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Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38890/psn-pdf
    December 30, 2014 - Intravenous infusion safety technology: return on investment. December 30, 2014 Danello SH, Maddox RR, Schaack GJ. Intravenous Infusion Safety Technology: Return on Investment. Hosp Pharm. 2010;44(8):680-688. doi:10.1310/hpj4408-680. https://psnet.ahrq.gov/issue/intravenous-infusion-safety-technology-return-invest…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38117/psn-pdf
    September 29, 2017 - Advances in Patient Safety: New Directions and Alternative Approaches. September 29, 2017 Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1- 4). https://psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches The 115 articles freel…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44297/psn-pdf
    September 09, 2015 - The problem with checklists. September 9, 2015 Catchpole K, Russ S. The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs- 2015-004431. https://psnet.ahrq.gov/issue/problem-checklists Checklists, while popularly considered to address safety issues, can be difficult to use reliably. Spotlig…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867804/psn-pdf
    February 26, 2025 - Are We Safer Today? February 26, 2025 Bates DW, Lee M, Mossburg SE. Are We Safer Today? PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/are-we-safer-today In the 1999 report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (now the National Academy of Medicine) drew on two lar…

  5. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.17_slideshow.ppt
    June 01, 2003 - PowerPoint Presentation Spotlight Case June 2003 Missed Appendicitis webmm.ahrq.gov Source and Credits This presentation is based on June 2003 AHRQ WebM&M Spotlight Case in Surgery See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: James Adams, MD, Fei…

  6. Responding to Patient Safety Events | PSNet

    psnet.ahrq.gov/primer/responding-patient-safety-events
    October 18, 2023 - Responding to Patient Safety Events Citation Text: Shaikh U. Responding to Patient Safety Events. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  7. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet

    psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
    April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance Lance L. Roberts, MS; Marcia M. Ward, PhD; Thomas C. Evans, MD | April 1, 2010  Also Read a Conversation View more articles from the same authors. …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45320/psn-pdf
    January 01, 2017 - The problem with the '5 whys.' September 14, 2016 Card AJ. The problem with '5 whys'. BMJ Qual Saf. 2017;26(8):671-677. doi:10.1136/bmjqs-2016-005849. https://psnet.ahrq.gov/issue/problem-5-whys Investigation of incidents in complex systems can be hindered by time limitations, lack of follow-up, and incomplete res…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866531/psn-pdf
    August 14, 2024 - The Impact of Artificial Intelligence (AI) on the Safety of Patients. August 14, 2024 Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. . https://psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients Artificial intelligence (AI) is rapidly …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42702/psn-pdf
    January 09, 2014 - Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. January 9, 2014 Gupta M, Ringer S, Tess A, et al. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. Acad Pediatr. 2014;14(1):47-53. doi:10.1016/…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72645/psn-pdf
    January 13, 2021 - The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. January 13, 2021 Wright L. New Yorker. January 4, 2021;96(463):20-59.  https://psnet.ahrq.gov/issue/plague-year-mistakes-and-struggles-behind-americas-covid-19-tragedy Uncertainty, misinformation, management gaps, and r…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37652/psn-pdf
    September 24, 2010 - Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. September 24, 2010 Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227. https://psnet.ahrq.gov/issue/case-study-get…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35433/psn-pdf
    November 11, 2015 - Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. November 11, 2015 Nast PA, Avidan M, Harris CB, et al. Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postopera…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38835/psn-pdf
    September 02, 2009 - Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. September 2, 2009 Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sci. 2009;31(5):596-602. doi:10.10…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40713/psn-pdf
    August 24, 2011 - Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. August 24, 2011 Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the perspectives of resident physicians and pharmacists. J Hosp Med. 2011;6(6). do…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39547/psn-pdf
    January 19, 2011 - The impact of a tele-ICU on provider attitudes about teamwork and safety climate. January 19, 2011 Chu-Weininger MYL, Wueste L, Lucke JF, et al. The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Qual Saf Health Care. 2010;19(6):e39. doi:10.1136/qshc.2007.024992. https://psnet.ahrq.g…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39036/psn-pdf
    October 21, 2009 - Disclosing medical errors to patients: a challenge for health care professionals and institutions. October 21, 2009 Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/j.pec.2009.07.018. https://psnet.ahrq.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43015/psn-pdf
    May 29, 2014 - Team-training in healthcare: a narrative synthesis of the literature. May 29, 2014 Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014;23(5):359-72. doi:10.1136/bmjqs-2013-001848. https://psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthe…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38944/psn-pdf
    November 25, 2009 - Strategies for safe medication use in ambulatory care settings in the United States. November 25, 2009 Sorensen AV, Bernard SL. Strategies for Safe Medication Use in Ambulatory Care Settings in the United States. J Patient Saf. 2009;5(3). doi:10.1097/pts.0b013e3181b3afc1. https://psnet.ahrq.gov/issue/strategies-sa…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43023/psn-pdf
    April 16, 2014 - Institutional disclosure: promise and problems. April 16, 2014 Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132. https://psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems Using case review and interviews, res…
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