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Showing results for "implemented".

8201. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41836/psn-pdf
      November 14, 2012 - "Team time-out" and surgical safety—experiences in 12,390 neurosurgical patients. November 14, 2012 Oszvald Á, Vatter H, Byhahn C, et al. “Team time-out” and surgical safety—experiences in 12,390 neurosurgical patients. Neurosurg Focus. 2012;33(5). doi:10.3171/2012.8.focus12261. https://psnet.ahrq.gov/issue/team-t…

8202. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38015/psn-pdf
      August 27, 2008 - Impact of electronic prescribing in a hospital setting: a process-focused evaluation.  August 27, 2008 Cunningham TR, Geller S, Clarke SW. Impact of electronic prescribing in a hospital setting: a process- focused evaluation. Int J Med Inform. 2008;77(8):546-54. https://psnet.ahrq.gov/issue/impact-electronic-presc…

8203. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34583/psn-pdf
      July 03, 2015 - Patient Safety Challenge Grants. July 3, 2015 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/patient-safety-challenge-grants In fiscal year 2004, the Agency for Healthcare Research and Quality (AHRQ) awarded nearly $4 million in Patient Safety Challenge Grants to support 13 new prac…

8204. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38194/psn-pdf
      January 02, 2017 - Munson Medical Center: embedding a culture of safety and QI into the organization. January 2, 2017 Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm J Qual Patient Saf. 2008;34(11):665-70. https://psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-saf…

8205. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38264/psn-pdf
      January 02, 2017 - Using an advanced practice nursing model for a rapid response team. January 2, 2017 Benson L, Mitchell C, Link M, et al. Using an advanced practice nursing model for a rapid response team. Jt Comm J Qual Patient Saf. 2008;34(12):743-7. https://psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-respon…

8206. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41483/psn-pdf
      September 12, 2016 - Rapid response teams and failure to rescue: one community's experience. September 12, 2016 Hammer JA, Jones TL, Brown SA. Rapid response teams and failure to rescue: one community's experience. J Nurs Care Qual. 2012;27(4):352-8. doi:10.1097/NCQ.0b013e31825a8e2f. https://psnet.ahrq.gov/issue/rapid-response-teams-a…

8207. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46500/psn-pdf
      June 27, 2018 - Ariadne Labs. June 27, 2018 Brigham & Women's Hospital; Harvard T.H. Chan School of Public Health. https://psnet.ahrq.gov/issue/ariadne-labs Checklists can help catch gaps in communication and process. This website provides resources related to the use of checklists in surgical, obstetric, and other care environme…

8208. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50665/psn-pdf
      November 13, 2019 - The SECOND Trial November 13, 2019 Northwestern University Feinberg School of Medicine https://psnet.ahrq.gov/issue/second-trial Surgical resident well-being is paramount to ensuring safe surgical care and a healthy workforce. This website shares information on the Surgical Education Culture Optimization through t…

8209. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36065/psn-pdf
      May 27, 2011 - Passing the "Yo' Mama" test. May 27, 2011 Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18. https://psnet.ahrq.gov/issue/passing-yo-mama-test This article discusses how a…

8210. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37024/psn-pdf
      January 02, 2017 - Every error a treasure: improving medication use with a nonpunitive reporting system. January 2, 2017 Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.1016/s1553- 7250(07)33046-8. ht…

8211. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42384/psn-pdf
      December 18, 2013 - Pediatric emergency nurses self-reported medication safety practices. December 18, 2013 Mattei JL, Gillespie GL. Pediatric emergency nurses' self-reported medication safety practices. J Pediatr Nurs. 2013;28(6):596-602. doi:10.1016/j.pedn.2013.03.005. https://psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-re…

8212. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37795/psn-pdf
      January 06, 2017 - Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. January 6, 2017 Salas E, Wilson K, Murphy CE, et al. Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. Jt Comm J Qual Patient Saf. 2008;34(6):333-41. https://psnet.ahrq.gov/issue/communic…

8213. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46442/psn-pdf
      October 04, 2017 - Handoff Communication. October 4, 2017 APSF Newsletter. October 2017;32:29-56. https://psnet.ahrq.gov/issue/handoff-communication Handoff processes are known to carry risks of communication errors. This special issue focuses on transfers involving anesthesia care. Articles review different types of handoffs, chara…

8214. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35294/psn-pdf
      May 04, 2015 - What Every Health Care Organization Should Know about Sentinel Events. May 4, 2015 Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117. https://psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events This book provides in…

8215. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47262/psn-pdf
      August 22, 2018 - The Case for Medication Safety Officers (MSO). August 22, 2018 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/case-medication-safety-officers-mso Medication safety is a concern in various settings across an organization. This white paper discusses the role of a medication …

8216. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41075/psn-pdf
      January 18, 2012 - Wide heart monitor use tied to missed alarms. January 18, 2012 Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use of the Latest Standards for Electrocardiography trial. J…

8217. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47280/psn-pdf
      October 15, 2018 - Master of Healthcare Quality and Safety. October 15, 2018 Harvard Medical School. https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety This one-year degree program will train clinicians and health care executives to lead safety and quality improvement initiatives. Participants will learn how to develo…

8218. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39175/psn-pdf
      December 16, 2009 - Impact of a standard medication chart on prescribing errors: a before-and-after audit. December 16, 2009 Coombes ID, Stowasser DA, Reid C, et al. Impact of a standard medication chart on prescribing errors: a before-and-after audit. Qual Saf Health Care. 2009;18(6):478-85. doi:10.1136/qshc.2007.025296. https://psn…

8219. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42521/psn-pdf
      August 21, 2013 - Why your TeamSTEPPS program may not be working. August 21, 2013 Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007. https://psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working This commentary explores barriers to implementi…

8220. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36464/psn-pdf
      January 07, 2011 - Establishing a rapid response team (RRT) in an academic hospital: one year's experience. January 7, 2011 King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114. https://psnet.ahrq.gov/issue/establishing-rapi…