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Showing results for "implemented".

  1. Reporting adverse events to patients: a step-by-step approach. | PSNet

    psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach
    November 16, 2022 - Newspaper/Magazine Article Reporting adverse events to patients: a step-by-step approach. Citation Text: Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9. Copy Citation Format: Google Schola…

  2. Alcohol based surgical prep solution and the risk of fire in the operating room: a case report. | PSNet

    psnet.ahrq.gov/issue/alcohol-based-surgical-prep-solution-and-risk-fire-operating-room-case-report
    February 02, 2022 - Commentary Alcohol based surgical prep solution and the risk of fire in the operating room: a case report. Citation Text: Batra S, Gupta R. Alcohol based surgical prep solution and the risk of fire in the operating room: a case report. Patient Saf Surg. 2008;2(1):10. doi:10.1186/1754-9…

  3. Postoperative complications due to a retained surgical sponge. | PSNet

    psnet.ahrq.gov/issue/postoperative-complications-due-retained-surgical-sponge
    February 23, 2011 - Commentary Postoperative complications due to a retained surgical sponge. Citation Text: Sarda AK, Pandey D, Neogi S, et al. Postoperative complications due to a retained surgical sponge. Singapore Med J. 2007;48(6):e160-4. Copy Citation Format: Google Scholar PubMed BibT…

  4. Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. | PSNet

    psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbreviations-paediatric-note-keeping
    November 16, 2022 - Study Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. Citation Text: Sheppard JE, Weidner LCE, Zakai S, et al. Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. Arch Dis Child. 2008;93(3):204-6. Copy Citation Format: …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36618/psn-pdf
    July 24, 2008 - Software for symptoms. July 24, 2008 Borzo J. Wall Street Journal. May 23, 2005. https://psnet.ahrq.gov/issue/software-symptoms This article discusses decision support system implementation and use, and its role in preventing physician misdiagnosis. https://psnet.ahrq.gov/issue/software-symptoms https://psnet.ahr…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36887/psn-pdf
    May 16, 2007 - Hospitals tie CEO bonuses to safety. May 16, 2007 Rowland C. https://psnet.ahrq.gov/issue/hospitals-tie-ceo-bonuses-safety This article reports on Massachusetts hospitals that are basing hospital executive bonuses on the extent to which their hospitals implement and comply with safety measures. https://psnet.ahrq…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38087/psn-pdf
    July 28, 2013 - Bar-Coded Medication Administration (BCMA). July 28, 2013 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/bar-coded-medication-administration-bcma This document summarizes the experience of numerous AHRQ-funded programs in implementing bar- coded medication administration. https://p…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38954/psn-pdf
    September 16, 2009 - For all the right reasons. September 16, 2009 Hagland M. https://psnet.ahrq.gov/issue/all-right-reasons This article discusses approaching computerized provider order entry (CPOE) implementation from a patient safety perspective and shares success stories from numerous US hospitals. https://psnet.ahrq.gov/issue/a…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35566/psn-pdf
    December 14, 2005 - Hospitals try to break a deadly 'code.' December 14, 2005 Kowalczyk L. https://psnet.ahrq.gov/issue/hospitals-try-break-deadly-code This article reports on the implementation of rapid response teams in Boston hospitals and the potential for reducing patient mortality. https://psnet.ahrq.gov/issue/hospitals-try-br…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35548/psn-pdf
    January 01, 2006 - Patient Safety 2006. December 7, 2005 National Patient Safety Agency. https://psnet.ahrq.gov/issue/patient-safety-2006 This conference gave participants the opportunity to select one of seven educational tracks on understanding and implementing improvements in patient safety. A selection of the presentations and …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42044/psn-pdf
    February 13, 2013 - Patient Safety. February 13, 2013 Minnesota Hospital Association; MHA. https://psnet.ahrq.gov/issue/patient-safety-10 This Web site provides access to materials for patient safety improvement efforts in Minnesota, including initiatives to reduce adverse drug events and hospital collaboratives to implement best pra…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39346/psn-pdf
    March 10, 2010 - How-to Guide: Multidisciplinary Rounds. March 10, 2010 Cambridge, MA: Institute for Healthcare Improvement; February 2010. https://psnet.ahrq.gov/issue/how-guide-multidisciplinary-rounds This manual offers practical advice on how to plan for and implement care team rounds that involve a variety of health care prov…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50844/psn-pdf
    January 29, 2020 - Improving Patient Safety and Team Communication through Daily Huddles January 29, 2020 Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. 2020. https://psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles Background Communicat…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49767/psn-pdf
    August 21, 2016 - Falling Between the Cracks in the Software August 21, 2016 Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/falling-between-cracks-software The Case A 61-year-old man with a history of osteoarthritis was scheduled for a total knee replacement. Prio…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42817/psn-pdf
    December 18, 2013 - Medication Reconciliation for Hospitalists. December 18, 2013 Society of Hospital Medicine. https://psnet.ahrq.gov/issue/medication-reconciliation-hospitalists This Web site provides resources to help health systems implement the Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) medication…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35765/psn-pdf
    September 14, 2008 - Manchester Patient Safety Framework (MaPSaF). September 14, 2008 Manchester, UK: University of Manchester; 2006. https://psnet.ahrq.gov/issue/manchester-patient-safety-framework-mapsaf This tool was developed to help National Health Service organizations assess their progress in implementing and sustaining a safet…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841493/psn-pdf
    December 14, 2022 - Telehealth and Patient Safety. December 14, 2022 O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/telehealth-and-patient-safety Background In recent years, telehealth, or the delivery of healthcare over a distance using telecommunications techno…

  18. Mixup Beyond the Medication Label | PSNet

    psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
    June 01, 2014 - Mixup Beyond the Medication Label Citation Text: Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35260/psn-pdf
    January 25, 2010 - The enterprise take on patient safety. January 25, 2010 Rogoski RR. The enterprise take on patient safety. Health management technology. 2005;26(8):12, 14, 16- 7. https://psnet.ahrq.gov/issue/enterprise-take-patient-safety This article reports on two efforts to reduce medical errors through information technology …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50769/psn-pdf
    February 15, 2017 - Cultural Competence and Patient Safety December 27, 2019 Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety Background   Culture can be defined as the “personal identification, language, thoughts, co…
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