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Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35913/psn-pdf
    February 16, 2011 - Improving oversight of the graduate medical education enterprise: one institution's strategies and tools. February 16, 2011 Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise: One Institution???s Strategies and Tools. Academic Medicine. 2006;81(5). doi:10.1097/01.…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44561/psn-pdf
    October 30, 2023 - AHRQ Impact Case Studies: Patient Safety. October 30, 2023 Agency for Healthcare Research and Quality. 2019-2023. https://psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety AHRQ supports the development and testing of various resources for health care organizations to implement as safety improvement stra…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40506/psn-pdf
    June 08, 2011 - Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. June 8, 2011 Lingard LA, Regehr G, Cartmill C, et al. Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. BMJ Qual Saf. 2011;20(6):475-82. doi:1…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42749/psn-pdf
    November 20, 2013 - Reasons for the persistence of adverse events in the era of safer surgery?a qualitative approach. November 20, 2013 Kaderli R, Seelandt JC, Umer M, et al. Reasons for the persistence of adverse events in the era of safer surgery--a qualitative approach. Swiss Med Wkly. 2013;143:w13882. doi:10.4414/smw.2013.13882. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47533/psn-pdf
    June 19, 2019 - Patient Safety: A Health Affairs Briefing. June 19, 2019 Project Hope. https://psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing To Err Is Human was released almost 2 decades ago and continues to influence a growing area of study aimed at improving health care and reducing medical error. This in-person a…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35410/psn-pdf
    September 11, 2009 - Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. September 11, 2009 Keohane C, Hayes J, Saniuk C, et al. Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. J Infus Nurs. 2005;28(5):321-328. https://psnet.ahrq.gov/is…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44600/psn-pdf
    December 09, 2015 - Systematic review of patient safety interventions in dentistry. December 9, 2015 Bailey E, Tickle M, Campbell S, et al. Systematic review of patient safety interventions in dentistry. BMC Oral Health. 2015;15:152. doi:10.1186/s12903-015-0136-1. https://psnet.ahrq.gov/issue/systematic-review-patient-safety-interven…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35657/psn-pdf
    July 05, 2013 - Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. July 5, 2013 Casey MM, Moscovice I, Davidson G. Minneapolis, MN: Upper Midwest Rural Health Research Center; 2005. https://psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-im…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43457/psn-pdf
    August 02, 2015 - A human factors subsystems approach to trauma care. August 2, 2015 Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA Surg. 2014;149(9):962-8. https://psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care Human factors analysis led to five system changes i…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47390/psn-pdf
    September 19, 2018 - Antimicrobial Stewardship. September 19, 2018 Cunha CB, ed. Med Clin North Am. 2018;102(5):797-976. https://psnet.ahrq.gov/issue/antimicrobial-stewardship Antimicrobial stewardship programs are a key strategy to reduce overprescribing of antibiotics in hospitals. This special issue explores approaches to engage a …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838028/psn-pdf
    September 15, 2022 - Creating a Communication Coaching Structure and Support for your CRP Program. September 7, 2022 Collaborative for Accountability and Improvement. September 15, 2022. https://psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program Communication and resolution program (CRP) succes…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60917/psn-pdf
    September 16, 2020 - Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. September 16, 2020 Decesare JZ, Bush SY, Morton AN. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. J Patient Saf. 2020;16(3):e179-e181. doi:10.1097/pts.0000000000000…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35660/psn-pdf
    June 25, 2010 - Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. June 25, 2010 Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. In…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37726/psn-pdf
    April 30, 2008 - Patient Safety and Quality: An Evidence-Based Handbook for Nurses. April 30, 2008 Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043.   https://psnet.ahrq.gov/issue/patient-safety-and-quality-evidence-based-handbook-nurses This handbook prepared by the Age…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39829/psn-pdf
    January 09, 2025 - Hospital Reporting Program: Annual Summary. January 9, 2025 Portland, OR: Oregon Patient Safety Commission. https://psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary This site provides data and analysis from two Oregon Patient Safety Commission patient safety initiatives: the Patient Safety Reporting …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42767/psn-pdf
    November 27, 2013 - Barcode medication administration work-arounds: a systematic review and implications for nurse executives. November 27, 2013 Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs Adm. 2013;43(10):530-535. doi:10.1…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41081/psn-pdf
    February 01, 2012 - Workarounds in the use of IS in healthcare: a case study of an electronic medication administration system. February 1, 2012 Yang Z, Ng B-Y, Kankanhalli A, et al. Workarounds in the use of IS in healthcare: A case study of an electronic medication administration system. International Journal of Human-Computer Studi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41824/psn-pdf
    November 07, 2012 - Using simulation to teach nursing students and licensed clinicians obstetric emergencies. November 7, 2012 Alderman JT. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. MCN Am J Matern Child Nurs. 2012;37(6):394-400. doi:10.1097/NMC.0b013e318264bbe7. https://psnet.ahrq.gov/…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37416/psn-pdf
    March 28, 2012 - The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. March 28, 2012 McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors.…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854249/psn-pdf
    January 01, 2014 - What is safety science? August 19, 2013 Aven T. What is safety science? Safety Sci. 2014;67:15-20. doi:10.1016/j.ssci.2013.07.026. https://psnet.ahrq.gov/issue/what-safety-science Safety is seen as the absence of accidents and safety science research can be used to improve many industries, including healthcare. Th…
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