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Showing results for "implemented".

  1. Hospital do-not-resuscitate orders: why they have failed and how to fix them. | PSNet

    psnet.ahrq.gov/issue/hospital-do-not-resuscitate-orders-why-they-have-failed-and-how-fix-them
    May 13, 2009 - Review Hospital do-not-resuscitate orders: why they have failed and how to fix them. Citation Text: Yuen JK, Reid C, Fetters MD. Hospital do-not-resuscitate orders: why they have failed and how to fix them. J Gen Intern Med. 2011;26(7):791-7. doi:10.1007/s11606-011-1632-x. Copy Citatio…

  2. Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products | PSNet

    psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
    July 21, 2021 - Study Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Citation Text: Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…

  3. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. | PSNet

    psnet.ahrq.gov/issue/high-reliability-emergency-response-teams-hospital-improving-quality-and-safety-using-situ
    December 30, 2014 - Study High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. Citation Text: Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simu…

  4. Patient safety movement: history and future directions. | PSNet

    psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions
    February 21, 2015 - Review Patient safety movement: history and future directions. Citation Text: Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006. Copy Citation Format: DOI Google Scholar BibTe…

  5. Handovers from the OR to the ICU. | PSNet

    psnet.ahrq.gov/issue/handovers-or-icu
    January 03, 2017 - Commentary Handovers from the OR to the ICU. Citation Text: Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  6. Hospital complications: linking payment reduction to preventability. | PSNet

    psnet.ahrq.gov/issue/hospital-complications-linking-payment-reduction-preventability
    July 13, 2010 - Commentary Hospital complications: linking payment reduction to preventability. Citation Text: Averill RE, Hughes JS, Goldfield NI, et al. Hospital complications: linking payment reduction to preventability. Jt Comm J Qual Patient Saf. 2009;35(5):283-5. Copy Citation Format: …

  7. The economics of health care quality and medical errors. | PSNet

    psnet.ahrq.gov/issue/economics-health-care-quality-and-medical-errors
    August 19, 2020 - Commentary The economics of health care quality and medical errors. Citation Text: Andel C, Davidow SL, Hollander M, et al. The economics of health care quality and medical errors. J Health Care Finance. 2012;39(1):39-50. Copy Citation Format: Google Scholar PubMed BibTeX…

  8. ASHP guidelines on preventing medication errors in hospitals. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals-0
    May 09, 2014 - Organizational Policy/Guidelines Emerging Classic ASHP guidelines on preventing medication errors in hospitals. Citation Text: Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in Hospitals. Am J Health-Syst Phar…

  9. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-grand-rounds-and-acgmes-core-competencies
    November 16, 2022 - Commentary Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. Citation Text: Kravet SJ, Howell E, Wright SM. Morbidity and mortality conference, grand rounds, and the ACGME's core competencies. J Gen Intern Med. 2006;21(11):1192-4. Copy Citation …

  10. Near misses: paradoxical realities in everyday clinical practice. | PSNet

    psnet.ahrq.gov/issue/near-misses-paradoxical-realities-everyday-clinical-practice
    May 04, 2012 - Study Near misses: paradoxical realities in everyday clinical practice. Citation Text: Jeffs L, Affonso DD, Macmillan K. Near misses: paradoxical realities in everyday clinical practice. Int J Nurs Pract. 2008;14(6):486-94. doi:10.1111/j.1440-172X.2008.00724.x. Copy Citation Fo…

  11. How the physician's financial wellness could impact patient safety. | PSNet

    psnet.ahrq.gov/issue/how-physicians-financial-wellness-could-impact-patient-safety
    May 08, 2024 - Commentary How the physician's financial wellness could impact patient safety. Citation Text: Richards JL, Brook K. How the physician’s financial wellness could impact patient safety. Postgrad Med J. 2024;100(1182):276-278. doi:10.1093/postmj/qgad076. Copy Citation Format: …

  12. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. | PSNet

    psnet.ahrq.gov/issue/learning-disasters-improve-patient-safety-applying-generic-disaster-pathway-health-system
    June 23, 2010 - Commentary Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. Citation Text: Travaglia J, Hughes C, Braithwaite J. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system er…

  13. What causes prescribing errors in children? Scoping review. | PSNet

    psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
    September 09, 2015 - Review What causes prescribing errors in children? Scoping review. Citation Text: Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680. Copy Citation Format: DOI Google …

  14. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. | PSNet

    psnet.ahrq.gov/issue/factors-associated-reported-preventable-adverse-drug-events-retrospective-case-control-study
    November 16, 2022 - Study Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Citation Text: Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Ann Pharmacother. 2012;46…

  15. An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. | PSNet

    psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
    September 27, 2017 - Commentary An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. Citation Text: Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. Technovation. 2007;2…

  16. Development and validation of a tool to improve paediatric referral/consultation communication. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-tool-improve-paediatric-referralconsultation-communication
    May 25, 2011 - Study Development and validation of a tool to improve paediatric referral/consultation communication. Citation Text: Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. do…

  17. Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. | PSNet

    psnet.ahrq.gov/issue/addressing-delays-medication-administration-patients-transferred-hospital-nursing-home-pilot
    November 16, 2022 - Study Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. Citation Text: Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred …

  18. Nighttime and weekend medication error rates in an inpatient pediatric population. | PSNet

    psnet.ahrq.gov/issue/nighttime-and-weekend-medication-error-rates-inpatient-pediatric-population
    October 19, 2022 - Study Nighttime and weekend medication error rates in an inpatient pediatric population. Citation Text: Miller AD, Piro CC, Rudisill CN, et al. Nighttime and weekend medication error rates in an inpatient pediatric population. Ann Pharmacother. 2010;44(11):1739-46. doi:10.1345/aph.1P25…

  19. Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. | PSNet

    psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
    December 02, 2020 - Commentary Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Citation Text: Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …

  20. Beyond communication: the role of standardized protocols in a changing health care environment. | PSNet

    psnet.ahrq.gov/issue/beyond-communication-role-standardized-protocols-changing-health-care-environment
    October 12, 2011 - Study Beyond communication: the role of standardized protocols in a changing health care environment. Citation Text: Vardaman JM, Cornell P, Gondo MB, et al. Beyond communication: the role of standardized protocols in a changing health care environment.  Health Care Manage Rev. 2012;37…
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