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Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37455/psn-pdf
    January 09, 2008 - Teamwork and communication in surgical teams: implications for patient safety. January 9, 2008 Mills P; Neily J; Dunn E. https://psnet.ahrq.gov/issue/teamwork-and-communication-surgical-teams-implications-patient-safety This study describes a questionnaire that was used to highlight communication problems among su…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42797/psn-pdf
    June 10, 2018 - Understanding and managing IV container overfill. June 10, 2018 ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4. https://psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill This newsletter article reports on concerns associated with chemotherapy preparations due to varia…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39632/psn-pdf
    May 20, 2016 - Medical Liability Reform & Patient Safety Initiative. May 20, 2016 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/medical-liability-reform-patient-safety-initiative This website disseminates information regarding an AHRQ-funded initiative to implement and evaluate medical liability …
  4. psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
    March 10, 2021 - In addition to the metrics used by these initiatives, CMS Quality Improvement Organizations also implemented
  5. psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health
    February 02, 2011 - Study Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. Citation Text: Guh AY, Thompson ND, Schaefer MK, et al. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the …
  6. psnet.ahrq.gov/issue/making-safety-training-stickier-richer-model-safety-training-engagement-and-transfer
    October 06, 2021 - Review Making safety training stickier: a richer model of safety training engagement and transfer. Citation Text: Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2…
  7. psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record
    March 04, 2011 - Commentary Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. Citation Text: Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electro…
  8. psnet.ahrq.gov/issue/paper-and-computer-based-workarounds-electronic-health-record-use-three-benchmark
    June 06, 2012 - Study Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. Citation Text: Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. J Am Med Inform…
  9. psnet.ahrq.gov/issue/identifying-medication-errors-neonatal-intensive-care-units-two-center-study
    November 11, 2020 - Study Identifying medication errors in neonatal intensive care units: a two-center study Citation Text: Eslami K, Aletayeb F, Aletayeb SMH, et al. Identifying medication errors in neonatal intensive care units: a two-center study. BMC Pediatr. 2019;19(1):365. doi:10.1186/s12887-019-1748-…
  10. psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
    June 07, 2023 - Study Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. Citation Text: Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…
  11. psnet.ahrq.gov/issue/reasons-bias-ambulance-clinicians-assessments-non-conveyed-patients-mixed-methods-study
    January 26, 2022 - Study Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study. Citation Text: Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(…
  12. psnet.ahrq.gov/issue/exploration-automated-approach-receiving-patient-feedback-after-outpatient-acute-care-visits
    September 07, 2011 - Study Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. Citation Text: Berner ES, Ray MN, Panjamapirom A, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med.…
  13. psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients
    January 16, 2008 - Study Increased mortality and costs associated with adverse events in intensive care unit patients. Citation Text: Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…
  14. psnet.ahrq.gov/issue/patients-conceptualizations-responsibility-healthcare-typology-understanding-differing
    January 08, 2020 - Study Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety. Citation Text: Heavey E, Waring J, De Brún A, et al. Patients' Conceptualizations of Responsibility for Healthcare: A Typology for Un…
  15. psnet.ahrq.gov/issue/team-based-approach-reducing-cardiac-monitor-alarms
    October 19, 2022 - Study A team-based approach to reducing cardiac monitor alarms. Citation Text: Dandoy CE, Davies SM, Flesch L, et al. A team-based approach to reducing cardiac monitor alarms. Pediatrics. 2014;134(6):e1686-e1694. doi:10.1542/peds.2014-1162. Copy Citation Format: DOI Google …
  16. psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study
    April 14, 2021 - Study Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. Citation Text: Ballangrud R, Hedelin B, Hall-Lord ML. Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. Intensive Crit Care Nurs. 2012;28(6…
  17. psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
    October 31, 2011 - Study The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. Citation Text: Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…
  18. psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed
    October 30, 2024 - Study Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. Citation Text: Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf.…
  19. psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective
    November 21, 2021 - Study Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Citation Text: Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Inte…
  20. psnet.ahrq.gov/issue/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
    February 16, 2022 - Study Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. Citation Text: Puaar SJ, Franklin BD. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation …

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