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Showing results for "implementing".

  1. Implicit bias and patient care: mitigating bias, preventing harm. | PSNet

    psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
    September 22, 2021 - EMERGING INNOVATIONS Implicit bias and patient care: mitigating bias, preventing harm. Citation Text: Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm. MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343. Copy Citation …

  2. National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. | PSNet

    psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
    September 23, 2020 - Study National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. Citation Text: Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…

  3. Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. | PSNet

    psnet.ahrq.gov/issue/failure-utilize-functions-electronic-prescribing-system-and-subsequent-generation-technically
    February 15, 2012 - Study Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. Citation Text: Baysari M, Reckmann MH, Li L, et al. Failure to utilize functions of an electronic prescribing system and the subsequent g…

  4. Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes. | PSNet

    psnet.ahrq.gov/issue/can-staff-and-patient-perspectives-hospital-safety-predict-harm-free-care-analysis-staff-and
    July 21, 2017 - Study Classic Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes. Citation Text: Lawton R, O'Hara JK, Sheard L, et al. Can staff and patient perspectives on …

  5. Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. | PSNet

    psnet.ahrq.gov/issue/primary-care-relevant-interventions-prevent-falling-older-adults-systematic-evidence-review
    May 27, 2020 - Review Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force. Citation Text: Michael YL, Whitlock EP, Lin JS, et al. Primary care-relevant interventions to prevent falling in older adults: a syst…

  6. Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. | PSNet

    psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
    August 18, 2021 - Study Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. Citation Text: Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…

  7. Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. | PSNet

    psnet.ahrq.gov/issue/development-and-applications-veterans-health-administrations-stratification-tool-opioid-risk
    April 01, 2020 - Study Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. Citation Text: Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans He…

  8. Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. | PSNet

    psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
    August 18, 2021 - Study Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. Citation Text: Wagner TH, Taylor T, Cowgill E, et al. Intended and unintended effects of large-scale adverse event disclosure: a controlled…

  9. Patient-specific electronic decision support reduces prescription of excessive doses. | PSNet

    psnet.ahrq.gov/issue/patient-specific-electronic-decision-support-reduces-prescription-excessive-doses
    November 02, 2010 - Study Patient-specific electronic decision support reduces prescription of excessive doses. Citation Text: Seidling HM, Schmitt SPW, Bruckner T, et al. Patient-specific electronic decision support reduces prescription of excessive doses. Qual Saf Health Care. 2010;19(5):e15. doi:10.113…

  10. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
    December 21, 2017 - Study Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. Citation Text: Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305…

  11. Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records. | PSNet

    psnet.ahrq.gov/issue/mortality-risks-associated-emergency-admissions-during-weekends-and-public-holidays-analysis
    September 02, 2020 - Study Classic Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records. Citation Text: Walker S, Mason A, Quan P, et al. Mortality risks associated with emergency admissions during weekend…

  12. 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England. | PSNet

    psnet.ahrq.gov/issue/matching-michigan-2-year-stepped-interventional-programme-minimise-central-venous-catheter
    April 29, 2015 - Study 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England. Citation Text: Bion J, Richardson A, Hibbert P, et al. 'Matching Michigan': a 2-year stepped interventional programme to …

  13. 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 …

  14. In Conversation With… Suchi Saria, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
    March 27, 2024 - In a way it's great, because it's building organizational muscle for implementing electronic systems

  15. 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…

  16. Diagnostic Safety Improvement | PSNet

    psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
    September 01, 2025 - The report includes comprehensive, broad-scope, actionable, and specific recommendations for implementing

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49801/psn-pdf
    August 01, 2017 - Given that many surgical deaths may be avoidable (4-9), hospitals are implementing care protocols to

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42151/psn-pdf
    December 21, 2014 - Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial. December 21, 2014 Desai SV, Feldman LS, Brown L, et al. Effect of the 2011 vs 2003 Duty Hour Regulation–Compliant Models on…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40711/psn-pdf
    August 24, 2011 - Clinical and safety impact of an inpatient pharmacist- directed anticoagulation service. August 24, 2011 Schillig J, Kaatz S, Hudson M, et al. Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. J Hosp Med. 2011;6(6):322-8. doi:10.1002/jhm.910. https://psnet.ahrq.gov/issue/clini…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38778/psn-pdf
    March 04, 2011 - What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior? March 4, 2011 Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior? J Am Med Inform Assoc. 2009;16(4):53…
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