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Showing results for "implemented".

  1. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet

    psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
    April 18, 2018 - Best practices implemented in these cases highlight the multifactorial nature addressing these common

  2. Advancing Patient Safety Through State Reporting Systems | PSNet

    psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
    June 01, 2007 - with a contracted facility to determine if corrective action plans submitted to the state have been implemented

  3. Getting the Diagnosis Both Right and Wrong | PSNet

    psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
    May 29, 2024 - Certainly, no clear road map exists, and multiple innovations are being implemented and evaluated.

  4. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
    January 01, 2024 - that leads to correct and timely diagnoses.15  One of the most widely recommended yet incompletely implemented

  5. Engaging Seriously Ill Older Patients in Advance Care Planning | PSNet

    psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
    December 22, 2018 - ACP tools, including ones that clarify values and help with decisions, are effective and should be implemented

  6. Thin Air | PSNet

    psnet.ahrq.gov/web-mm/thin-air
    March 01, 2006 - Procedural forcing functions like this can be valuable if implemented systematically, and if the team

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49651/psn-pdf
    May 01, 2012 - ensure that handoffs are safe and effective, various evaluation mechanisms are being developed and implemented

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49855/psn-pdf
    March 01, 2019 - ), CDS is associated with substantial decreases in inappropriate imaging.(17,18) As an example, we implemented

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865411/psn-pdf
    March 27, 2024 - The parameters commonly included in MEWS are outlined in Table 1. 12 Many institutions have implemented

  10. Rapid Response Systems | PSNet

    psnet.ahrq.gov/primer/rapid-response-systems
    July 18, 2024 - Rapid Response Systems Citation Text: Rapid Response Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  11. Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery | PSNet

    psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
    September 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery Citation Text: Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar Bib…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33568/psn-pdf
    June 15, 2024 - Root Cause Analysis June 15, 2024 Root Cause Analysis. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/root-cause-analysis PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33598/psn-pdf
    June 15, 2024 - Falls June 15, 2024 Falls. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/falls PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Background Falls are a common …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37473/psn-pdf
    December 27, 2014 - Communicating Critical Test Results. December 27, 2014 Burlington MA: Massachusetts Coalition for the Prevention of Medical Errors, MassPRO.  https://psnet.ahrq.gov/issue/communicating-critical-test-results-0 This set of materials provides checklists, worksheets, and other aids to help implement a reliable cri…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40495/psn-pdf
    June 01, 2011 - Rolling out the rapid response team. June 1, 2011 Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, et al. Rolling out the rapid response team. Am J Nurs. 2011;111(5):42-47. doi:10.1097/01.naj.0000398050.30793.0f. https://psnet.ahrq.gov/issue/rolling-out-rapid-response-team This commentary explains how to use evide…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36094/psn-pdf
    February 12, 2014 - Learning from Disasters: A Management Approach. Third ed. February 12, 2014 Toft B, Reynolds S. Leicester, UK: Perpetuity Press Limited; 2005. ISBN: 9781349279029. https://psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed This book provides a discussion of how organizations can learn from failur…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34002/psn-pdf
    March 17, 2011 - Utah DoH Patient Safety Initiatives. March 17, 2011 Center for Health Data, Utah Department of Health, PO Box 144004, Salt Lake City, UT 84114. https://psnet.ahrq.gov/issue/utah-doh-patient-safety-initiatives Utah established a number of collaborative initiatives to understand the nature and occurrence of adverse …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36034/psn-pdf
    September 27, 2010 - One intensive care nursery's experience with enhancing patient safety. September 27, 2010 Alton M, Mericle J, Brandon D. One intensive care nursery's experience with enhancing patient safety. Adv Neonatal Care. 2006;6(3):112-9. https://psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-s…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39137/psn-pdf
    June 07, 2016 - The rise of patient safety organizations. June 7, 2016 Ivill DS, Kearbey AH. New York Law J. November 2, 2009. https://psnet.ahrq.gov/issue/rise-patient-safety-organizations This news feature discusses legal aspects of Patient Safety Organizations' (PSO) role in data collection and evaluation, work product designa…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40981/psn-pdf
    December 18, 2014 - Improving reporting of outpatient pediatric medical errors. December 18, 2014 Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors. PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477. https://psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors This…
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