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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45893/psn-pdf
    August 28, 2017 - Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. August 28, 2017 Mozaffar H, Cresswell K, Williams R, et al. Exploring the roots of unintended safety threats associated with …
  2. psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
    May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 3, 2021 Innovation…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33825/psn-pdf
    January 01, 2017 - Rethinking Root Cause Analysis January 1, 2016 Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis Annual Perspective 2016 Introduction Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73643/psn-pdf
    August 01, 2022 - ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay August 25, 2021 https://psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled- nursing Summary ECHO-Care Transitions (ECHO-CT) intends to ensure cont…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33779/psn-pdf
    March 01, 2015 - Handoffs and Transitions January 22, 2014 Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/handoffs-and-transitions Annual Perspective 2014 Despite recent efforts to promote clinical integration, the United States health care system remains highly fragmented. From it…
  6. psnet.ahrq.gov/issue/perioperative-patient-safety-correct-patient-correct-surgery-correct-side-multifaceted-cross
    December 21, 2011 - events October 9, 2019 Preventing nosocomial bloodstream infections (NBSIs) by implementing … February 1, 2023 Incident learning in pursuit of high reliability: implementing a comprehensive
  7. psnet.ahrq.gov/issue/assessing-value-electronic-prescribing-ambulatory-care-focus-group-study
    September 01, 2016 - February 21, 2015 View More Related Resources Impact of implementing … February 10, 2015 Implementing medication reconciliation in outpatient pediatrics.
  8. psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
    October 16, 2013 - RIS Download Citation Related Resources From the Same Author(s) Implementing … July 8, 2008 Grand rounds in methodology: key considerations for implementing machine
  9. psnet.ahrq.gov/issue/using-lean-automation-human-touch-improve-medication-safety-step-closer-perfect-dose
    September 16, 2015 - June 13, 2018 Implementing a bar-code medication administration system. … July 28, 2013 A network collaboration implementing technology to improve medication dispensing
  10. psnet.ahrq.gov/issue/beyond-communication-role-standardized-protocols-changing-health-care-environment
    October 12, 2011 - February 15, 2017 Implementing SBAR across a large multihospital health system. … March 2, 2012 Implementing handoff communication.
  11. psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients
    December 20, 2017 - September 14, 2022 Dynamic pocket card for implementing ISBAR in shift handover communication … April 17, 2024 Responding to medical errors — implementing the modern ethical paradigm
  12. psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
    November 12, 2014 - July 10, 2017 A QI initiative: implementing a patient handoff checklist for pediatric … February 8, 2017 Implementing a perioperative handoff tool to improve postprocedural
  13. psnet.ahrq.gov/issue/engineering-system-communication-safer-surgery
    January 18, 2013 - August 11, 2010 Implementing a pediatric surgical safety checklist in the OR and beyond … July 14, 2010 Implementing a pre-operative checklist to increase patient safety: a 1-
  14. psnet.ahrq.gov/issue/case-outcomes-communication-and-resolution-program-new-york-hospitals
    February 05, 2014 - RIS Download Citation Related Resources From the Same Author(s) Implementing … September 29, 2017 Challenges of implementing a communication-and-resolution program
  15. psnet.ahrq.gov/issue/making-doctors-better
    June 15, 2016 - May 15, 2013 The Patient Safety Institute demonstration project: a model for implementing … April 18, 2018 Implementing a systematic response to medication errors.
  16. psnet.ahrq.gov/issue/case-second-victim-support-program-pediatrics-successes-and-challenges-implementation
    October 26, 2016 - RIS Download Citation Related Resources From the Same Author(s) Implementing … August 5, 2020 Planning and implementing a systems-based patient safety curriculum in
  17. psnet.ahrq.gov/issue/pursuing-excellence-collaborative-engaging-first-year-residents-and-fellows-patient-safety
    September 15, 2011 - April 24, 2018 Enhancing patient safety in pediatric primary care: implementing a patient … Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing
  18. psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and
    March 30, 2011 - March 30, 2011 The role of housestaff in implementing medication reconciliation on admission … 2, 2011 View More Related Resources The role of housestaff in implementing
  19. psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
    February 02, 2011 - December 21, 2014 Implementing medication reconciliation in outpatient pediatrics. … December 18, 2014 The costs of developing, implementing, and operating a safety learning
  20. psnet.ahrq.gov/issue/enhancing-pediatric-perioperative-patient-safety
    January 28, 2015 - March 13, 2013 Implementing a surgical checklist: more than checking a box. … January 4, 2012 Implementing a pediatric surgical safety checklist in the OR and beyond

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