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Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44877/psn-pdf
    April 27, 2016 - Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. April 27, 2016 Washington, DC: United States Government Accountability Office; January 5, 2016. Publication GAO-16- 158. https://psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and- pre…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44887/psn-pdf
    March 16, 2016 - Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. March 16, 2016 Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45420/psn-pdf
    December 04, 2016 - Patients' perception of types of errors in palliative care—results from a qualitative interview study. December 4, 2016 Kiesewetter I, Schulz CM, Bausewein C, et al. Patients' perception of types of errors in palliative care - results from a qualitative interview study. BMC Palliat Care. 2016;15(1):75. doi:10.1186/…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73888/psn-pdf
    September 29, 2021 - Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: a systematic review. September 29, 2021 Koeck JA, Young NJ, Kontny U, et al. Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47308/psn-pdf
    December 21, 2018 - Improving pediatric electronic health record usability and safety through certification: seize the day. December 21, 2018 Ratwani RM, Moscovitch B, Rising JP. Improving Pediatric Electronic Health Record Usability and Safety Through Certification: Seize the Day. JAMA Pediatr. 2018;172(11):1007-1008. doi:10.1001/ja…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46094/psn-pdf
    July 11, 2017 - Hiding in plain sight—resurrecting the power of inspecting the patient. July 11, 2017 Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634. https://psnet.ahrq.gov/issue/hiding-plain-sight-resur…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35850/psn-pdf
    May 27, 2011 - Computerization can create safety hazards: a bar-coding near miss. May 27, 2011 McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6. https://psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss This case study shares the …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45645/psn-pdf
    November 16, 2016 - Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study. November 16, 2016 Reime MH, Johnsgaard T, Kvam FI, et al. Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to cl…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42513/psn-pdf
    January 15, 2014 - A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. January 15, 2014 Brilli RJ, McClead RE, Crandall W, et al. A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. J Pediat…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35365/psn-pdf
    February 17, 2011 - Accidental deaths, saved lives, and improved quality. February 17, 2011 Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157. https://psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-qua…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37277/psn-pdf
    July 28, 2010 - Drug selection errors in relation to medication labels: a simulation study. July 28, 2010 Garnerin P, Perneger T, Chopard P, et al. Drug selection errors in relation to medication labels: a simulation study. Anaesthesia. 2007;62(11):1090-4. https://psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-lab…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42156/psn-pdf
    April 03, 2013 - The effect of a checklist on the quality of post- anaesthesia patient handover: a randomized controlled trial. April 3, 2013 Salzwedel C, Bartz H-J, Kühnelt I, et al. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Int J Qual Health Care. 2013;25(2):176…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41515/psn-pdf
    July 02, 2014 - Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. July 2, 2014 Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. Acad Med. 2012;87(7):895-903.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843321/psn-pdf
    February 01, 2023 - Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. February 1, 2023 ISMP Medication Safety Alert! Acute care edition. January 12, 2023;28(1):1-4. https://psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event- reach-patient …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60938/psn-pdf
    January 23, 2020 - A model for improving health care quality for transgender and gender nonconforming patients. January 23, 2020 Ding JM, Ehrenfeld JM, Edmiston EK, et al. A model for improving health care quality for transgender and gender nonconforming patients. Jt Comm J Qual Patient Saf. 2020;46(1):37-43. doi:10.1016/j.jcjq.2019…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47747/psn-pdf
    March 13, 2019 - A piece of my mind. Hard times and hard stops. March 13, 2019 Lifflander AL. Hard Times and Hard Stops. JAMA. 2019;321(9):837-838. doi:10.1001/jama.2019.1208. https://psnet.ahrq.gov/issue/piece-my-mind-hard-times-and-hard-stops Implementing new information systems can have unintended consequences on processes. This…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45626/psn-pdf
    October 29, 2017 - The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy. October 29, 2017 Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chem…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73296/psn-pdf
    May 19, 2021 - AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. May 19, 2021 Agency for Healthcare Research and Quality. May 3, 2021. Fed Register. 2021;86(83):23366-23369. https://psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-pre…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848082/psn-pdf
    April 26, 2023 - Adopting high reliability organization principles to lead a large scale clinical transformation. April 26, 2023 Pozzobon LD, Lam J, Chimonides E, et al. Adopting high reliability organization principles to lead a large scale clinical transformation. Healthc Manage Forum. 2023;36(4):241-245. doi:10.1177/08404704231…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40984/psn-pdf
    September 01, 2016 - Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. September 1, 2016 Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downstream of CPOE alerts. J Am Med …
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