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Showing results for "implementing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33808/psn-pdf
    May 01, 2016 - Because many hospitals prohibit this kind of change without a physician order or sign-off by two nurses, implementing

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49826/psn-pdf
    April 01, 2018 - Implementing time-outs and/or procedural pauses can help mitigate the adverse impact of interruptions

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49755/psn-pdf
    February 01, 2016 - Alerting physicians to duplicate sleep aid therapies and implementing hard stops in provider order entry

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49745/psn-pdf
    October 01, 2015 - Implementing steps to reduce errors related to look-alike and sound-alike medications, utilization of

  5. Multifactorial Medication Mishap | PSNet

    psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
    September 01, 2016 - SPOTLIGHT CASE Multifactorial Medication Mishap Citation Text: Yang A. Multifactorial Medication Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNot…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33828/psn-pdf
    March 01, 2017 - In Conversation With… Mary Dixon-Woods, DPhil March 1, 2017 In Conversation With… Mary Dixon-Woods, DPhil. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil Editor's note: Dr. Dixon-Woods is RAND Professor of Health Services Research at Cambridge University and Deputy …

  7. Telehealth and Patient Safety During the COVID-19 Response | PSNet

    psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
    May 14, 2020 - Before COVID, while there was interest there were many barriers to implementing telemedicine services … One of the challenges that I’m experiencing with implementing the technology is that it is being rolled … KH : As you’re implementing this system, are there any patient safety concerns that this is raising for

  8. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet

    psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
    September 01, 2011 - allocates financial resources to support safety interventions, solicits input from frontline providers when implementing … industries and nations recently described five complementary kinds of feedback.( 17 ) With regards to implementing … May 24, 2023 Implementing computerized provider order entry in acute care hospitals in

  9. Safety Considerations in Building a Point-of-Care Ultrasound Program | PSNet

    psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
    June 01, 2018 - Prioritizing patient safety in building and implementing a POCUS program involves careful attention and … effusion, but out of scope to make determinations regarding valvular pathology.( 9 , 11 ) Defining and implementing … in and supporting this person is probably the single most important factor in safely developing and implementing

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33848/psn-pdf
    December 01, 2017 - The Evolution of Patient Safety in Surgery December 1, 2017 Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/evolution-patient-safety-surgery Perspective In 1979, 20 years before the Institute of Medicine's To Err Is Human report (1) catalyzed the cr…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33613/psn-pdf
    May 01, 2005 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience May 1, 2005 Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience Pe…

  12. In Conversation With… Edward Kelley, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
    December 01, 2014 - In Conversation With… Edward Kelley, PhD December 1, 2014  Also Read an Essay Citation Text: In Conversation With… Edward Kelley, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …

  13. In Conversation With… Tejal K. Gandhi, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
    February 26, 2025 - safety, but they are decided in one-off situations instead of having a standard for how we should be implementing

  14. Interpreting the Patient Safety Literature | PSNet

    psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
    June 01, 2005 - And the project leader needs to make sure that the staff are aware of the evidence for change and implementing

  15. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure. | PSNet

    psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
    November 16, 2022 - &M Cases One Bronchoscopy, Two Errors January 1, 2019 Implementing

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837791/psn-pdf
    August 05, 2022 - Patient Safety in the Ambulatory Care Setting August 5, 2022 Schiff G, Mossburg SE, Dowell P, et al. Patient Safety in the Ambulatory Care Setting. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting Introduction There is no way to review the year 2021 in quality and …

  17. Addressing the quality and safety gap—parts I-III. | PSNet

    psnet.ahrq.gov/issue/addressing-quality-and-safety-gap-parts-i-iii
    January 17, 2024 - Book/Report Addressing the quality and safety gap—parts I-III. Citation Text: Addressing the quality and safety gap—parts I-III. Princeton, NJ: Robert Wood Johnson Foundation; November 2010. Copy Citation Save Save to your library Print Downlo…

  18. Principles of Risk Management and Patient Safety. | PSNet

    psnet.ahrq.gov/issue/principles-risk-management-and-patient-safety
    March 27, 2005 - Book/Report Principles of Risk Management and Patient Safety. Citation Text: Principles of Risk Management and Patient Safety. Youngberg BJ, ed. Sudbury, MA: Jones Bartlett; 2011. ISBN: 9780763774059. Copy Citation Save Save to your library Print Downloa…

  19. Calculating the cost of medication errors: a systematic review of approaches and cost variables. | PSNet

    psnet.ahrq.gov/issue/calculating-cost-medication-errors-systematic-review-approaches-and-cost-variables
    November 06, 2024 - Review Calculating the cost of medication errors: a systematic review of approaches and cost variables. Citation Text: Ranasinghe S, Nadeshkumar A, Senadheera S, et al. Calculating the cost of medication errors: a systematic review of approaches and cost variables. BMJ Open Qual. 2024;13…

  20. Solving the puzzle: improving safety outcomes. | PSNet

    psnet.ahrq.gov/issue/solving-puzzle-improving-safety-outcomes
    September 07, 2022 - Commentary Solving the puzzle: improving safety outcomes. Citation Text: Solving the puzzle: improving safety outcomes. Whitehouse D. Br J Healthc Manage. 2013;19(9):446-448. Copy Citation Save Save to your library Print Download PDF Share …
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