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Showing results for "implementing".

  1. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. | PSNet

    psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital
    October 01, 2008 - Study Using a bar-coded medication administration system to prevent medication errors in a community hospital network. Citation Text: Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…

  2. Clinical handover incident reporting in one UK general hospital. | PSNet

    psnet.ahrq.gov/issue/clinical-handover-incident-reporting-one-uk-general-hospital
    May 03, 2023 - Study Clinical handover incident reporting in one UK general hospital. Citation Text: Pezzolesi C, Schifano F, Pickles J, et al. Clinical handover incident reporting in one UK general hospital. Int J Qual Health Care. 2010;22(5):396-401. doi:10.1093/intqhc/mzq048. Copy Citation For…

  3. Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-orders-pediatric-continuous-drug-infusions-detecting-infusion-pump
    February 02, 2011 - Study Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study. Citation Text: Sowan AK, Gaffoor MI, Soeken K, et al. Impact of Computerized Orders for Pediatric Continuous Drug Infusions on Detecting Infusion…

  4. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. | PSNet

    psnet.ahrq.gov/issue/learning-near-misses-quick-fixes-closing-swiss-cheese-holes
    April 11, 2012 - Study Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. Citation Text: Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256…

  5. Rating the raters: the inconsistent quality of health care performance measurement. | PSNet

    psnet.ahrq.gov/issue/rating-raters-inconsistent-quality-health-care-performance-measurement
    March 27, 2018 - Commentary Rating the raters: the inconsistent quality of health care performance measurement. Citation Text: Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.000…

  6. Hospital autopsy: endangered or extinct? | PSNet

    psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
    November 21, 2021 - Study Hospital autopsy: endangered or extinct? Citation Text: Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604. doi:10.1136/jclinpath-2014-202700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  7. Adverse events during hospitalization: results of a patient survey. | PSNet

    psnet.ahrq.gov/issue/adverse-events-during-hospitalization-results-patient-survey
    December 29, 2014 - Study Adverse events during hospitalization: results of a patient survey. Citation Text: Fowler FJ, Epstein AM, Weingart SN, et al. Adverse events during hospitalization: results of a patient survey. Jt Comm J Qual Patient Saf. 2008;34(10):583-90. Copy Citation Format: Goog…

  8. Adverse drug events in the outpatient setting: an 11-year national analysis. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-outpatient-setting-11-year-national-analysis
    April 08, 2011 - Study Adverse drug events in the outpatient setting: an 11-year national analysis. Citation Text: Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984. …

  9. Educating medical trainees on medication reconciliation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
    October 16, 2019 - Review Educating medical trainees on medication reconciliation: a systematic review. Citation Text: Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. Copy C…

  10. Strategies to reduce errors associated with 2-component vaccines. | PSNet

    psnet.ahrq.gov/issue/strategies-reduce-errors-associated-2-component-vaccines
    December 16, 2020 - Study Strategies to reduce errors associated with 2-component vaccines. Citation Text: Samad F, Burton SJ, Kwan D, et al. Strategies to reduce errors associated with 2-component vaccines. Pharmaceut Med. 2021;35(1):1-9. doi:10.1007/s40290-020-00362-9. Copy Citation Format: …

  11. Pediatric surgical errors: a systematic scoping review. | PSNet

    psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review
    August 17, 2022 - Review Pediatric surgical errors: a systematic scoping review. Citation Text: Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019. Copy Citation Format: DO…

  12. The impact of the medical emergency team on the resuscitation practice of critical care nurses. | PSNet

    psnet.ahrq.gov/issue/impact-medical-emergency-team-resuscitation-practice-critical-care-nurses
    December 01, 2008 - Study The impact of the medical emergency team on the resuscitation practice of critical care nurses. Citation Text: Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. do…

  13. Reducing errors through discharge medication reconciliation by pharmacy services. | PSNet

    psnet.ahrq.gov/issue/reducing-errors-through-discharge-medication-reconciliation-pharmacy-services
    October 20, 2021 - Study Reducing errors through discharge medication reconciliation by pharmacy services. Citation Text: Bishop MA, Cohen BA, Billings LK, et al. Reducing errors through discharge medication reconciliation by pharmacy services.  Am J Health Syst Pharm. 2015;72(17 Suppl 2):S120-6. doi:10.21…

  14. Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-performed-pharmacy-technicians-time-preoperative-screening
    August 18, 2010 - Study Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Citation Text: van den Bemt PM, van den Broek S, van Nunen AK, et al. Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Ann Pharmaco…

  15. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. | PSNet

    psnet.ahrq.gov/issue/coping-errors-operating-room-intraoperative-strategies-postoperative-strategies-and-sex
    September 09, 2020 - Study Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. Citation Text: D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex difference…

  16. Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. | PSNet

    psnet.ahrq.gov/issue/heatwaves-hospitals-and-health-system-resilience-england-qualitative-assessment-frontline
    May 20, 2020 - Study Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. Citation Text: Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…

  17. The alarming reality of medication error: a patient case and review of Pennsylvania and national data. | PSNet

    psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
    June 28, 2017 - Commentary The alarming reality of medication error: a patient case and review of Pennsylvania and national data. Citation Text: da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…

  18. A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system. | PSNet

    psnet.ahrq.gov/issue/systematic-approach-identification-and-classification-near-miss-events-labor-and-delivery
    May 21, 2019 - Study A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system. Citation Text: Clark SL, Meyers JA, Frye DR, et al. A systematic approach to the identification and classification of near-miss events…

  19. Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet

    psnet.ahrq.gov/issue/drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and
    September 15, 2011 - Study Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. Citation Text: Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project,…

  20. Dispensing error rate in a highly automated mail-service pharmacy practice. | PSNet

    psnet.ahrq.gov/issue/dispensing-error-rate-highly-automated-mail-service-pharmacy-practice
    November 16, 2022 - Study Dispensing error rate in a highly automated mail-service pharmacy practice. Citation Text: Teagarden R, Nagle B, Aubert RE, et al. Dispensing error rate in a highly automated mail-service pharmacy practice. Pharmacotherapy. 2005;25(11):1629-35. Copy Citation Format: …
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