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Showing results for "implementing".

  1. A clinical nurse specialist intervention to facilitate safe transfer from ICU. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
    January 15, 2014 - Commentary A clinical nurse specialist intervention to facilitate safe transfer from ICU. Citation Text: St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab. Copy Cita…

  2. Every error a treasure: improving medication use with a nonpunitive reporting system. | PSNet

    psnet.ahrq.gov/issue/every-error-treasure-improving-medication-use-nonpunitive-reporting-system
    August 17, 2016 - Study Every error a treasure: improving medication use with a nonpunitive reporting system. Citation Text: Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…

  3. Regional surveillance of emergency-department visits for outpatient adverse drug events. | PSNet

    psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug-events
    September 21, 2022 - Study Regional surveillance of emergency-department visits for outpatient adverse drug events. Citation Text: Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.100…

  4. Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates. | PSNet

    psnet.ahrq.gov/issue/use-medical-abbreviations-and-acronyms-knowledge-among-medical-students-and-postgraduates
    August 23, 2023 - Study Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates. Citation Text: Awan S, Abid S, Tariq M, et al. Use of medical abbreviations and acronyms: knowledge among medical students and postgraduates. Postgrad Med J. 2016;92(1094):721-725. doi:10…

  5. Every patient should be enabled to stop the line. | PSNet

    psnet.ahrq.gov/issue/every-patient-should-be-enabled-stop-line
    September 30, 2020 - Commentary Every patient should be enabled to stop the line. Citation Text: Bell SK, Martinez W. Every patient should be enabled to stop the line. BMJ Qual Saf. 2019;28(3):172-176. doi:10.1136/bmjqs-2018-008714. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  6. Double checking medicines: defence against error or contributory factor? | PSNet

    psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
    January 31, 2024 - Study Double checking medicines: defence against error or contributory factor? Citation Text: Armitage G. Double checking medicines: defence against error or contributory factor? J Eval Clin Pract. 2008;14(4):513-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  7. Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one. | PSNet

    psnet.ahrq.gov/issue/factors-associated-adverse-events-resulting-medical-errors-emergency-department-two-work
    July 02, 2019 - Study Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one. Citation Text: Freund Y, Goulet H, Bokobza J, et al. Factors associated with adverse events resulting from medical errors in the emergency department: two w…

  8. Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. | PSNet

    psnet.ahrq.gov/issue/closing-safety-loop-evaluation-national-patient-safety-agencys-guidance-regarding-wristband
    April 14, 2011 - Study Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. Citation Text: Sevdalis N, Norris B, Ranger C, et al. Closing the safety loop: evaluation of the National Patient Safety Agency's guidan…

  9. Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm. | PSNet

    psnet.ahrq.gov/issue/reducing-iatrogenic-risks-icu-acquired-delirium-and-weakness-crossing-quality-chasm
    November 30, 2022 - Study Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm. Citation Text: Vasilevskis EE, Ely W, Speroff T, et al. Reducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasm. Chest. 2010;138(5):1224-33. doi:10.1378/che…

  10. Supporting recovery after adverse events: an essential component of surgeon well-being. | PSNet

    psnet.ahrq.gov/issue/supporting-recovery-after-adverse-events-essential-component-surgeon-well-being
    February 15, 2023 - Study Supporting recovery after adverse events: an essential component of surgeon well-being. Citation Text: Berman L, Rialon KL, Mueller CM, et al. Supporting recovery after adverse events: an essential component of surgeon well-being. J Pediatr Surg. 2021;56(5):833-838. doi:10.1016/j.j…

  11. White paper on recommendation for systems-based practice competency. | PSNet

    psnet.ahrq.gov/issue/white-paper-recommendation-systems-based-practice-competency
    December 18, 2017 - Commentary White paper on recommendation for systems-based practice competency. Citation Text: Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358. doi:10.1097/NC…

  12. Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? | PSNet

    psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality
    August 20, 2018 - Study Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? Citation Text: Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Bu…

  13. Medication safety in the neonatal intensive care unit: big measures for our smallest patients. | PSNet

    psnet.ahrq.gov/issue/medication-safety-neonatal-intensive-care-unit-big-measures-our-smallest-patients
    September 18, 2024 - Commentary Medication safety in the neonatal intensive care unit: big measures for our smallest patients. Citation Text: Rostas SE. Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients. J Perinat Neonatal Nurs. 2017;31(1):15-19. doi:10.1097/JPN.00…

  14. Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. | PSNet

    psnet.ahrq.gov/issue/peer-feedback-learning-and-improvement-answering-call-institute-medicine-report-diagnostic
    March 20, 2024 - Commentary Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. Citation Text: Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report o…

  15. Violations of behavioral practices revealed in closed claims reviews. | PSNet

    psnet.ahrq.gov/issue/violations-behavioral-practices-revealed-closed-claims-reviews
    August 26, 2011 - Study Violations of behavioral practices revealed in closed claims reviews. Citation Text: Griffen FD, Stephens LS, Alexander JB, et al. Violations of behavioral practices revealed in closed claims reviews. Ann Surg. 2008;248(3):468-474. doi:10.1097/sla.0b013e318185e196. Copy Citatio…

  16. Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis. | PSNet

    psnet.ahrq.gov/issue/declaring-uncertainty-using-quality-improvement-methods-change-conversation-diagnosis
    April 01, 2020 - Study Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis. Citation Text: Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341…

  17. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. | PSNet

    psnet.ahrq.gov/issue/defining-excellence-next-steps-practicing-clinicians-seeking-prevent-diagnostic-error
    March 14, 2022 - Commentary Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. Citation Text: Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):319…

  18. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? | PSNet

    psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal
    January 29, 2020 - Commentary Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Citation Text: Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neu…

  19. Decision support tools, systems, and artificial intelligence in cardiac imaging. | PSNet

    psnet.ahrq.gov/issue/decision-support-tools-systems-and-artificial-intelligence-cardiac-imaging
    October 19, 2022 - Review Decision support tools, systems, and artificial intelligence in cardiac imaging. Citation Text: Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04…

  20. Copying and pasting of examinations within the electronic medical record. | PSNet

    psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
    June 12, 2013 - Study Copying and pasting of examinations within the electronic medical record. Citation Text: Thielke S, Hammond K, Helbig S. Copying and pasting of examinations within the electronic medical record. Int J Med Inform. 2007;76 Suppl 1:S122-8. Copy Citation Format: Google …
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