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Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47630/psn-pdf
    February 27, 2019 - Teaching about diagnostic errors through virtual patient cases: a pilot exploration. February 27, 2019 Geha R, Trowbridge RL, Dhaliwal G, et al. Teaching about diagnostic errors through virtual patient cases: a pilot exploration. Diagnosis (Berl). 2018;5(4):223-227. doi:10.1515/dx-2018-0023. https://psnet.ahrq.gov…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837154/psn-pdf
    May 18, 2022 - Survey shows room for improvement with three new best practices for hospitals. May 18, 2022 ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.  https://psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals Practice changes take time to be fully incorporate…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42117/psn-pdf
    March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a systematic review. March 20, 2013 Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45752/psn-pdf
    January 11, 2017 - TeamSTEPPS in long-term care- an academic partnership: part 1 and part 2. January 11, 2017 Roman TC, Abraham K, Dever K. TeamSTEPPS in Long-Term Care-An Academic Partnership: Part I. J Contin Educ Nurs. 2016;47(11):490-492. doi:10.3928/00220124-20161017-06. https://psnet.ahrq.gov/issue/teamstepps-long-term-care-ac…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60983/psn-pdf
    October 07, 2020 - A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. October 7, 2020 Deacon A, O’Neill T, Delaloye N, et al. A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. Hosp Pediatr. 2020;10(9):758-766. doi:10.1542/hpeds.…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45297/psn-pdf
    July 13, 2016 - Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. July 13, 2016 Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. BMJ. …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47872/psn-pdf
    March 27, 2019 - Overview of the Environmental Scan of Primary Care- Based Effort To Reduce Readmissions. March 27, 2019 Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2019. AHRQ Publication No. 18(19)-0055-EF. https://psnet.ahrq.gov/issue/overview-environmental-scan-primar…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866256/psn-pdf
    July 10, 2024 - Disclosure programmes in the US--an inadequate response to medical error. July 10, 2024 Handley GM. Disclosure programmes in the US—an inadequate response to medical error. BMJ. 2024;385:q1318. doi:10.1136/bmj.q1318. https://psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error Communica…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40162/psn-pdf
    December 29, 2014 - Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. December 29, 2014 Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. Int J Qual Health Care…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44378/psn-pdf
    August 05, 2015 - Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. August 5, 2015 Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 2015;41(8):351-60. https://psnet.ahrq.gov…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837630/psn-pdf
    July 06, 2022 - Mandating limits on workload, duty, and speed in radiology. July 6, 2022 Alexander R, Waite S, Bruno MA, et al. Mandating limits on workload, duty, and speed in radiology. Radiology. 2022:212631. doi:10.1148/radiol.212631. https://psnet.ahrq.gov/issue/mandating-limits-workload-duty-and-speed-radiology To reduce m…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855436/psn-pdf
    November 15, 2023 - Medication Safety for Look-alike, Sound-alike Medicines. November 15, 2023 Galappatthy P, Mair A, Dhingra-Kumar N et al. Geneva, Switzerland: World Health Organization; 2023. ISBN 9789240058897. https://psnet.ahrq.gov/issue/medication-safety-look-alike-sound-alike-medicines Look-alike, sound-alike (LASA) medicines…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60949/psn-pdf
    September 23, 2020 - Why accountability sharing in health care organizational cultures means patients are probably safer. September 23, 2020 Eng DM, Schweikart SJ. AMA J Ethics. 2020;22(9):e779-e783. https://psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means- patients-are-probably The recognitio…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45904/psn-pdf
    October 24, 2017 - Addressing physician burnout: the way forward. October 24, 2017 Shanafelt TD, Dyrbye LN, West CP. Addressing Physician Burnout: The Way Forward. JAMA. 2017;317(9):901-902. doi:10.1001/jama.2017.0076. https://psnet.ahrq.gov/issue/addressing-physician-burnout-way-forward Burnout can diminish both patient safety and …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44088/psn-pdf
    May 13, 2015 - Safety culture and care: a program to prevent surgical errors. May 13, 2015 Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. https://psnet.ahrq.gov/issue/safety-culture-and-care-program-prev…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38668/psn-pdf
    June 10, 2009 - User satisfaction with computerized order entry system and its effect on workplace level of stress. June 10, 2009 Ghahramani N, Lendel I, Haque R, et al. User satisfaction with computerized order entry system and its effect on workplace level of stress. J Med Syst. 2009;33(3):199-205. https://psnet.ahrq.gov/issue/…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46640/psn-pdf
    August 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48039/psn-pdf
    August 07, 2019 - Utilization of a role-based head covering system to decrease misidentification in the operating room. August 7, 2019 Rosen DA, Criser AL, Petrone AB, et al. Utilization of a Role-Based Head Covering System to Decrease Misidentification in the Operating Room. J Patient Saf. 2019;15(4):e90-e93. doi:10.1097/PTS.00000…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842434/psn-pdf
    June 01, 2024 - AHRQ Safety Program for Telemedicine. January 22, 2024 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-safety-program-telemedicine Telemedicine efforts harbor both risk and reward to patients and clinicians. The AHRQ Safety Program for Telemedicine is a national effort to develop and …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46298/psn-pdf
    October 18, 2017 - CVS taps a design legend to reinvent the prescription label. Next stop: the pharmacy. October 18, 2017 Kuang C. Fast Company. October 4, 2017. https://psnet.ahrq.gov/issue/cvs-taps-design-legend-reinvent-prescription-label-next-stop-pharmacy Complicated systems often require more than one change to improve their s…
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