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Showing results for "implemented".

  1. Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. | PSNet

    psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and
    August 12, 2020 - Commentary Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Citation Text: Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. Ravitz AD, Sapirstein A, Pha…

  2. Random safety auditing, root cause analysis, failure mode and effects analysis. | PSNet

    psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis
    April 11, 2011 - Commentary Random safety auditing, root cause analysis, failure mode and effects analysis. Citation Text: Ursprung R, Gray J. Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. Clin Perinatol. 2010;37(1). doi:10.1016/j.clp.2010.01.008. Copy Citation Fo…

  3. Enhancing patient safety: improving the patient handoff process through appreciative inquiry. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-improving-patient-handoff-process-through-appreciative-inquiry
    April 10, 2024 - Commentary Enhancing patient safety: improving the patient handoff process through appreciative inquiry. Citation Text: Shendell-Falik N, Feinson M, Mohr BJ. Enhancing patient safety: improving the patient handoff process through appreciative inquiry. J Nurs Adm. 2007;37(2):95-104. C…

  4. Sustainability-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Module 4: Sustainability Sustainability Tool Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should comple…

  5. When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. | PSNet

    psnet.ahrq.gov/issue/when-err-inhuman-examination-influence-artificial-intelligence-driven-nursing-care-patient
    October 19, 2022 - Commentary When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. Citation Text: Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of artificial intelligence‐driven nursing car…

  6. The World Health Organization '5 moments of hand hygiene': the scientific foundation. | PSNet

    psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
    October 19, 2022 - Commentary The World Health Organization '5 moments of hand hygiene': the scientific foundation. Citation Text: Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…

  7. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. | PSNet

    psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
    August 04, 2021 - Study Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Citation Text: Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…

  8. Foreword | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/tools/confid-report/foreword.html
    February 01, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Previous Page Next Page Table of Contents Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance Foreword Introduction Part One: Physician Feedback Report Fundamentals …

  9. Perceptions of preventable medical errors in Alberta, Canada. | PSNet

    psnet.ahrq.gov/issue/perceptions-preventable-medical-errors-alberta-canada
    January 21, 2019 - Study Perceptions of preventable medical errors in Alberta, Canada. Citation Text: Northcott H, Vanderheyden L, Northcott J, et al. Perceptions of preventable medical errors in Alberta, Canada. Int J Qual Health Care. 2007;20(2):115-122. doi:10.1093/intqhc/mzm067. Copy Citation F…

  10. Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. | PSNet

    psnet.ahrq.gov/issue/relationship-incorrect-dosing-fibrinolytic-therapy-and-clinical-outcomes
    November 10, 2015 - Study Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. Citation Text: Mehta RH. Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes. JAMA. 2005;293(14). doi:10.1001/jama.293.14.1746. Copy Citation Format: DOI Googl…

  11. A handoff is not a telegram: an understanding of the patient is co-constructed. | PSNet

    psnet.ahrq.gov/issue/handoff-not-telegram-understanding-patient-co-constructed
    September 03, 2014 - Commentary A handoff is not a telegram: an understanding of the patient is co-constructed. Citation Text: Cohen MD, Hilligoss B, Amaral ACK-B. A handoff is not a telegram: an understanding of the patient is co-constructed. Crit Care. 2012;16(1):303. doi:10.1186/cc10536. Copy Citation…

  12. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

    psnet.ahrq.gov/issue/impact-teamwork-improvement-training-communication-and-teamwork-climate-ambulatory
    October 28, 2020 - Study Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive healt…

  13. Frequency, types, and potential clinical significance of medication-dispensing errors. | PSNet

    psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing-errors
    February 03, 2011 - Study Frequency, types, and potential clinical significance of medication-dispensing errors. Citation Text: Bohand X, Simon L, Perrier E, et al. Frequency, types, and potential clinical significance of medication-dispensing errors. Clinics (Sao Paulo). 2009;64(1):11-6. Copy Citation …

  14. University of Michigan: quality and safety in an academic medical center. | PSNet

    psnet.ahrq.gov/issue/university-michigan-quality-and-safety-academic-medical-center
    November 13, 2024 - Commentary University of Michigan: quality and safety in an academic medical center. Citation Text: Strong DL, Kin JM, Kratochwill EW, et al. University of Michigan: quality and safety in an academic medical center. Jt Comm J Qual Patient Saf. 2008;34(11):671-7. Copy Citation Forma…

  15. Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children. | PSNet

    psnet.ahrq.gov/issue/consensus-based-recommendations-standardizing-terminology-and-reporting-adverse-events
    December 22, 2018 - Commentary Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children. Citation Text: Bhatt M, Kennedy RM, Osmond MH, et al. Consensus-Based Recommendations for Standardizing Terminol…

  16. Findings from the ISMP Medication Safety Self-Assessment for hospitals. | PSNet

    psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-assessment-hospitals
    September 26, 2017 - Study Findings from the ISMP Medication Safety Self-Assessment for hospitals. Citation Text: Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597. Copy Citation Format: …

  17. 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 …

  18. Independent double-checks for high-alert medications: essential practice. | PSNet

    psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
    February 01, 2023 - Commentary Independent double-checks for high-alert medications: essential practice. Citation Text: Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing (Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc. Copy Citation …

  19. Health information exchange and patient safety. | PSNet

    psnet.ahrq.gov/issue/health-information-exchange-and-patient-safety
    February 03, 2011 - Review Health information exchange and patient safety. Citation Text: Kaelber DC, Bates DW. Health information exchange and patient safety. J Biomed Inform. 2007;40(6 Suppl):S40-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  20. Our other prescription drug problem. | PSNet

    psnet.ahrq.gov/issue/our-other-prescription-drug-problem
    May 17, 2017 - Commentary Our other prescription drug problem. Citation Text: Lembke A, Papac J, Humphreys K. Our Other Prescription Drug Problem. N Engl J Med. 2018;378(8):693-695. doi:10.1056/NEJMp1715050. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
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