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Total Results: over 10,000 records

Showing results for "implemented".

8521. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42911/psn-pdf
      February 12, 2014 - Computerized physician order entry: promise, perils, and experience. February 12, 2014 Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist. 2014;4(1):26-33. doi:10.1177/1941874413495701. https://psnet.ahrq.gov/issue/computerized-physician-order-entry-promise-peril…

8522. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38246/psn-pdf
      January 02, 2009 - Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. January 2, 2009 Markert A, Thierry V, Kleber M, et al. Chemotherapy safety and severe adverse events in cancer patients: Strategies to efficiently avoid chemotherap…

8523. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41693/psn-pdf
      July 02, 2014 - Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009. July 2, 2014 Shea JA, Weissman A, McKinney S, et al. Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009. Acad Med. 2012;87(7):889-94. doi:10.1097/ACM.0b013e3182582583. https://psnet.a…

8524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45875/psn-pdf
      May 10, 2017 - An improvement approach to integrate teaching teams in the reporting of safety events. May 10, 2017 Dunbar AE, Cupit M, Vath RJ, et al. An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. Pediatrics. 2017;139(2). doi:10.1542/peds.2015-3807. https://psnet.ahrq.gov/issue/improvemen…

8525. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47643/psn-pdf
      February 20, 2019 - Pro/con debate: color-coded medication labels. February 20, 2019 Janik LS, Vender JS,  Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75. https://psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels This pair of commentaries reviews the use of color-coded medications as an anesthesia safe…

8526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854834/psn-pdf
      January 01, 2024 - Bringing the equity lens to patient safety event reporting. October 25, 2023 Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003. https://psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-e…

8527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73396/psn-pdf
      June 16, 2021 - The impact of the built environment on patient falls in hospital rooms: an integrative review. June 16, 2021 Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi:10.1097/pts.0000000000000613. http…

8528. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42380/psn-pdf
      December 29, 2014 - Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. December 29, 2014 Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysi…

8529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45985/psn-pdf
      March 29, 2017 - Building a high-reliability organization: one system's patient safety journey. March 29, 2017 Building a high-reliability organization: one system's patient safety journey. J Healthc Manag. 2017;62. https://psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey High reliabil…

8530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34750/psn-pdf
      May 21, 2019 - The Basics of FMEA. 2nd ed. May 21, 2019 McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773. https://psnet.ahrq.gov/issue/basics-fmea-2nd-edition The authors provide a handbook that serves as the core tool for understanding and implementing the failure mode and effect analy…

8531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864352/psn-pdf
      March 13, 2024 - Creating a just culture in the perioperative setting. March 13, 2024 Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. doi:10.1002/aorn.14074. https://psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting Fear of retaliation by leaders or colleague…

8532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45832/psn-pdf
      April 05, 2017 - Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. April 5, 2017 Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017. https://psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety This report summarizes a wide…

8533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846162/psn-pdf
      July 01, 2020 - The effect of virtual nursing and missed nursing care. July 1, 2020 Schuelke S, Aurit S, Connot N, et al. The effect of virtual nursing and missed nursing care. Nurs Adm Q. 2020;44(3):280-287. doi:10.1097/naq.0000000000000419. https://psnet.ahrq.gov/issue/effect-virtual-nursing-and-missed-nursing-care The COVID-19…

8534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35809/psn-pdf
      February 25, 2015 - Stories from the sharp end: case studies in safety improvement. February 25, 2015 McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200 https://psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement This study shares the efforts of six different health care organizations in implementing intervent…

8535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43440/psn-pdf
      August 13, 2014 - Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. August 13, 2014 Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July 2014. NIHCR Research Brief No. 17. https://psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health…

8536. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46468/psn-pdf
      December 13, 2017 - The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. December 13, 2017 Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:10.1016/j.annemergmed.2017.03.0…

8537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44946/psn-pdf
      February 01, 2017 - Quality gaps identified through mortality review. February 1, 2017 Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review Inpatien…

8538. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42456/psn-pdf
      September 09, 2013 - A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). September 9, 2013 Mueller SK, Kripalani S, Stein J, et al. A toolkit to disseminate best practices in inpatient medication reconciliation: multi-center medicat…

8539. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41559/psn-pdf
      August 01, 2012 - Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.' August 1, 2012 Iedema R, Ball C, Daly B, et al. Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO'. BMJ Qual Saf. 2012;21(8):627-33. doi:10.1136/bmjqs-2011-000766. https://psnet.ahr…

8540. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837077/psn-pdf
      May 11, 2022 - At US hospitals, a drug mix-up is just a few keystrokes away. May 11, 2022 Kelman B. Kaiser Health News. April 29, 2022. https://psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away Technological solutions harbor unique risks that can result in patient harm. This article shares a response to report…