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Showing results for "implemented".

8101. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867770/psn-pdf
      March 01, 2022 - Toolkit for Decolonization of Non-ICU Patients with Devices. March 1, 2022 Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices. https://psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices Healthcare associated infection is a persistent contributo…

8102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38864/psn-pdf
      July 08, 2013 - Addressing the quality and safety gap—parts I-III. July 8, 2013 Princeton, NJ: Robert Wood Johnson Foundation; November 2010. https://psnet.ahrq.gov/issue/addressing-quality-and-safety-gap-parts-i-iii Part I of this three-part series examines the quality improvement experience of four health care organizations and…

8103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42061/psn-pdf
      October 05, 2015 - Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. October 5, 2015 Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publication No. 13-0015-EF. https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care…

8104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848110/psn-pdf
      April 26, 2023 - causes of agitation such as constipation given, and no additional environmental interventions were implemented

8105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37634/psn-pdf
      February 15, 2011 - Simulation-based training for patient safety: 10 principles that matter. February 15, 2011 Salas E, Wilson KA, Lazzara EH, et al. Simulation-Based Training for Patient Safety. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e3181656dd6. https://psnet.ahrq.gov/issue/simulation-based-training-patient-safety-10-princi…

8106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42030/psn-pdf
      April 18, 2013 - Reducing hospital errors: interventions that build safety culture. April 18, 2013 Singer SJ, Vogus TJ. Reducing hospital errors: interventions that build safety culture. Annu Rev Public Health. 2013;34:373-96. doi:10.1146/annurev-publhealth-031912-114439. https://psnet.ahrq.gov/issue/reducing-hospital-errors-inter…

8107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41972/psn-pdf
      January 23, 2013 - Impact of a pharmacotherapy alerting system on medication errors. January 23, 2013 Natali BJ, Varkey AC, Garey KW, et al. Impact of a pharmacotherapy alerting system on medication errors. American Journal of Health-System Pharmacy. 2012;70(1). doi:10.2146/ajhp120126. https://psnet.ahrq.gov/issue/impact-pharmacothe…

8108. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38677/psn-pdf
      August 18, 2010 - Impact of a computerized physician order-entry system. August 18, 2010 Stone WM, Smith BE, Shaft JD, et al. Impact of a computerized physician order-entry system. J Am Coll Surg. 2009;208(5):960-7; discussion 967-9. doi:10.1016/j.jamcollsurg.2009.01.042. https://psnet.ahrq.gov/issue/impact-computerized-physician-or…

8109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35085/psn-pdf
      July 24, 2018 - Working Knowledge: How Organizations Manage What They Know. July 24, 2018 Davenport TH, Prusak L. Boston MA: Harvard Business School Press; 1998. ISBN: 0875846556. https://psnet.ahrq.gov/issue/working-knowledge-how-organizations-manage-what-they-know Two innovators in management consulting introduce core concepts …

8110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39288/psn-pdf
      February 10, 2010 - Patient Safety Act. February 10, 2010 Washington, DC: United States Government Accountability Office; January 28, 2010. Publication GAO-10- 281. https://psnet.ahrq.gov/issue/patient-safety-act This report describes progress in implementing the Patient Safety and Quality Improvement Act. The document details devel…

8111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43107/psn-pdf
      March 14, 2016 - Researchers' roles in patient safety improvement. March 14, 2016 Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf. 2016;12(1):25-33. doi:10.1097/PTS.0000000000000096. https://psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement Through a self-…

8112. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38832/psn-pdf
      August 12, 2009 - Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit. August 12, 2009 WOODARD JENNIFERL. Effects of Rounding on Patient Satisfaction and Patient Safety on a Medical- Surgical Unit. Clin Nurs Specialist. 2009;23(4):200-206. doi:10.1097/nur.0b013e3181a8ca8a. https://psnet.ahrq.go…

8113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42714/psn-pdf
      August 19, 2017 - SWITCH for safety: perioperative hand-off tools. August 19, 2017 Johnson F, Logsdon P, Fournier K, et al. SWITCH for safety: Perioperative hand-off tools. AORN J. 2013;98(5):494-504; quiz 505-7. doi:10.1016/j.aorn.2013.08.016. https://psnet.ahrq.gov/issue/switch-safety-perioperative-hand-tools This commentary desc…

8114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34622/psn-pdf
      March 17, 2011 - National Confidential Enquiry into Patient Outcome and Death. March 17, 2011 National Confidential Enquiry into Patient Outcome and Death; NCEPOD https://psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death Launched under the title National Confidential Enquiry into Perioperative Deaths (NC…

8115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47176/psn-pdf
      June 06, 2018 - Report faults Children's Hospital for medication errors. June 6, 2018 Kowalczyk L. Boston Globe. May 27, 2018. https://psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors Pediatric patients are particularly vulnerable to medication errors. This news article reports on serious medication errors …

8116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38726/psn-pdf
      July 13, 2009 - Physician Quality Officer: a new model for engaging physicians in quality improvement. July 13, 2009 Walsh KE, Ettinger WH, Klugman R. Physician quality officer: a new model for engaging physicians in quality improvement. Am J Med Qual. 2009;24(4):295-301. doi:10.1177/1062860609336219. https://psnet.ahrq.gov/issue…

8117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35373/psn-pdf
      July 20, 2009 - Medical groups' adoption of electronic health records and information systems. July 20, 2009 Gans DN, Kralewski J, Hammons T, et al. Medical Groups’ Adoption Of Electronic Health Records And Information Systems. Health Aff. 2005;24(5):1323-1333. doi:10.1377/hlthaff.24.5.1323. https://psnet.ahrq.gov/issue/medical-g…

8118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35119/psn-pdf
      November 03, 2015 - Patient safety and health information technology conference: A newsmaker interview with Carolyn M. Clancy, MD. November 3, 2015 Barclay L. https://psnet.ahrq.gov/issue/patient-safety-and-health-information-technology-conference-newsmaker- interview-carolyn-m In this interview, Agency for Healthcare Research and …

8119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39811/psn-pdf
      September 13, 2010 - Disclosure of medical errors: the right thing to do. September 13, 2010 Schuer KM, AAPA QCC of the. Disclosure of medical errors: the right thing to do. JAAPA. 2010;23(8):27-9. https://psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do This article discusses medical error disclosure, provides evidence of…

8120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38024/psn-pdf
      August 27, 2008 - Promoting patient safety using an early warning scoring system. August 27, 2008 Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40. https://psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system Imp…