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Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853961/psn-pdf
    September 27, 2023 - Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space. September 27, 2023 Kotagal M, Falcone RA, Daugherty M, et al. Making a move: Using simulation to identify latent safety threats before the care of injured patients in a new physical space.…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844996/psn-pdf
    February 22, 2023 - In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study. February 22, 2023 Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitudinally identify and track late…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40753/psn-pdf
    September 07, 2011 - Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. September 7, 2011 Ali M, Osborne A, Bethune R, et al. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. J Patient Saf. 2011;7(3):139-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60887/psn-pdf
    September 09, 2020 - Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. September 9, 2020 Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Drug Saf. 2020;43(11):1073-1087. doi:10.1007/s40264…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39813/psn-pdf
    October 11, 2010 - Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. October 11, 2010 Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training program improves the c…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43670/psn-pdf
    November 12, 2014 - Incidents resulting from staff leaving normal duties to attend medical emergency team calls. November 12, 2014 Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Med J Aust. 2014;201(9):528-31. https://psnet.ahrq.gov/issue/in…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74178/psn-pdf
    December 15, 2021 - Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005. December 15, 2021 Rockville, MD: Agency for Healthcare Research and Quality; December 2021. AHRQ Publication No. 22- 0009. https://psnet.ahrq.gov/issue/strategies-improve-patient-safe…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837202/psn-pdf
    May 25, 2022 - Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods study. May 25, 2022 Johansson H, Lundgren K, Hagiwara MA. Reasons for bias in ambulance clinicians’ assessments of non- conveyed patients: a mixed-methods study. BMC Emerg Med. 2022;22(1):79. doi:10.1186/s12873-022- 006…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46660/psn-pdf
    October 18, 2018 - Using a network organisational architecture to support the development of Learning Healthcare Systems. October 18, 2018 Britto MT, Fuller SC, Kaplan HC, et al. Using a network organisational architecture to support the development of Learning Healthcare Systems. BMJ Qual Saf. 2018;27(11). doi:10.1136/bmjqs-2017- 0…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837297/psn-pdf
    June 01, 2022 - Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. June 1, 2022 Al-Khafaji J, Townshend RF, Townsend W, et al. Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework. BMJ Open. 2022;12(4):e058219. doi:10…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41702/psn-pdf
    November 07, 2018 - AHRQ patient safety project reduces bloodstream infections by 40 percent. November 7, 2018 Schmidt B. Patient Saf Qual Hcare. September 12, 2012. https://psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent The near elimination of central line–associated bloodstream infections…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42917/psn-pdf
    February 05, 2014 - The PROMISES Project. February 5, 2014 Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health Care for All; Massachusetts Medical Society; Massachusetts Departme…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38308/psn-pdf
    April 21, 2010 - Adverse-event-reporting practices by US hospitals: results of a national survey. April 21, 2010 Farley DO, Haviland A, Champagne S, et al. Adverse-event-reporting practices by US hospitals: results of a national survey. Qual Saf Health Care. 2008;17(6):416-23. doi:10.1136/qshc.2007.024638. https://psnet.ahrq.gov/i…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47733/psn-pdf
    April 27, 2019 - Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. April 27, 2019 Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 2019;45(4):231-240. doi:10.1016/j.jc…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72824/psn-pdf
    March 10, 2021 - Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals March 10, 2021 Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with antibiotic use and hospital-onset C…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44826/psn-pdf
    February 14, 2017 - Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. February 14, 2017 Winters BD, Bharmal A, Wilson RF, et al. Validity of the Agency for Health Care Research and Quality …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848040/psn-pdf
    April 26, 2023 - Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective cohort study. April 26, 2023 Barger LK, Weaver MD, Sullivan JP, et al. Impact of work schedules of senior resident physicians on patient and resident physician safety: nationwide, prospective co…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36364/psn-pdf
    February 14, 2017 - National surveillance of emergency department visits for outpatient adverse drug events. February 14, 2017 Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 2006;296(15):1858-66. https://psnet.ahrq.gov/issue/national-surveil…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37112/psn-pdf
    May 26, 2011 - The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study. May 26, 2011 Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and administration system on prescribing erro…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46361/psn-pdf
    May 23, 2018 - Inadequate hand-off communication. May 23, 2018 Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. https://psnet.ahrq.gov/issue/inadequate-hand-communication The Joint Commission publishes sentinel event alerts to draw attention to pressing or emerging safety issues and provide guidelines fo…
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