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Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42828/psn-pdf
    December 18, 2013 - Texting while doctoring: a patient safety hazard. December 18, 2013 Sinsky CA, Beasley JW. Texting while doctoring: a patient safety hazard. Ann Intern Med. 2013;159(11):782-3. doi:10.7326/0003-4819-159-11-201312030-00012. https://psnet.ahrq.gov/issue/texting-while-doctoring-patient-safety-hazard This commentary r…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39530/psn-pdf
    March 22, 2011 - Surgical adverse outcome reporting as part of routine clinical care. March 22, 2011 Kievit J, Krukerink M, van de Mheen PJM-. Surgical adverse outcome reporting as part of routine clinical care. Qual Saf Health Care. 2010;19(6):e20. doi:10.1136/qshc.2008.027458. https://psnet.ahrq.gov/issue/surgical-adverse-outcom…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47062/psn-pdf
    October 13, 2018 - Latent risk assessment tool for health care leaders. October 13, 2018 Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316. https://psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders Health …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38734/psn-pdf
    July 01, 2009 - Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. July 1, 2009 Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;133(6):933-7. doi:10.1043/1543-2165- …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46441/psn-pdf
    December 06, 2017 - Reducing delay in diagnosis: multistage recommendation tracking. December 6, 2017 Wandtke B, Gallagher S. Reducing Delay in Diagnosis: Multistage Recommendation Tracking. AJR Am J Roentgenol. 2017;209(5):970-975. doi:10.2214/AJR.17.18332. https://psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendat…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44415/psn-pdf
    October 28, 2015 - Medication discrepancies at pediatric hospital discharge. October 28, 2015 Gattari TB, Krieger LN, Hu HM, et al. Medication Discrepancies at Pediatric Hospital Discharge. Hosp Pediatr. 2015;5(8):439-45. doi:10.1542/hpeds.2014-0085. https://psnet.ahrq.gov/issue/medication-discrepancies-pediatric-hospital-discharge …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45229/psn-pdf
    July 13, 2016 - The WakeWings journey: creating a patient safety program. July 13, 2016 Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004. https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program Successful and sustainable implementa…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43684/psn-pdf
    November 26, 2014 - Rapid response systems. November 26, 2014 Hillman KM, Chen J, Jones D. Rapid response systems. Med J Aust. 2014;201(9):519-21. https://psnet.ahrq.gov/issue/rapid-response-systems Rapid response systems have been widely accepted as a method to improve outcomes of hospitalized patients demonstrating signs of rapid d…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72652/psn-pdf
    January 20, 2021 - Textbook of Patient Safety and Clinical Risk Management. January 20, 2021 Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022.    https://psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management Foundations and practical exp…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37338/psn-pdf
    January 02, 2017 - Using the rapid response system to provide better oversight of patient care processes. January 2, 2017 Moore MS, Howard SK, Lighthall GK. Using the rapid response system to provide better oversight of patient care processes. Jt Comm J Qual Patient Saf. 2007;33(11):695-8, 645. https://psnet.ahrq.gov/issue/using-rap…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37549/psn-pdf
    September 09, 2008 - Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a children's center. September 9, 2008 Hunt EA, Zimmer KP, Rinke ML, et al. Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a chi…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44977/psn-pdf
    March 01, 2020 - Choosing a Patient Safety Organization March 1, 2020 Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0030. https://psnet.ahrq.gov/issue/choosing-patient-safety-organization Patient safety organizations (PSOs) collect and analyze protected incident data from across the …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38823/psn-pdf
    July 29, 2009 - Attending physician work hours: ethical considerations and the last doctor standing. July 29, 2009 Mercurio MR, Peterec SM. Attending physician work hours: ethical considerations and the last doctor standing. Pediatrics. 2009;124(2):758-62. doi:10.1542/peds.2008-2953. https://psnet.ahrq.gov/issue/attending-physici…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854266/psn-pdf
    October 04, 2023 - Smart Healthcare Safety. October 4, 2023 Plymouth Meeting PA, ECRI. 2019-2023. https://psnet.ahrq.gov/issue/smart-healthcare-safety A wide variety of considerations must converge to inform an understanding of system vulnerabilities and the application of strategies to address them. This series of webinars covers a…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38606/psn-pdf
    January 02, 2017 - Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group. January 2, 2017 Stock R, Scott J, Gurtel S. Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group. Jt Comm J Qual Patient Saf. 2009;…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866697/psn-pdf
    September 11, 2024 - Patient Safety: Emerging Applications of Safety Science. September 11, 2024 Cox C, Hughes H, Nicholls J. Patient Safety: Emerging Applications Of Safety Science. Somerset, UK: Class Publishing; 2024. ISBN 9781801610834. https://psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science Patient safety…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41937/psn-pdf
    September 26, 2016 - Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing? September 26, 2016 ISMP Medication Safety Alert! Acute care edition! November 29, 2012;17:1-3. https://psnet.ahrq.gov/issue/side-tracks-safety-express-interruptions-lead-errors-and-unfinishedwait-what- was-i-doin…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41553/psn-pdf
    December 02, 2014 - Quality improvement initiative to reduce serious safety events and improve patient safety culture. December 2, 2014 Muething S, Goudie A, Schoettker PJ, et al. Quality improvement initiative to reduce serious safety events and improve patient safety culture. Pediatrics. 2012;130(2):e423-31. doi:10.1542/peds.2011-35…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43525/psn-pdf
    July 16, 2015 - Clinical handovers between prehospital and hospital staff: literature review. July 16, 2015 Wood K, Crouch R, Rowland E, et al. Clinical handovers between prehospital and hospital staff: literature review. Emerg Med J. 2015;32(7):577-581. doi:10.1136/emermed-2013-203165. https://psnet.ahrq.gov/issue/clinical-hando…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45808/psn-pdf
    December 19, 2017 - A concept analysis of systems thinking. December 19, 2017 Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum. 2017;52(4):323-330. doi:10.1111/nuf.12196. https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking Systems thinking focuses on enabling an organization t…
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