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Showing results for "implemented".

8121. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45583/psn-pdf
      January 18, 2017 - ASHP IV Adult Continuous Infusions. January 18, 2017 Bethesda, MD: American Society of Health-System Pharmacists; 2016. https://psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions Miscalculations of intravenous infusion concentrations can result in patient harm. Representing the first phase of a standards deve…

8122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36456/psn-pdf
      May 27, 2011 - Evaluation and certification of computerized physician order entry systems. May 27, 2011 Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55. https://psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician…

8123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37951/psn-pdf
      May 26, 2011 - The Leapfrog Group's CPOE standard and evaluation tool. May 26, 2011 Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August 2008;5:22-25. https://psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool This article describes an evaluation tool designed for…

8124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37931/psn-pdf
      September 25, 2008 - Can a structured checklist prevent problems with laparoscopic equipment? September 25, 2008 Verdaasdonk EGG, Stassen LPS, Hoffmann WF, et al. Can a structured checklist prevent problems with laparoscopic equipment? Surg Endosc. 2008;22(10):2238-43. doi:10.1007/s00464-008-0029-3. https://psnet.ahrq.gov/issue/can-st…

8125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40138/psn-pdf
      July 21, 2011 - Decision support and patient safety: the time has come. July 21, 2011 Hasley SK. Decision support and patient safety: the time has come. Am J Obstet Gynecol. 2011;204(6):461-5. doi:10.1016/j.ajog.2010.10.901. https://psnet.ahrq.gov/issue/decision-support-and-patient-safety-time-has-come This review reveals how dec…

8126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35618/psn-pdf
      June 24, 2010 - Using a computerized sign-out system to improve physician–nurse communication. June 24, 2010 Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36. https://psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve…

8127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36971/psn-pdf
      September 12, 2011 - Hospital patient safety: characteristics of best-performing hospitals. September 12, 2011 Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J Healthc Manag. 2007;52(3):188-204; discussion 204-5. https://psnet.ahrq.gov/issue/hospital-patient-safety-characterist…

8128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37786/psn-pdf
      March 23, 2011 - A theoretical framework and competency-based approach to improving handoffs. March 23, 2011 Arora VM, Johnson JK, Meltzer DO, et al. A theoretical framework and competency-based approach to improving handoffs. Qual Saf Health Care. 2008;17(1):11-4. doi:10.1136/qshc.2006.018952. https://psnet.ahrq.gov/issue/theoret…

8129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47315/psn-pdf
      August 01, 2018 - Agent of change. August 1, 2018 Gale SF. Chief Learning Officer. July/August 2018;17:22-25. https://psnet.ahrq.gov/issue/agent-change Organizational learning is an essential element of safety culture. This article reports how one hospital leader drew from the success of aviation strategies to design and implement …

8130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43534/psn-pdf
      January 22, 2016 - Creating a fellowship curriculum in patient safety and quality. January 22, 2016 Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012. https://psnet.ahrq.gov/issue/creating-fellowship-curriculum-pati…

8131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35354/psn-pdf
      September 28, 2005 - Crew resource management training--clinicians' reactions and attitudes. September 28, 2005 France DJ, Stiles RA, Gaffney FA, et al. Crew resource management training-Clinicians' reactions and attitudes. AORN J. 2006;82(2):213-224. doi:10.1016/s0001-2092(06)60313-x. https://psnet.ahrq.gov/issue/crew-resource-manage…

8132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38341/psn-pdf
      April 02, 2009 - CPOE: it don't come easy. April 2, 2009 Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim. https://psnet.ahrq.gov/issue/cpoe-it-dont-come-easy Although shifting from paper-based or verbal orders to computerized physician order entry (CPOE) systems could reduce medical errors…

8133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47053/psn-pdf
      May 23, 2018 - TeamSTEPPS Canada. May 23, 2018 Canadian Patient Safety Institute. https://psnet.ahrq.gov/issue/teamstepps-canada The TeamSTEPPS program was developed to support effective communication and teamwork skills in various health care settings. This site supports the Canadian TeamSTEPPS initiative. The program will pre…

8134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33902/psn-pdf
      December 22, 2014 - National Quality Measures Clearinghouse (NQMC). December 22, 2014 Agency for Healthcare Research and Quality. 1998-2018. https://psnet.ahrq.gov/issue/national-quality-measures-clearinghouse-nqmc This web-accessible database provided access to evidence-based quality measures and measure sets. The mission of the Nat…

8135. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41411/psn-pdf
      October 19, 2012 - Minnesota Hospital Association Statewide Project: SAFE from FALLS. October 19, 2012 Apold J, Quigley PA. Minnesota Hospital Association Statewide Project: SAFE from FALLS. J Nurs Care Qual. 2012;27(4):299-306. doi:10.1097/NCQ.0b013e3182599d1b. https://psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-p…

8136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40829/psn-pdf
      January 05, 2014 - Guide to Reducing Unintended Consequences of Electronic Health Records. January 5, 2014 Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. https://psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records …

8137. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50633/psn-pdf
      November 06, 2019 - Findings of Two Inaugural Leapfrog Surveys 2019. November 6, 2019 Washington DC: Leapfrog Group; 2019. https://psnet.ahrq.gov/issue/findings-two-inaugural-leapfrog-surveys-2019 Ambulatory surgery centers (ASC) are established venues for surgical care despite engagement in assessment to ensure their safety. This re…

8138. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34138/psn-pdf
      January 20, 2016 - National Quality Forum. January 20, 2016 1099 14th Street NW, Suite 500, Washington DC 20005. https://psnet.ahrq.gov/issue/national-quality-forum The National Quality Forum (NQF) is a private, not-for-profit membership organization created to develop and implement a national strategy for quality and safety measure…

8139. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42554/psn-pdf
      December 06, 2013 - State of science: human factors and ergonomics in healthcare. December 6, 2013 Hignett S, Carayon P, Buckle P, et al. State of science: human factors and ergonomics in healthcare. Ergonomics. 2013;56(10):1491-503. doi:10.1080/00140139.2013.822932. https://psnet.ahrq.gov/issue/state-science-human-factors-and-ergono…

8140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846126/psn-pdf
      March 09, 2023 - As a high-level intervention, system changes should be addressed and implemented to improve patient