JS,  Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75. Copy Citation Save Save to your library …

  5. Increasing demands for quality measurement. | PSNet

    psnet.ahrq.gov/issue/increasing-demands-quality-measurement
    November 16, 2022 - Commentary Increasing demands for quality measurement. Citation Text: Panzer RJ, Gitomer RS, Greene WH, et al. Increasing demands for quality measurement. JAMA. 2013;310(18):1971-80. doi:10.1001/jama.2013.282047. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  6. Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. | PSNet

    psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
    March 14, 2023 - Newspaper/Magazine Article Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. Citation Text: Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…

  7. Patient safety 2.0: slaying dragons, not just investigating them. | PSNet

    psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
    September 14, 2016 - Commentary Patient safety 2.0: slaying dragons, not just investigating them. Citation Text: Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. Copy Citation Format: DOI Google Schol…

  8. Getting to the root of medication errors. | PSNet

    psnet.ahrq.gov/issue/getting-root-medication-errors
    March 21, 2009 - Study Getting to the root of medication errors. Citation Text: Cohen H, Shastay AD. Getting to the root of medication errors. Nursing (Brux). 2008;38(12):39-49. doi:10.1097/01.NURSE.0000342031.85246.a1. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  9. Patient safety in dermatologic surgery: parts 1 and 2. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dermatologic-surgery-part-1-patient-safety-procedural-dermatology-part-2
    October 04, 2023 - Review Patient safety in dermatologic surgery: parts 1 and 2. Citation Text: Patient safety in dermatologic surgery: parts 1 and 2. Lolis M, Dunbar SW, Goldberg DJ, et al. J Am Acad Dermatol. 2015;73(1):1-26. Copy Citation Save Save to your library Print …

  10. Non-technical skills in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/non-technical-skills-intensive-care-unit
    April 18, 2011 - Review Non-technical skills in the intensive care unit. Citation Text: Reader T, Flin R, Lauche K, et al. Non-technical skills in the intensive care unit. Br J Anaesth. 2006;96(5):551-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  11. Operating room briefings. | PSNet

    psnet.ahrq.gov/issue/operating-room-briefings
    January 02, 2017 - Commentary Operating room briefings. Citation Text: Makary MA, Holzmueller CG, Sexton B, et al. Operating room debriefings. Jt Comm J Qual Patient Saf. 2006;32(7):407-410, 357. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  12. Cognitive Load Theory and its Impact on Diagnostic Accuracy. | PSNet

    psnet.ahrq.gov/issue/cognitive-load-theory-and-its-impact-diagnostic-accuracy
    August 07, 2024 - Book/Report Cognitive Load Theory and its Impact on Diagnostic Accuracy. Citation Text: Cognitive Load Theory and its Impact on Diagnostic Accuracy. Knees M, Raffel KE, Kissler M, et al. Rockville, MD: Agency for Healthcare Research and Quality; May 2024. Publication No. 24-0010-2-EF. …

  13. Disclosure after adverse medical outcomes: a multidimensional challenge. | PSNet

    psnet.ahrq.gov/issue/disclosure-after-adverse-medical-outcomes-multidimensional-challenge
    October 12, 2005 - Study Emerging Classic Disclosure after adverse medical outcomes: a multidimensional challenge. Citation Text: Disclosure after adverse medical outcomes: a multidimensional challenge. O’Connell D. J Clin Outcomes Manag. 2019;26(5):213-218. Copy Citation …

  14. The science of safety improvement: learning while doing. | PSNet

    psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
    August 04, 2021 - Commentary The science of safety improvement: learning while doing. Citation Text: Clancy CM, Berwick DM. The science of safety improvement: learning while doing. Ann Intern Med. 2011;154(10):699-701. doi:10.7326/0003-4819-154-10-201105170-00013. Copy Citation Format: DOI…

  15. Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent-public-health-challenge
    May 04, 2016 - Book/Report Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Citation Text: Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Washington, DC: United States Government Accountability O…

  16. Patient-Centered Care Improvement Guide. | PSNet

    psnet.ahrq.gov/issue/patient-centered-care-improvement-guide
    June 10, 2020 - Book/Report Patient-Centered Care Improvement Guide. Citation Text: Patient-Centered Care Improvement Guide. Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008. Copy Citation Save Save to your library Print …

  17. The Essential Guide for Patient Safety Officers, Second Edition. | PSNet

    psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-second-edition
    February 15, 2017 - Book/Report The Essential Guide for Patient Safety Officers, Second Edition. Citation Text: The Essential Guide for Patient Safety Officers, Second Edition. Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute for Healthcare Improv…

  18. Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. | PSNet

    psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
    May 25, 2016 - Study Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. Citation Text: Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. Cop…

  19. Mistake-proofing healthcare: why stopping processes may be a good start. | PSNet

    psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopping-processes-may-be-good-start
    March 14, 2022 - Commentary Mistake-proofing healthcare: why stopping processes may be a good start. Citation Text: Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007. Copy Citation Forma…

  20. Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet

    psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
    May 02, 2018 - Newspaper/Magazine Article Administration of concentrated potassium chloride for injection during a code: still deadly! Citation Text: Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …
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