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Showing results for "implemented".

8441. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45885/psn-pdf
      May 03, 2017 - E-collection: Safety and Error Prevention in Health. May 3, 2017 https://psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health The increasing implementation of health information technology has introduced both benefits and challenges to patient safety. Articles in this series explore the impacts of t…

8442. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44909/psn-pdf
      March 23, 2016 - Root Cause Analysis Workbook for Community/Ambulatory Pharmacy. March 23, 2016 Horsham, PA: Institute for Safe Medication Practices; 2013. https://psnet.ahrq.gov/issue/root-cause-analysis-workbook-communityambulatory-pharmacy Root cause analysis offers a structured way to detect and address system weaknesses. This…

8443. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40290/psn-pdf
      May 25, 2011 - Fatigue, performance and the work environment: a survey of registered nurses. May 25, 2011 Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x. https://psnet.ahrq.gov/issue/fatigue-performance-and…

8444. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44332/psn-pdf
      July 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…

8445. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41426/psn-pdf
      June 06, 2012 - Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice. June 6, 2012 Staveski S, Leong K, Graham K, et al. Nursing Mortality and Morbidity and Journal Club Cycles. AACN Adv Crit Care. 2012;23(2):133-141. doi:10.1097/nci.0b013e318242…

8446. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44457/psn-pdf
      September 29, 2017 - Hospitals slow to adopt patient apology policies. September 29, 2017 Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30. https://psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies Communication-and-resolution approaches to medical errors have garnered …

8447. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37847/psn-pdf
      June 18, 2008 - Effect of the 80-hour work week on resident case coverage. June 18, 2008 Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg. 2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028. https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident…

8448. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848044/psn-pdf
      April 26, 2023 - Effect of a hospital command centre on patient safety: an interrupted time series study. April 26, 2023 Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653. https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study Command centers…

8449. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38644/psn-pdf
      May 20, 2009 - A quality initiative to decrease pathology specimen- labeling errors using radiofrequency identification in a high-volume endoscopy center. May 20, 2009 Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume en…

8450. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72786/psn-pdf
      February 24, 2021 - Drug shortages amid the COVID-19 pandemic. February 24, 2021 Bookwalter CM. US Pharmacist. 2021;46(2):25-28.    https://psnet.ahrq.gov/issue/drug-shortages-amid-covid-19-pandemic COVID-19 has increased uncertainties in sectors across health care. This article discusses a variety of supply-chain fact…

8451. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867647/psn-pdf
      January 01, 2022 - Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives. January 27, 2021 Centers for Disease Control and Prevention (CDC); 2021. Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives. https://psnet.ahrq.gov/issue/creating-culture-safety-opioid-…

8452. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845080/psn-pdf
      February 22, 2023 - A high-reliability organization mindset. February 22, 2023 Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual. 2022;37(6):504-510. doi:10.1097/jmq.0000000000000086. https://psnet.ahrq.gov/issue/high-reliability-organization-mindset The goal for health care organiz…

8453. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38061/psn-pdf
      November 08, 2008 - Medication errors in pediatric inpatients: prevalence and results of a prevention program. November 8, 2008 Otero P, Leyton A, Mariani G, et al. Medication errors in pediatric inpatients: prevalence and results of a prevention program. Pediatrics. 2008;122(3):e737-43. doi:10.1542/peds.2008-0014. https://psnet.ahrq…

8454. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38803/psn-pdf
      December 14, 2016 - Improving patient safety: effects of a safety program on performance and culture in a department of radiology. December 14, 2016 Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety: effects of a safety program on performance and culture in a department of radiology. AJR Am J Roentgenol. 2009;1…

8455. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44612/psn-pdf
      October 28, 2015 - Transitional chaos or enduring harm? The EHR and the disruption of medicine. October 28, 2015 Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. https://psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-…

8456. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34748/psn-pdf
      March 07, 2005 - Reducing Adverse Drug Events. March 7, 2005 Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998. https://psnet.ahrq.gov/issue/reducing-adverse-drug-events This application-oriented book provides the results of the Institute for Healthcare Improvement (IHI) Breakthrough S…

8457. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39817/psn-pdf
      March 18, 2011 - Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. March 18, 2011 White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. Qual Saf Health …

8458. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47142/psn-pdf
      June 13, 2018 - Managing health IT risks: reflections and recommendations. June 13, 2018 Sujan M. Managing health IT risks: reflections and recommendations. J Innov Health Inform. 2018;25(1):952. doi:10.14236/jhi.v25i1.952. https://psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations Health information t…

8459. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34661/psn-pdf
      March 07, 2005 - Teaching smart people how to learn. March 7, 2005 Argyris C. Harvard Business Review. 1991:69(May-June):99+. https://psnet.ahrq.gov/issue/teaching-smart-people-learn Argyris, a Harvard Business School professor, theorizes that companies and organizations must learn in order to continually improve and succeed, but …

8460. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46272/psn-pdf
      January 01, 2019 - Deployment of a second victim peer support program: a replication study. September 24, 2017 Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031. https://psnet.ahrq.gov/issue/deployment-second-…