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Showing results for "implementing".

6001. Toolkits | PSNet
      psnet.ahrq.gov/toolkits
      March 01, 2025 - Toolkits Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols. Want to submit a Toolkit? Has your organization deve…

6002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857259/psn-pdf
      November 30, 2023 - Medication Mix-Up Leads to Patient Death November 30, 2023 Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death The Case  An 81-year-old man was transferred from an outside hospital and admitted to the intensive car…

6003. Medication Mix-Up Leads to Patient Death | PSNet
      psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
      July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX En…

6004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49543/psn-pdf
      September 01, 2007 - Medication Reconciliation: Whose Job Is It? September 1, 2007 Poon EG. Medication Reconciliation: Whose Job Is It? PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it Case Objectives Appreciate the prevalence and impact of medication discrepancies at times of transition in …

6005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861838/psn-pdf
      January 31, 2024 - Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling January 31, 2024 https://psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling Summary Adverse events resulting from medications are a common occurrence that often go undetected, unreported, and unaddressed.1 The imp…

6006. In Conversation with…Donald M. Berwick, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
      November 01, 2005 - Knowing that hospitals around the United States and the world are implementing RRTs, which address what

6007. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
      March 27, 2024 - While certain specialties have already found success by implementing AI, and the research continues to … organizations that are integrating AI, would you suggest looking at current strategies and practices for implementing … Implementing AI is going to require more creativity, and large language models will remove a lot of barriers

6008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49847/psn-pdf
      November 01, 2018 - Written Signout: It Only Works If You Use The Right One November 1, 2018 Lewis K, Rosenbluth G. Written Signout: It Only Works If You Use The Right One. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one The Case A 75-year-old man was hospitalized due to a stro…

6009. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer | PSNet
      psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
      February 26, 2025 - “thoughtful” and “collaborative.” 1 Planning and Development Process Key steps in planning and implementing

6010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851389/psn-pdf
      July 31, 2023 - Planning and Development Process Key steps in planning and implementing the innovation are as follows

6011. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73121/psn-pdf
      April 07, 2021 - The impact of introducing automated dispensing cabinets, barcode medication administration, and closed- loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review. April 7, 2021 Zheng WY, Lichtner V, Van Dort BA, et al. The impact of intr…

6012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37622/psn-pdf
      May 26, 2011 - Effect of computer order entry on prevention of serious medication errors in hospitalized children. May 26, 2011 Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious medication errors in hospitalized children. Pediatrics. 2008;121(3):e421-e427. doi:10.1542/peds.2007- 022…

6013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38553/psn-pdf
      April 14, 2010 - The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. April 14, 2010 van Rosse F, Maat B, Rademaker CMA, et al. The effect of computerized physician order entry on medication prescription errors and clinical out…

6014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42900/psn-pdf
      September 19, 2016 - Suicide attempts and completions on medical-surgical and intensive care units. September 19, 2016 Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141. https://psnet.ahrq.gov/issue/suicide-attempts-and-compl…

6015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46859/psn-pdf
      January 01, 2020 - Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application. June 13, 2018 Collins SA, Couture B, Smith A, et al. Mixed-Methods Evaluation of Real-Time Safety Reporting by Hospitalized Patients and Their Care Partners. J Patient Saf. 2020;16(2…

6016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37363/psn-pdf
      February 03, 2011 - Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital. February 3, 2011 Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's Hospital. JAMA. 2007;298(19):2267-74. h…

6017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46323/psn-pdf
      October 29, 2017 - Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. October 29, 2017 O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A National Survey. Jt Comm J Qual Patie…

6018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44374/psn-pdf
      August 12, 2015 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014. August 12, 2015 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration--2014. Am J Health Syst Pharm. 2015;72(13):1119-37. doi:10.21…

6019. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39730/psn-pdf
      December 21, 2014 - Surgical case listing accuracy: failure analysis at a high- volume academic medical center. December 21, 2014 Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archsurg.2010.112. https://psnet.a…

6020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38401/psn-pdf
      February 18, 2011 - Trends in primary care clinician perceptions of a new electronic health record. February 18, 2011 El-Kareh R, Gandhi TK, Poon EG, et al. Trends in primary care clinician perceptions of a new electronic health record. J Gen Intern Med. 2009;24(4):464-8. doi:10.1007/s11606-009-0906-z. https://psnet.ahrq.gov/issue/tr…