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Showing results for "implemented".

201. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet
     psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
     February 12, 2020 - the nurse had worked a double shift the day before), failed safety systems (the hospital had recently implemented … A range of safety interventions were implemented as a result.

202. Two fatal cases of accidental intrathecal vincristine administration: learning from death events. | PSNet
     psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
     March 24, 2021 - intrathecal vincristine administration, this commentary describes how the health care organization implemented … High-priority drug-drug interaction clinical decision support overrides in a newly implemented

203. Process Decision Program Chart | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process-decision-program-chart
     January 01, 2023 - For each what-if element, BRAINSTORM POSSIBLE COUNTERMEASURES that could be implemented should the problem … EVALUATE EACH COUNTERMEASURE, considering areas such as how easily the countermeasure can be implemented

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47328/psn-pdf
     January 01, 2020 - hospital-penalty-system-revenue-neutral- hospital-acquired The Centers for Medicare and Medicaid Services (CMS) first implemented … In 2014, they implemented a value-based purchasing program (the Hospital-Acquired Condition Reduction

205. Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. | PSNet
     psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
     October 30, 2024 - The Centers for Medicare and Medicaid Services (CMS) first implemented a policy of nonpayment for specific … In 2014, they implemented a value-based purchasing program (the Hospital-Acquired Condition Reduction

206. Electronic prescribing in pediatrics: toward safer and more effective medication management. | PSNet
     psnet.ahrq.gov/issue/electronic-prescribing-pediatrics-toward-safer-and-more-effective-medication-management
     October 04, 2011 - statement outlines recommendations to ensure that electronic prescribing systems are designed and implemented … Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39197/psn-pdf
     January 06, 2010 - Since the regulations were implemented, clinical outcomes have been unaffected, but it remains unclear … recently issued recommendations for new duty hour regulations, and new regulations are expected to be implemented

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41611/psn-pdf
     November 23, 2012 - these alerts was examined in this Dutch study, which evaluated the degree to which hospital pharmacies implemented … the recommendations 2 years after they were issued, and only one of those recommendations had been implemented

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42836/psn-pdf
     January 08, 2014 - comparison-medication-safety-effectiveness-among-nine-critical-access- hospitals Approaches to reducing medication errors have not been uniformly implemented … These findings suggest that increased pharmacy support and bar coding should be implemented in rural

210. Discussion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication5.html
     July 01, 2024 - evidence focus on the following underexplored areas: How exceptions to information blocking are currently implemented … Strengths and limitations of currently implemented EHR systems for patient-facing test result communication

211. UChicago Medicine Reduces Perioperative Venous Thromboembolism with AHRQ's Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/uni-chicago-medicine.html
     February 01, 2024 - neurosurgery led to optimization of anticoagulation practices in the trauma patient population, which was implemented … neurosurgery led to optimization of anticoagulation practices in the trauma patient population, which was implemented

212. Six Building Blocks How-To-Implement Toolkit: Fast Track Approach Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-fasttrack.pdf
     January 12, 2021 - …are established but are not consistently implemented. … …are established and consistently implemented. … …are established but are not consistently implemented. … …are established and consistently implemented. … …exist but are only partially implemented. …exist and are consistently implemented.

213. Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes | PSNet
     psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
     February 26, 2025 - found that AMI 30-day standardized mortality rates decreased between 0.5% and 1.5% after the hospitals implemented … multidisciplinary patient care teams Additional care navigators Use By Other Organizations Prime has implemented … Interest has centered on how Prime implemented the social needs screening tools and how to conduct real-time … Date First Implemented 2018 Problem Addressed Recent research has … Based on these and other findings, Prime tailored the initiative to local needs and implemented it at

214. 57-Senior-Executives-Facilitator (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/57-senior-executives-facilitator.docx
     June 01, 2023 - · If your ISCR team has implemented process and you have data to share, consider sharing some of the … Slide 11 ISCR at [Hospital Name] Results If your ISCR team has implemented process and you have data … To date, we have implemented processes to improve [components of the ISCR pathway].

215. State at a Glance: Pennsylvania | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/demostates/pa.html
     March 01, 2019 - at a Glance: Pennsylvania Learn more about the CHIPRA quality demonstration projects being implemented … Using Health IT to Improve Child Health Care Quality CHOP and Geisinger have implemented electronic … To learn more about the projects being implemented in Pennsylvania under the CHIPRA Quality Demonstration

216. Exhibit 3.5. Chronology of Quality Improvement and Lean at the Parent Organization and Academic Medical Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-5.html
     November 01, 2014 -   New CEO hired for medical center                       X Lean implemented …   New CEO hired for medical center                         Lean implemented

217. Module-7-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-slides.pdf
     November 18, 2021 - This activity has been planned and implemented in accordance with the accreditation requirements and … involved in care coordination planning Without two interfacing EMRs, automatic referral can’t be implemented … elevator speech and communication of it, and leads the huddles until the AR order set is successfully implemented … entering AR order set • Representation on all shifts • AR Implementation Team mid-day huddle until implemented … practices w/ an EMR that can’t interface: Without two interfacing EMRs, automatic referral can’t be implemented

218. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
     September 01, 2005 - This paper describes the interventions implemented by the ASIPS project and our process for developing … Each intervention was customized to the particular practice in which it was implemented. … Instead, we implemented two large-scale, technology-driven interventions in a handful of practices. … These new interventions should be capable of being fully implemented, evaluated, and refined within … We implemented a process by which practicing clinicians and staff identified and prioritized problem

219. Making a Case for Organizational Change in Patient Safety Initiatives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
     January 01, 2003 - The strategy is implemented through configurations of organizational components consisting of work ( … (3) How is change implemented? (4) How is change institutionalized (i.e., made self-sustaining)? … Even if change is implemented successfully, there is always the risk that the organization may revert … Generally speaking, patient safety initiatives appear to be initiated and implemented by a small group … • Change must be implemented using support structures and multiple tactics integrated in a long-term

220. Safe Practices for Better Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
     April 01, 2004 - auditor can review a practitioner’s performance and reliably determine whether the practice is being implemented … Clinically appropriate preventive methods should be implemented consequent to the evaluation. 17. … Discussion The 30 NQF-endorsed Safe Practices identified should be implemented in applicable clinical … If fully implemented, the Safe Practices identified here should go a long way toward improving the safety … NQF supports widespread dissemination of information about these practices and that they be widely implemented