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Showing results for "implemented".

9041. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - non‐weight‐based units. 37 Conversion to a single method of dosing (e.g., weight-based dosing) can be implemented

9042. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46546/psn-pdf
      January 10, 2018 - Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California. January 10, 2018 Shaikh U, Afsar-Manesh N, Amin AN, et al. Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care tra…

9043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45577/psn-pdf
      February 08, 2017 - EHR-related medication errors in two ICUs. February 8, 2017 Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag. 2017;36(3):6-15. doi:10.1002/jhrm.21259. https://psnet.ahrq.gov/issue/ehr-related-medication-errors-two-icus Despite the demonstrated success of technology …

9044. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837039/psn-pdf
      May 04, 2022 - The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. May 4, 2022 Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality an…

9045. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851912/psn-pdf
      August 02, 2023 - Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. August 2, 2023 Abramovich I, Matias B, Norte G, et al. Fatigue amongst anaesthesiology and intensive care trainees in Europe: a matter of concern. Eur J Anaesthesiol. 2023;40(8):587-595. doi:10.1097/eja.0000000000001849. ht…

9046. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44075/psn-pdf
      July 16, 2015 - Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. July 16, 2015 Hsu C-C, Chou C-L, Chen T-J, et al. Physicians Failed to Write Flawless Prescriptions When Computerized Physician Order Entry System Crashed. Clin Ther. 2015;37(5):1076-1080.e1. doi:10.1016/j.cli…

9047. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866962/psn-pdf
      October 16, 2024 - Diagnostic Excellence– Age-Friendly Health Systems (DxEx–AFHS) Seed Grant Program Improving Diagnosis for Older Adults. October 16, 2024 Boston, MA: Institute for Healthcare Improvement; September 23, 2024. https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant- progra…

9048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47612/psn-pdf
      February 27, 2019 - The impact of computerised physician order entry and clinical decision support on pharmacist–physician communication in the hospital setting: a qualitative study. February 27, 2019 Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and clinical decision support on pharm…

9049. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44370/psn-pdf
      November 20, 2015 - Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. November 20, 2015 Smith CJ, Britigan DH, Lyden E, et al. Interunit handoffs from emergency department to inpatient care: A cross-sectional survey of physicians at a university medi…

9050. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35398/psn-pdf
      February 24, 2011 - Residency work-hours reform: a cost analysis including preventable adverse events. February 24, 2011 Nuckols TK, Escarce JJ. Residency work-hours reform. A cost analysis including preventable adverse events. J Gen Intern Med. 2005;20(10):873-8. https://psnet.ahrq.gov/issue/residency-work-hours-reform-cost-analysis…

9051. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867381/psn-pdf
      December 18, 2024 - Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. December 18, 2024 Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Br J Clin Pharm…

9052. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35134/psn-pdf
      June 22, 2009 - Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. June 22, 2009 Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster- randomised controlled trial. Lancet. 2005;365(9477):2091-7. https://psnet.ahrq.gov/issue/introducti…

9053. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47077/psn-pdf
      May 23, 2018 - World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. May 23, 2018 Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards fo…

9054. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36348/psn-pdf
      March 09, 2009 - Reducing medical error in the Military Health System: how can team training help? March 9, 2009 Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006. https://psnet.ahrq.g…

9055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34916/psn-pdf
      March 09, 2009 - Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. March 9, 2009 Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective st…

9056. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851070/psn-pdf
      June 28, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. June 28, 2023 Santhosh L, Cornell E, Rojas JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2023. AHRQ Publication No. 23-0040-1-EF. https://psnet.ahrq.gov/issue/diagnostic-s…

9057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45296/psn-pdf
      September 21, 2016 - Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. September 21, 2016 Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 2016;73(15):1167-73. doi:10.214…

9058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47399/psn-pdf
      November 14, 2018 - Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine. November 14, 2018 Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and Patient Safety Competency Requirements Ac…

9059. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43141/psn-pdf
      April 30, 2014 - Engaging residents and fellows to improve institution- wide quality: the first six years of a novel financial incentive program. April 30, 2014 Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program.…

9060. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73217/psn-pdf
      May 05, 2021 - Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. May 5, 2021 Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questi…