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Total Results: over 10,000 records

Showing results for "implemented".

8001. 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…

8002. 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…

8003. 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…

8004. 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…

8005. 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 …

8006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36897/psn-pdf
      August 31, 2011 - Characterization of prescribing errors in an internal medicine clinic. August 31, 2011 Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70. https://psnet.ahrq.gov/issue/characterization-prescribing-errors…

8007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36726/psn-pdf
      January 22, 2017 - Eliminating preventable death at Ascension Health. January 22, 2017 Tolchin S, Brush R, Lange P, et al. Eliminating preventable death at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(3):145-54. https://psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health The authors report the results of imp…

8008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39801/psn-pdf
      December 21, 2014 - Gossypiboma: tales of lost sponges and lessons learned. December 21, 2014 McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152. https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned This study describes successful efforts to reduce retained surgical spo…

8009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35257/psn-pdf
      June 25, 2009 - JCAHO's safety goals—the clock is ticking, will your ED be compliant? June 25, 2009 JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5. https://psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant This article provides practical advise for e…

8010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36510/psn-pdf
      June 13, 2011 - Using clinical decision support to improve medication reconciliation. June 13, 2011 Moore G. Patient Saf Qual Healthc. November / December 2006. https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation The author provides strategies to enhance the value of medication reconcili…

8011. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37319/psn-pdf
      January 05, 2012 - Winning the battle for standardization. January 5, 2012 Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation. Health Manag Technol. 2007;28(10):34-37. https://psnet.ahrq.gov/iss…

8012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35864/psn-pdf
      June 17, 2014 - Exploring strategies for reducing hospital errors. June 17, 2014 McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag. 2006;51(2):123-136. https://psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors The authors surveyed health care quality directors on …

8013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35173/psn-pdf
      June 27, 2016 - Medication Safety: A Guide for Health Care Facilities. June 27, 2016 Manasse HR Jr, Thompson KK. Bethesda, MD: American Society of Health-System Pharmacists; 2005. ISBN 9781585280896. https://psnet.ahrq.gov/issue/medication-safety-guide-health-care-facilities This book provides an in-depth introduction to implemen…

8014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36857/psn-pdf
      January 22, 2017 - Eliminating perioperative adverse events at Ascension Health. January 22, 2017 Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66. https://psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health The…

8015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36864/psn-pdf
      August 29, 2011 - Falls prevention at Mayo Clinic Rochester: a path to quality care. August 29, 2011 Sulla SJ, McMyler E. Falls prevention at Mayo Clinic Rochester: a path to quality care. J Nurs Care Qual. 2007;22(2):138-44. https://psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care The authors share th…

8016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38251/psn-pdf
      November 26, 2008 - Nursing peer review: developing a framework for patient safety. November 26, 2008 Diaz L. Nursing peer review: developing a framework for patient safety. J Nurs Adm. 2008;38(11):475-9. doi:10.1097/01.NNA.0000339473.27349.28. https://psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety This…

8017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844776/psn-pdf
      September 18, 2019 - When is a doctor too old for the job? September 18, 2019 https://psnet.ahrq.gov/issue/when-doctor-too-old-job Potential deterioration of an aging surgeon's technical abilities is an emerging patient safety concern. This magazine article discusses how implementing policies and activities to assess the ability of sur…

8018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40330/psn-pdf
      March 30, 2011 - Smart pumps: implications for nurse leaders. March 30, 2011 Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118. doi:10.1097/NAQ.0b013e31820fbdc0. https://psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders This commentary discusses the benefits and limitatio…

8019. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35866/psn-pdf
      July 22, 2010 - Reporting near-miss events in nursing homes. July 22, 2010 Wagner LM, Capezuti E, Ouslander JG. Reporting near-miss events in nursing homes. Nurs Outlook. 2006;54(2). doi:10.1016/j.outlook.2006.01.003. https://psnet.ahrq.gov/issue/reporting-near-miss-events-nursing-homes The authors discuss the value of near-miss …

8020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35425/psn-pdf
      June 17, 2014 - Have you M.E.T. the future of better patient safety? June 17, 2014 Larson L. Have you M.E.T. the future of better patient safety? Trustee : the journal for hospital governing boards. 2005;58(8):6-10, 1. https://psnet.ahrq.gov/issue/have-you-met-future-better-patient-safety This article recaps the origins of the me…