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Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866642/psn-pdf
    September 04, 2024 - Learning from patient safety incidents: The Green Cross method. September 4, 2024 Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114. https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cro…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47520/psn-pdf
    February 06, 2019 - Improving patient safety in developing countries—moving towards an integrated approach. February 6, 2019 Elmontsri M, Banarsee R, Majeed A. Improving patient safety in developing countries - moving towards an integrated approach. JRSM Open. 2018;9(11):2054270418786112. doi:10.1177/2054270418786112. https://psnet.a…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43698/psn-pdf
    November 19, 2014 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. November 19, 2014 Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.2014.964873. https://psnet.ahrq.gov/i…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60359/psn-pdf
    May 20, 2020 - Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. May 20, 2020 ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9). https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone- overdose Lack of familiarity with sm…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864371/psn-pdf
    March 13, 2024 - The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. March 13, 2024 Facey M, Baxter NN, Hammond Mobilio M, et al. The ritualisation of the surgical safety checklist and its decoupling from patient safety goals. Sociol Health Illn. 2024;46(6):1100-1118. doi:10.1111/1467- …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43860/psn-pdf
    March 25, 2015 - Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. March 25, 2015 Webb J. Drug Topics. March 10, 2015. https://psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic- vigilance Pharmacies can serve as gatekeepers to ensure patients receive the corre…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72600/psn-pdf
    December 23, 2020 - Improving hospital safety culture for falls prevention through interdisciplinary health education. December 23, 2020 Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi:10.1177/1524839919840337. htt…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37430/psn-pdf
    February 01, 2011 - Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. February 1, 2011 Wald HL, Kramer AM. Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. JAMA. 2007;298(23):2782-4. doi:10.1001/jama.298.23.2782. https://psnet.ahrq.gov/issue/…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43783/psn-pdf
    January 14, 2015 - Improving the quality and safety of care on the medical ward: a review and synthesis of the evidence base. January 14, 2015 Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A review and synthesis of the evidence base. Eur J Intern Med. 2014;25(10):874-87. doi:…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44922/psn-pdf
    March 01, 2017 - Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. March 1, 2017 Korkiakangas T. Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. BMJ Qual Saf. 2017;26(3):177-188. doi:10.1136/bmjqs-2015-004887. https://psnet.ahrq.gov/issue/mobilising-team-who-sur…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851917/psn-pdf
    January 01, 2024 - Incivility in healthcare: the impact of poor communication. August 2, 2023 Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead. 2024;8(1):83-87. doi:10.1136/leader-2022-000717. https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication Incivi…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38332/psn-pdf
    January 14, 2009 - Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. January 14, 2009 Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health Care. 2008;17(6):454-8. doi:10.11…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46643/psn-pdf
    January 10, 2018 - The role of checklists and human factors for improved patient safety in plastic surgery. January 10, 2018 Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097/PRS.0000000000003892. https://psnet…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866698/psn-pdf
    September 11, 2024 - Can we ensure medication safety with the use of speech recognition software? September 11, 2024 Can we ensure medication safety with the use of speech recognition software? ISMP Medication Safety Alert! Acute Care. August 22, 2024;29(17):1-3. https://psnet.ahrq.gov/issue/can-we-ensure-medication-safety-use-speech-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47797/psn-pdf
    June 14, 2019 - The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. June 14, 2019 Stanisce L, Ahmad N, Deckard N, et al. The Impact of RVU-Based Compensation on Patient Safety Outcomes in Outpatient Otolaryngology Procedures. Otolaryngol Head Neck Surg. 2019;160(6):1003-1008. d…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47002/psn-pdf
    April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). April 25, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750. https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care- facilities-r18 Research …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46777/psn-pdf
    January 24, 2018 - Safety analysis over time: seven major changes to adverse event investigation. January 24, 2018 Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-4. https://psnet.ahrq.gov/issue/safe…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38988/psn-pdf
    October 07, 2009 - Resident duty-hour reform associated with increased morbidity following hip fracture. October 7, 2009 Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJS.H.01240. https://psnet.ahrq.gov/…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849135/psn-pdf
    May 17, 2023 - Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety White Paper Update. May 17, 2023 Moran JM, Bazan JG, Dawes SL, et al. Quality and Safety Considerations in Intensity Modulated Radiation Therapy: An ASTRO Safety White Paper Update. Pract Radiat Oncol. 2023;13(3):203-216. …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41606/psn-pdf
    February 01, 2019 - Safe use of opioids in hospitals. December 23, 2016 Sentinel Event Alert. 2012;49:1-5. https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals Opioid pain medications are considered high-risk medications due to the potential for respiratory depression and other adverse effects. Because these medications are freque…
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