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Showing results for "implemented".

8021. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36365/psn-pdf
      February 08, 2011 - Designing Safer Rotas for Junior Doctors in the 48-Hour Week. February 8, 2011 Horrocks N, Pounder R. London, UK: Royal College of Physicians of London; 2006. https://psnet.ahrq.gov/issue/designing-safer-rotas-junior-doctors-48-hour-week This report discusses risks associated with junior doctor night shift work an…

8022. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37656/psn-pdf
      May 08, 2019 - Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. May 8, 2019 Disclosure Working Group. Edmonton, AB, Canada; Canadian Patient Safety Institute; 2011. ISBN 9781926541389. https://psnet.ahrq.gov/issue/canadian-disclosure-guidelines-being-open-and-honest-patients-and-families These n…

8023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42035/psn-pdf
      February 13, 2013 - Using Safety Cases in Industry and Healthcare. February 13, 2013 London, UK: Health Foundation; December 2012. ISBN: 9781906461430.  https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare This report details how high-risk industries use safety cases to identify, evaluate, address, and monitor …

8024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35513/psn-pdf
      February 22, 2010 - Utility of an online medication-error-reporting system. February 22, 2010 Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. Am J Health Syst Pharm. 2005;62(21):2265-70. https://psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system The investigators survey…

8025. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36010/psn-pdf
      January 02, 2017 - Operating room briefings: working on the same page. January 2, 2017 Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5. https://psnet.ahrq.gov/issue/operating-room-briefings-working-same-page The authors describe a tool fo…

8026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33984/psn-pdf
      April 17, 2024 - ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. April 17, 2024 Horsham, PA; Institute for Safe Medication Practices; April 17, 2024. https://psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations A handy list for medical personnel to ensure and implement safe…

8027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34135/psn-pdf
      February 28, 2024 - Hand Hygiene in Healthcare Settings. February 28, 2024 Centers for Disease Control and Prevention https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings The hand hygiene guidelines represent part of a U.S. Centers for Disease Control and Prevention (CDC) strategy to promote patient safety by reducing infect…

8028. 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…

8029. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42769/psn-pdf
      November 27, 2013 - Sepsis: recognizing the next event. November 27, 2013 Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. doi:10.1097/01.NURSE.0000434320.25397.53. https://psnet.ahrq.gov/issue/sepsis-recognizing-next-event This commentary describes the development and implementatio…

8030. 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…

8031. 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…

8032. 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 …

8033. 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…

8034. 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…

8035. 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…

8036. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35200/psn-pdf
      July 27, 2005 - Hospital R.Ph.s weigh in on new JCAHO patient safety goals. July 27, 2005 Vecchione A. Drug Topics. July 11, 2005 https://psnet.ahrq.gov/issue/hospital-rphs-weigh-new-jcaho-patient-safety-goals This article summarizes the 2006 Joint Commission on Accreditation of Healthcare Organizations patient safety goals and …

8037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35870/psn-pdf
      July 23, 2010 - Framing patient safety initiatives: working model and case example. July 23, 2010 Kruger N, Hurley A, Gustafson M. Framing patient safety initiatives: working model and case example. J Nurs Adm. 2006;36(4):200-204. https://psnet.ahrq.gov/issue/framing-patient-safety-initiatives-working-model-and-case-example The …

8038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39851/psn-pdf
      August 17, 2011 - When doctors admit their mistakes. August 17, 2011 Chen PW. https://psnet.ahrq.gov/issue/when-doctors-admit-their-mistakes This newspaper article discusses how disclosure of medical error can be beneficial for physicians and reveals the importance of open disclosure for the doctor–patient relationship. The piece r…

8039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35891/psn-pdf
      May 03, 2006 - Costs and Benefits of Health Information Technology. May 3, 2006 Shekelle PG, Morton SC, Keeler EB. Rockville, MD: Agency for Healthcare Research and Quality; April 2006. AHRQ Publication No. 06-E006. https://psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology The authors reviewed the literature …

8040. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44652/psn-pdf
      November 11, 2015 - Developing a principle-based approach to safe medication practices. November 11, 2015 Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47. https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices This commentary describes the development, implementation, and evaluation of n…