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Showing results for "implemented".

  1. Solving alarm fatigue with smartphone technology. | PSNet

    psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology
    October 04, 2023 - Commentary Solving alarm fatigue with smartphone technology. Citation Text: Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57. doi:10.1097/01.NURSE.0000549728.37810.d9. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  2. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. | PSNet

    psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital
    October 01, 2008 - Study Using a bar-coded medication administration system to prevent medication errors in a community hospital network. Citation Text: Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…

  3. Clinical handover incident reporting in one UK general hospital. | PSNet

    psnet.ahrq.gov/issue/clinical-handover-incident-reporting-one-uk-general-hospital
    May 03, 2023 - Study Clinical handover incident reporting in one UK general hospital. Citation Text: Pezzolesi C, Schifano F, Pickles J, et al. Clinical handover incident reporting in one UK general hospital. Int J Qual Health Care. 2010;22(5):396-401. doi:10.1093/intqhc/mzq048. Copy Citation For…

  4. Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-orders-pediatric-continuous-drug-infusions-detecting-infusion-pump
    February 02, 2011 - Study Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study. Citation Text: Sowan AK, Gaffoor MI, Soeken K, et al. Impact of Computerized Orders for Pediatric Continuous Drug Infusions on Detecting Infusion…

  5. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. | PSNet

    psnet.ahrq.gov/issue/learning-near-misses-quick-fixes-closing-swiss-cheese-holes
    April 11, 2012 - Study Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. Citation Text: Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256…

  6. Rating the raters: the inconsistent quality of health care performance measurement. | PSNet

    psnet.ahrq.gov/issue/rating-raters-inconsistent-quality-health-care-performance-measurement
    March 27, 2018 - Commentary Rating the raters: the inconsistent quality of health care performance measurement. Citation Text: Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.000…

  7. Hospital autopsy: endangered or extinct? | PSNet

    psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
    November 21, 2021 - Study Hospital autopsy: endangered or extinct? Citation Text: Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604. doi:10.1136/jclinpath-2014-202700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  8. The tension between needing to improve care and knowing how to do it. | PSNet

    psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
    June 03, 2010 - Commentary Classic The tension between needing to improve care and knowing how to do it. Citation Text: Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. Copy Citation…

  9. Adverse events during hospitalization: results of a patient survey. | PSNet

    psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey
    December 29, 2014 - Study Adverse events during hospitalization: results of a patient survey. Citation Text: Fowler FJ, Epstein AM, Weingart SN, et al. Adverse events during hospitalization: results of a patient survey. Jt Comm J Qual Patient Saf. 2008;34(10):583-90. Copy Citation Format: Goog…

  10. Using a logic model to design and evaluate quality and patient safety improvement programs. | PSNet

    psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety-improvement-programs
    November 10, 2010 - Commentary Using a logic model to design and evaluate quality and patient safety improvement programs. Citation Text: Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. …

  11. Adverse drug events in the outpatient setting: an 11-year national analysis. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-outpatient-setting-11-year-national-analysis
    April 08, 2011 - Study Adverse drug events in the outpatient setting: an 11-year national analysis. Citation Text: Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984. …

  12. Educating medical trainees on medication reconciliation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
    October 16, 2019 - Review Educating medical trainees on medication reconciliation: a systematic review. Citation Text: Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. Copy C…

  13. Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/ambulatory-medication-reconciliation-using-collaborative-approach-process-improvement
    December 04, 2019 - Study Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. Citation Text: Keogh C, Kachalia A, Fiumara K, et al. Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academi…

  14. Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. | PSNet

    psnet.ahrq.gov/issue/flow-accuracy-iv-smart-pumps-outside-patient-rooms-during-covid-19
    October 12, 2022 - Commentary Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. Citation Text: Blake JWC, Giuliano KK. Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. AACN Adv Crit Care. 2020;31(4):357-363. doi:10.4037/aacnacc2020241. Copy Citation Fo…

  15. Evaluation of a measurement system to assess ICU team performance. | PSNet

    psnet.ahrq.gov/issue/evaluation-measurement-system-assess-icu-team-performance
    November 17, 2014 - Study Evaluation of a measurement system to assess ICU team performance. Citation Text: Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. Copy Citation Fo…

  16. Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. | PSNet

    psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications
    June 09, 2021 - Review Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. Citation Text: Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …

  17. Strategies to reduce errors associated with 2-component vaccines. | PSNet

    psnet.ahrq.gov/issue/strategies-reduce-errors-associated-2-component-vaccines
    December 16, 2020 - Study Strategies to reduce errors associated with 2-component vaccines. Citation Text: Samad F, Burton SJ, Kwan D, et al. Strategies to reduce errors associated with 2-component vaccines. Pharmaceut Med. 2021;35(1):1-9. doi:10.1007/s40290-020-00362-9. Copy Citation Format: …

  18. Pediatric surgical errors: a systematic scoping review. | PSNet

    psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review
    August 17, 2022 - Review Pediatric surgical errors: a systematic scoping review. Citation Text: Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019. Copy Citation Format: DO…

  19. Validation of a teamwork perceptions measure to increase patient safety. | PSNet

    psnet.ahrq.gov/issue/validation-teamwork-perceptions-measure-increase-patient-safety
    March 20, 2014 - Study Validation of a teamwork perceptions measure to increase patient safety. Citation Text: Keebler JR, Dietz AS, Lazzara EH, et al. Validation of a teamwork perceptions measure to increase patient safety. BMJ Qual Saf. 2014;23(9):718-26. doi:10.1136/bmjqs-2013-001942. Copy Citation …

  20. Communication in health care: impact of language and accent on health care safety, quality, and patient experience. | PSNet

    psnet.ahrq.gov/issue/communication-health-care-impact-language-and-accent-health-care-safety-quality-and-patient
    April 21, 2021 - Commentary Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Citation Text: Ellahham S. Communication in health care: impact of language and accent on health care safety, quality, and patient experience. Am J Med Qual. 202…
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