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Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838220/psn-pdf
    September 27, 2019 - Primary Care and Patient Safety: Opportunities at the Interface September 28, 2022 O’Malley P, McNellis B, Chew E, et al. Primary Care and Patient Safety: Opportunities at the Interface. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface Editor’s Not…

  2. Microsoft PowerPoint - FINAL Spotlight_Falls in Skilled Nursing Units_04.12.2023.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
    January 01, 2023 - causes of agitation such as constipation given, and no additional environmental interventions were implemented

  3. Bowel Injury After Laparoscopic Surgery | PSNet

    psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
    January 19, 2016 - Bowel Injury After Laparoscopic Surgery Citation Text: Moorthy K. Bowel Injury After Laparoscopic Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML …

  4. A Mistaken Dose of Naloxone  | PSNet

    psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
    March 21, 2009 - A Mistaken Dose of Naloxone  Citation Text: Cutler E, Gunawardena D. A Mistaken Dose of Naloxone . 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 …

  5. Haste Makes Care Unsafe | PSNet

    psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
    January 07, 2015 - Haste Makes Care Unsafe Citation Text: Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  6. Updates in the Role of Health IT in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
    January 31, 2020 - Annual Perspective Updates in the Role of Health IT in Patient Safety February 21, 2020  View more articles from the same authors. Citation Text: Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. Rockville …

  7. Diagnostic Overshadowing Dangers | PSNet

    psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
    February 12, 2020 - Diagnostic Overshadowing Dangers Citation Text: Raven MC. Diagnostic Overshadowing Dangers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36957/psn-pdf
    October 16, 2008 - The Patient Safety in Surgery Study. October 16, 2008 J Am Coll Surg. 2007;204(6):1087-1300. https://psnet.ahrq.gov/issue/patient-safety-surgery-study This special issue shares the results of the AHRQ-funded Patient Safety in Surgery Study, which compared surgical outcomes at Veterans Affairs' medical centers with…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42557/psn-pdf
    August 28, 2013 - European Union Network for Patient Safety and Quality of Care. August 28, 2013 European Union Network for Patient Safety and Quality of Care; PaSQ. https://psnet.ahrq.gov/issue/european-union-network-patient-safety-and-quality-care This organization aims to promote implementation of recommended patient safety prac…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37082/psn-pdf
    January 02, 2017 - Improving rapid response systems: progress, issues, and future directions. January 2, 2017 Ovretveit J, Suffoletto J-A. Improving rapid response systems: progress, issues, and future directions. https://psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions The authors discuss …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41681/psn-pdf
    January 01, 2013 - Patient safety in plastic surgery. September 12, 2012 Trussler AP, Tabbal GN. Patient safety in plastic surgery. Plast Reconstr Surg. 2013;130(3):470e-478e. doi:10.1097/prs.0b013e31825dc349. https://psnet.ahrq.gov/issue/patient-safety-plastic-surgery This commentary outlines tactics to prevent complications in pla…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36194/psn-pdf
    January 01, 2007 - Radio frequency identification applications in hospital environments. August 16, 2006 Wicks AM, Visich JK, Li S. Radio frequency identification applications in hospital environments. Hosp Top. 2007;84(3):3-9. doi:10.3200/htps.84.3.3-9. https://psnet.ahrq.gov/issue/radio-frequency-identification-applications-hospit…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41350/psn-pdf
    May 02, 2012 - Medication reconciliation in the hospital: what, why, where, when, who and how? May 2, 2012 Fernandes O; Shojania KG. https://psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how This commentary examines the practical considerations required to implement a high quality medication…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39077/psn-pdf
    February 08, 2011 - Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals. February 8, 2011 Wolff A, Taylor S. Sydney, Australia: MJA Books; 2009. ISBN: 9780977578665. https://psnet.ahrq.gov/issue/enhancing-patient-care-practical-guide-improving-quality-and-safety-hospitals Authors from an Australian …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38092/psn-pdf
    September 24, 2008 - Time out: an analysis. September 24, 2008 Dillon KA. Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. https://psnet.ahrq.gov/issue/time-out-analysis This article discusses the reasons for utilizing the Joint Commission Universal Protocol for time outs and describes a process for i…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39757/psn-pdf
    September 02, 2016 - Drug shortages threaten patient safety. September 2, 2016 ISMP Medication Safety Alert! Acute Care Edition. July 29, 2010;15:1-4. https://psnet.ahrq.gov/issue/drug-shortages-threaten-patient-safety This article discusses medication shortages and how they exacerbate medication error and treatment delay. The piece i…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39961/psn-pdf
    March 08, 2015 - When errors occur. March 8, 2015 Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks. 2010;84(10):41-2, 44, 2. https://psnet.ahrq.gov/issue/when-errors-occur This article describes how hospital responses to adverse events have affected disclosure process strate…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36920/psn-pdf
    June 06, 2007 - Point-of-care medication error prevention: best practices in action. June 6, 2007 Swenson D. Patient Safety Qual Heathc. May/June 2007. https://psnet.ahrq.gov/issue/point-care-medication-error-prevention-best-practices-action The author describes the new generation of barcode technologies that support safe bedside…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38923/psn-pdf
    September 09, 2009 - Improving communication in the emergency department. September 9, 2009 Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623. https://psnet.ahrq.gov/issue/improving-communication-emergency-department Implementation of structu…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35590/psn-pdf
    July 02, 2009 - No excuses: the reality that demands action. July 2, 2009 Denham CR, Bagian JP, Daley J, et al. No Excuses: The Reality That Demands Action. doi:10.1097/01.jps.0000183854.29928.4d. https://psnet.ahrq.gov/issue/no-excuses-reality-demands-action The authors discuss six barriers to implementing patient safety efforts…
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