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Showing results for "implemented".

8261. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42904/psn-pdf
      February 11, 2025 - Safety Assurance Factors for EHR Resilience: SAFER Guides. February 11, 2025 Washington, DC: Assistant Secretary for Technology Policy. https://psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides Health information technologies are seen to both contribute to and detract from health care safet…

8262. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38698/psn-pdf
      June 10, 2009 - Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. June 10, 2009 Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Appl Ergon. 2009;40(3):379-95. doi:10.1016/j.apergo.2008.11.004. …

8263. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46055/psn-pdf
      July 26, 2017 - Bridging the gap between work-as-imagined and work-as- done. July 26, 2017 Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83. https://psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done Understanding what is possible in the context of frontline practice is key when designing enhancements …

8264. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46553/psn-pdf
      October 25, 2017 - Telehealth. October 25, 2017 Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. https://psnet.ahrq.gov/issue/telehealth Telemedicine can improve patient experience and access to health care. This commentary reviews the current state of telehealth practi…

8265. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41340/psn-pdf
      January 03, 2017 - How to develop a second victim support program: a toolkit for health care organizations. January 3, 2017 Pratt SD, Kenney L, Scott SD, et al. How to develop a second victim support program: a toolkit for health care organizations. Jt Comm J Qual Patient Saf. 2012;38(5):235-40, 193. https://psnet.ahrq.gov/issue/how…

8266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73326/psn-pdf
      June 01, 2021 - CANDOR Webinar Series. June 1, 2021 Patient Safety Movement Foundation. 2021.  https://psnet.ahrq.gov/issue/candor-webinar-series The Communication and Optimal Resolution (CANDOR) model was designed to support early error disclosure with patients and families after mistakes in care occur. This three-part webi…

8267. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38453/psn-pdf
      January 02, 2017 - A multidisciplinary team approach to retained foreign objects. January 2, 2017 Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects Th…

8268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35811/psn-pdf
      March 29, 2006 - Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. March 29, 2006 Angus DC; Shorr AF; White A; Dremsizov TT; Schmitz RJ; Kelley MA;Committee on Manpower for Pulmonary and Critical Care Societies; COMPACCS. https://psnet.ahrq.gov/issue/critical-care-…

8269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36425/psn-pdf
      December 22, 2010 - Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. December 22, 2010 Wagar EA, Tamashiro L, Yasin B, et al. Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. Arch Pathol Lab Med. 2006;130(11):1662-1668. https://p…

8270. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42263/psn-pdf
      January 14, 2014 - The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. January 14, 2014 Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10.1177/1062860613484082. https://psnet.…

8271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73897/psn-pdf
      September 29, 2021 - Peer Support Toolkit. September 29, 2021 Betsy Lehman Center for Patient Safety. September 2021. https://psnet.ahrq.gov/issue/peer-support-toolkit Clinicians involved in adverse events that harm patients can struggle to come to terms with error. This toolkit is designed to assist organizations in the development o…

8272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74095/psn-pdf
      February 01, 2022 - Zero Suicide Initiative. November 17, 2021 Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3, 2021;(86):60883-60893. https://psnet.ahrq.gov/issue/zero-suicide-initiative Patient suicide attempts are considered never events. This funding announcement calls for pr…

8273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43540/psn-pdf
      July 18, 2016 - Physicians' practice of dispensing medicines: a qualitative study. July 18, 2016 Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122. https://psnet.ahrq.gov/issue/physicians-practice-dispensing-m…

8274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43322/psn-pdf
      January 28, 2015 - Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. January 28, 2015 Oakbrook, IL: Joint Commission Resources; January 2014. https://psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies This toolkit draws from experiences of the Joint …

8275. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47354/psn-pdf
      November 21, 2018 - Improving Diagnosis in Medicine Change Package. November 21, 2018 Chicago, IL: Health Research & Educational Trust; 2018. https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package Proactive identification of conditions that degrade the diagnostic process can drive improvement. This toolkit provides …

8276. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41938/psn-pdf
      February 20, 2013 - The role of practice guidelines and evidence-based medicine in perioperative patient safety. February 20, 2013 Crosby E. Review article: the role of practice guidelines and evidence-based medicine in perioperative patient safety. Can J Anaesth. 2013;60(2):143-51. doi:10.1007/s12630-012-9855-9. https://psnet.ahrq.g…

8277. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37780/psn-pdf
      March 10, 2011 - Evaluation of an inpatient computerized medication reconciliation system. March 10, 2011 Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561. https://psnet.ahrq.gov/issue/evaluation-inp…

8278. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38532/psn-pdf
      January 13, 2017 - Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report. January 13, 2017 Rockville, MD: Agency for Healthcare Research and Quality; February 2009. AHRQ Publication No. 090003. https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-pane…

8279. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73451/psn-pdf
      June 30, 2021 - National Patient Safety Syllabus. June 30, 2021 Spurgeon P, Cross S. London, UK; Academy of Medical Royal Colleges: May 2021. https://psnet.ahrq.gov/issue/national-patient-safety-syllabus Amending curricula to incorporate the increasing scholarship related to patient safety improvement is a challenge. This st…

8280. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50874/psn-pdf
      February 05, 2020 - Checking In on the Checklist. February 5, 2020 Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020. https://psnet.ahrq.gov/issue/checking-checklist Checklists are integrated into error reduction strategies and healthcare team communication efforts worldwide but implementation and impact of the tool varies …