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psnet.ahrq.gov/node/49853/psn-pdf
February 01, 2019 - interventions.(1,4) For example, one study reported a significant reduction
of unexpected events after implementing
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psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - • Improving communication by implementing multiple systems-based
changes, using both e-methods and
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - administration
– Health systems have made attempts to decrease the likelihood of
adverse drug events by implementing
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psnet.ahrq.gov/node/850362/psn-pdf
June 14, 2023 - Implementing BCMA technology as part of the discharge
process, as a step in returning home medications
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - Pharmacy respondents reported managing drug shortages by changing to therapeutic alternatives (97%), implementing
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psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - can promote standardized safe ordering practices.( 8,9 ) General principles should be followed when implementing
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.167_slideshow.ppt
January 01, 2008 - approaches to formal organized forums for discussion of errors
Institutional efforts should focus on implementing
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psnet.ahrq.gov/node/33666/psn-pdf
October 01, 2008 - Therefore, it is essential that hospitals assess the safety of patients in isolation for MRSA
before implementing
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psnet.ahrq.gov/node/49599/psn-pdf
February 23, 2010 - Nonetheless, implementing such guidelines within health care
systems may allow providers to follow clear
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psnet.ahrq.gov/node/33763/psn-pdf
March 01, 2014 - lines, urinary catheters,
ventilators, surgical implants, hemodialysis) and surgical site infections; implementing
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psnet.ahrq.gov/node/49751/psn-pdf
January 01, 2016 - Health care facilities should strongly consider
implementing the ONC SAFER Guides to conduct self-assessments
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psnet.ahrq.gov/node/853772/psn-pdf
September 27, 2023 - Pharmacy
respondents reported managing drug shortages by changing to therapeutic alternatives (97%),
implementing
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psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
February 01, 2017 - New Insights About Team Training From a Decade of TeamSTEPPS
David P. Baker, PhD; James B. Battles, PhD; Heidi B. King, MS | February 1, 2017
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Baker DP, King HB, Battles J. New Ins…
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psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
February 01, 2017 - In Conversation With… Amy C. Edmondson, PhD, AM
February 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Amy C. Edmondson, PhD, AM. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…
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psnet.ahrq.gov/node/35155/psn-pdf
April 03, 2008 - Safer Healthcare Now!
April 3, 2008
Canadian Patient Safety Institute.
https://psnet.ahrq.gov/issue/safer-healthcare-now
Originally launched in 2005, this campaign seeks to implement evidence-based strategies to improve
patient safety in Canadian hospitals. In April 2008, the initiative added four new intervention…
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psnet.ahrq.gov/node/37152/psn-pdf
September 05, 2007 - Why pay for mistakes?
September 5, 2007
https://psnet.ahrq.gov/issue/why-pay-mistakes
Recently, CMS ruled that Medicare will no longer cover certain preventable errors. In this op-ed piece, the
author discusses why this new rule will drive hospitals to implement safety measures.
https://psnet.ahrq.gov/issue/why-pa…
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psnet.ahrq.gov/node/33938/psn-pdf
December 18, 2008 - Dana-Farber Cancer Institute Principles of a Fair and Just
Culture.
December 18, 2008
Dana-Farber Cancer Institute.
https://psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture
Dana-Farber Cancer Institute defines a "just culture" and illustrates how to implement and sustain it.
http…
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psnet.ahrq.gov/node/39608/psn-pdf
November 21, 2016 - Institute for Patient- and Family- Centered Care.
November 21, 2016
IPFFC. PO Box 6397, McLean, VA 22106.
https://psnet.ahrq.gov/issue/institute-patient-and-family-centered-care
This organization provides a variety of resources, including webinars and implementation tools, to engage
patients and their family membe…
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - DEPARTMENT
A case highlighting the risks of procedural sedation in non-
surgical settings and the value of implementing … – Specifically, it a highlights the value of implementing system-wide safety protocols and
practices
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psnet.ahrq.gov/node/37073/psn-pdf
August 01, 2007 - An Amendment of the Medical Care Availability and
Reduction of Error (Mcare) Act.
August 1, 2007
Pennsylvania General Assembly.
https://psnet.ahrq.gov/issue/amendment-medical-care-availability-and-reduction-error-mcare-act
This bill requires that Pennsylvania hospitals and nursing homes implement an internal infec…