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Showing results for "implementing".

  1. Understanding and preventing vaccination errors. | PSNet

    psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors
    April 15, 2016 - Study Understanding and preventing vaccination errors. Citation Text: Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now. 2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001. Copy Citation Format: DOI Google Scholar BibTeX…

  2. Patient misidentification in the neonatal intensive care unit: quantification of risk. | PSNet

    psnet.ahrq.gov/issue/patient-misidentification-neonatal-intensive-care-unit-quantification-risk
    April 11, 2011 - Study Patient misidentification in the neonatal intensive care unit: quantification of risk. Citation Text: Gray J, Suresh G, Ursprung R, et al. Patient misidentification in the neonatal intensive care unit: quantification of risk. Pediatrics. 2006;117(1):e43-e47. Copy Citation F…

  3. Moving beyond readmission penalties: creating an ideal process to improve transitional care. | PSNet

    psnet.ahrq.gov/issue/moving-beyond-readmission-penalties-creating-ideal-process-improve-transitional-care
    June 14, 2017 - Commentary Moving beyond readmission penalties: creating an ideal process to improve transitional care. Citation Text: Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal process to improve transitional care. J Hosp Med. 2013;8(2):102-9.…

  4. The need for organizational change in patient safety initiatives. | PSNet

    psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
    May 12, 2010 - Study The need for organizational change in patient safety initiatives. Citation Text: Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17. Copy Citation Format: Google Scholar Pu…

  5. Physician implicit review to identify preventable errors during in-hospital cardiac arrest. | PSNet

    psnet.ahrq.gov/issue/physician-implicit-review-identify-preventable-errors-during-hospital-cardiac-arrest
    August 02, 2013 - Study Physician implicit review to identify preventable errors during in-hospital cardiac arrest. Citation Text: Jain R, Kuhn L, Repaskey W, et al. Physician implicit review to identify preventable errors during in-hospital cardiac arrest. Arch Intern Med. 2011;171(1):89-90. doi:10.1001/…

  6. Case study: preventing surgical complications at Baystate Medical Center. | PSNet

    psnet.ahrq.gov/issue/case-study-preventing-surgical-complications-baystate-medical-center
    May 27, 2011 - Commentary Case study: preventing surgical complications at Baystate Medical Center. Citation Text: Fitzgerald J, Kanter G, Benjamin EM. Case Study: Preventing Surgical Complications at Baystate Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2016;33(11). doi:…

  7. Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). | PSNet

    psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18
    May 30, 2018 - Grant Announcement Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). Citation Text: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018.…

  8. Improving Quality of Care and Patient Outcomes During Care Transitions (R01). | PSNet

    psnet.ahrq.gov/issue/improving-quality-care-and-patient-outcomes-during-care-transitions-r01
    October 09, 2022 - Grant Announcement Improving Quality of Care and Patient Outcomes During Care Transitions (R01). Citation Text: Improving Quality of Care and Patient Outcomes During Care Transitions (R01). Rockville, MD: Agency for Healthcare Research and Quality; December 6, 2019. PA-20-068. Copy…

  9. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. | PSNet

    psnet.ahrq.gov/issue/older-adults-are-often-misdiagnosed-specialized-ers-and-trained-clinicians-can-help
    July 28, 2021 - Newspaper/Magazine Article Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Citation Text: Milne-Tyte A. Older adults are often misdiagnosed. Specialized ERs and trained clinicians can help. Health Shots. National Public Radio. July 30, 2024; Copy C…

  10. Clinical faculty: taking the lead in teaching quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety
    July 01, 2017 - Commentary Clinical faculty: taking the lead in teaching quality improvement and patient safety. Citation Text: Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j…

  11. Nursing student medication errors: a case study using root cause analysis. | PSNet

    psnet.ahrq.gov/issue/nursing-student-medication-errors-case-study-using-root-cause-analysis
    November 16, 2022 - Commentary Nursing student medication errors: a case study using root cause analysis. Citation Text: Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. C…

  12. Chasing the 6-sigma: drawing lessons from the cockpit culture. | PSNet

    psnet.ahrq.gov/issue/chasing-6-sigma-drawing-lessons-cockpit-culture
    April 22, 2015 - Commentary Chasing the 6-sigma: drawing lessons from the cockpit culture. Citation Text: Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture. J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097. Copy Citation F…

  13. HIPAA and patient care: the role for professional judgment. | PSNet

    psnet.ahrq.gov/issue/hipaa-and-patient-care-role-professional-judgment
    June 22, 2022 - Commentary HIPAA and patient care: the role for professional judgment. Citation Text: Lo B, Dornbrand L, Dubler NN. HIPAA and patient care: the role for professional judgment. JAMA. 2005;293(14):1766-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  14. Navigating towards improved surgical safety using aviation-based strategies. | PSNet

    psnet.ahrq.gov/issue/navigating-towards-improved-surgical-safety-using-aviation-based-strategies
    January 04, 2011 - Review Navigating towards improved surgical safety using aviation-based strategies. Citation Text: Kao LS, Thomas EJ. Navigating towards improved surgical safety using aviation-based strategies. J Surg Res. 2008;145(2):327-35. Copy Citation Format: Google Scholar PubMed B…

  15. Assessment of adverse drug events among patients in a tertiary care medical center. | PSNet

    psnet.ahrq.gov/issue/assessment-adverse-drug-events-among-patients-tertiary-care-medical-center
    September 28, 2005 - Study Assessment of adverse drug events among patients in a tertiary care medical center. Citation Text: Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27. Copy Cita…

  16. A multicenter collaborative approach to reducing pediatric codes outside the ICU. | PSNet

    psnet.ahrq.gov/issue/multicenter-collaborative-approach-reducing-pediatric-codes-outside-icu
    August 13, 2014 - Study A multicenter collaborative approach to reducing pediatric codes outside the ICU. Citation Text: Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227. …

  17. Mortality rate after nonelective hospital admission. | PSNet

    psnet.ahrq.gov/issue/mortality-rate-after-nonelective-hospital-admission
    January 22, 2016 - Study Mortality rate after nonelective hospital admission. Citation Text: Ricciardi R, Roberts PL, Read TE, et al. Mortality rate after nonelective hospital admission. Arch Surg. 2011;146(5):545-51. doi:10.1001/archsurg.2011.106. Copy Citation Format: DOI Google Scholar P…

  18. Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? | PSNet

    psnet.ahrq.gov/issue/radiation-protection-and-dose-monitoring-medical-imaging-journey-awareness-through
    May 18, 2022 - Review Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? Citation Text: Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J Patien…

  19. Minimizing surgical error by incorporating objective assessment into surgical education. | PSNet

    psnet.ahrq.gov/issue/minimizing-surgical-error-incorporating-objective-assessment-surgical-education
    January 12, 2022 - Review Minimizing surgical error by incorporating objective assessment into surgical education. Citation Text: Champion HR, Meglan DA, Shair EK. Minimizing Surgical Error by Incorporating Objective Assessment into Surgical Education. J Am Coll Surg. 2008;207(2). doi:10.1016/j.jamcollsu…

  20. Patient safety in the context of neonatal intensive care: research and educational opportunities. | PSNet

    psnet.ahrq.gov/issue/patient-safety-context-neonatal-intensive-care-research-and-educational-opportunities
    April 11, 2011 - Commentary Patient safety in the context of neonatal intensive care: research and educational opportunities. Citation Text: Raju TNK, Suresh G, Higgins RD. Patient safety in the context of neonatal intensive care: research and educational opportunities. Pediatr Res. 2011;70(1):109-15. do…
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