Results

Total Results: over 10,000 records

Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44626/psn-pdf
    November 04, 2015 - "SWARMing" to improve patient care: a novel approach to root cause analysis. November 4, 2015 Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501. https://psnet.ahrq.gov/issue/swarming-improve-patient-care-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48008/psn-pdf
    May 22, 2019 - Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. May 22, 2019 Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106. https://psnet.ahrq.gov/issue/patients-d…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866587/psn-pdf
    January 01, 2025 - Professionalising patient safety? Findings from a mixed- methods formative evaluation of the patient safety specialist role in the English National Health Service. August 28, 2024 Martin G, Pralat R, Waring J, et al. Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patien…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36577/psn-pdf
    January 12, 2011 - Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. January 12, 2011 Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. Obstet Gyneco…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37386/psn-pdf
    January 06, 2017 - Medication reconciliation in ambulatory oncology. January 6, 2017 Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7. https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology The Joint Commission mandates systems…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866583/psn-pdf
    August 28, 2024 - Assessing the STOPS framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and a bridge to abridging burnout. August 28, 2024 D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative errors: evidence of efficacy, hints of hubris, and …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38863/psn-pdf
    August 12, 2009 - Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. August 12, 2009 Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qual Saf Health Care. 2009;18(4):2…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37499/psn-pdf
    January 10, 2017 - Medicare's decision to withhold payment for hospital errors: the devil is in the details. January 10, 2017 Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23. https://psnet.ahrq.gov/issue/medicares-deci…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44042/psn-pdf
    November 03, 2015 - Deployment of rapid response teams by 31 hospitals in a statewide collaborative. November 3, 2015 Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Jt Comm J Qual Patient Saf. 2015;41(4):186-191. https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-…
  10. psnet.ahrq.gov/issue/when-doctor-too-old-job
    March 04, 2020 - Newspaper/Magazine Article When is a doctor too old for the job? Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 18, 2019 Potential deterioration of an aging surgeon's…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60057/psn-pdf
    March 18, 2020 - How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties. March 18, 2020 Wæhle HV, Haugen AS, Wiig S, et al. How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethn…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36246/psn-pdf
    October 21, 2010 - Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. October 21, 2010 Rosen AK, Zhao S, Rivard PE, et al. Tracking rates of Patient Safety Indicators over time: lessons from the Veterans Administration. Med Care. 2006;44(9):850-61. https://psnet.ahrq.gov/issue/tracking-r…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72741/psn-pdf
    February 17, 2021 - The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. February 17, 2021 Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health system’s response to airway complications in mechanically…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38877/psn-pdf
    April 08, 2011 - Computerized order entry with limited decision support to prevent prescription errors in a PICU. April 8, 2011 Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-940. doi:10.1542/peds.2008-2737. https…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72468/psn-pdf
    November 18, 2020 - Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. November 18, 2020 Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Eff…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840153/psn-pdf
    November 16, 2022 - Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. November 16, 2022 Welch-Horan TB, Mullan PC, Momin Z, et al. Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-w…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854818/psn-pdf
    October 25, 2023 - The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. October 25, 2023 van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical laboratory testing process lea…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50824/psn-pdf
    January 22, 2020 - Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training. January 22, 2020 Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30?day in?hospital mortality in hospitals with and without crew?resource?management safety training. Res Nurs Health. 201…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48143/psn-pdf
    January 01, 2020 - Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. August 7, 2019 Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. BMJ Qual Saf. 2020;29(…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72774/psn-pdf
    February 24, 2021 - Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross- sectional observational study. February 24, 2021 de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug events causing hospitalisation…

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

You selected to view results for the following site: