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Showing results for "implementing".

  1. Medication errors in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/medication-errors-intensive-care-unit
    October 12, 2022 - Study Medication errors in an intensive care unit. Citation Text: Bohomol E, Ramos LH, D'Innocenzo M. Medication errors in an intensive care unit. J Adv Nurs. 2009;65(6):1259-67. doi:10.1111/j.1365-2648.2009.04979.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  2. Effects of CPOE on provider cognitive workload: a randomized crossover trial. | PSNet

    psnet.ahrq.gov/issue/effects-cpoe-provider-cognitive-workload-randomized-crossover-trial
    March 14, 2022 - Study Effects of CPOE on provider cognitive workload: a randomized crossover trial. Citation Text: Avansino J, Leu MG. Effects of CPOE on provider cognitive workload: a randomized crossover trial. Pediatrics. 2012;130(3):e547-52. doi:10.1542/peds.2011-3408. Copy Citation Format: …

  3. The patient's right to safety—improving the quality of care through litigation against hospitals. | PSNet

    psnet.ahrq.gov/issue/patients-right-safety-improving-quality-care-through-litigation-against-hospitals
    February 17, 2011 - Commentary The patient's right to safety—improving the quality of care through litigation against hospitals. Citation Text: Annas GJ. The patient's right to safety--improving the quality of care through litigation against hospitals. N Engl J Med. 2006;354(19):2063-2066. Copy Citation…

  4. Workarounds in the workplace: a second look. | PSNet

    psnet.ahrq.gov/issue/workarounds-workplace-second-look
    December 08, 2021 - Commentary Workarounds in the workplace: a second look. Citation Text: Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

  5. Maximizing the Use of State Adverse Event Data to Improve Patient Safety. | PSNet

    psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
    November 29, 2009 - Book/Report Maximizing the Use of State Adverse Event Data to Improve Patient Safety. Citation Text: Maximizing the Use of State Adverse Event Data to Improve Patient Safety. Rosenthal J, Booth M. National Academy for State Health Policy; 2005. Copy Citation Sav…

  6. Do hospital boards matter for better, safer, patient care? | PSNet

    psnet.ahrq.gov/issue/do-hospital-boards-matter-better-safer-patient-care
    April 21, 2015 - Study Do hospital boards matter for better, safer, patient care? Citation Text: Mannion R, Davies HTO, Jacobs R, et al. Do Hospital Boards matter for better, safer, patient care? Soc Sci Med. 2017;177:278-287. doi:10.1016/j.socscimed.2017.01.045. Copy Citation Format: DOI G…

  7. Computerized physician order entry in US hospitals: results of a 2002 survey. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-us-hospitals-results-2002-survey
    April 29, 2018 - Study Computerized physician order entry in US hospitals: results of a 2002 survey. Citation Text: Ash JS, Gorman PN, Seshadri V, et al. Computerized physician order entry in U.S. hospitals: results of a 2002 survey. J Am Med Inform Assoc. 2004;11(2):95-9. Copy Citation Format: …

  8. Identifying and reducing distractions and interruptions in a pharmacy department. | PSNet

    psnet.ahrq.gov/issue/identifying-and-reducing-distractions-and-interruptions-pharmacy-department
    August 22, 2015 - Study Identifying and reducing distractions and interruptions in a pharmacy department. Citation Text: Raimbault M, Guérin A, Caron E, et al. Identifying and reducing distractions and interruptions in a pharmacy department. Am J Health Syst Pharm. 2013;70(3):186, 188, 190. doi:10.2146/aj…

  9. Hospital patients' reports of medical errors and undesirable events in their health care. | PSNet

    psnet.ahrq.gov/issue/hospital-patients-reports-medical-errors-and-undesirable-events-their-health-care
    July 06, 2012 - Study Hospital patients' reports of medical errors and undesirable events in their health care. Citation Text: Davis R, Sevdalis N, Neale G, et al. Hospital patients' reports of medical errors and undesirable events in their health care. J Eval Clin Pract. 2013;19(5):875-81. doi:10.11…

  10. Bias and racism teaching rounds at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/bias-and-racism-teaching-rounds-academic-medical-center
    August 12, 2020 - Commentary Bias and racism teaching rounds at an academic medical center. Citation Text: Capers Q, Bond DA, Nori US. Bias and racism teaching rounds at an academic medical center. Chest. 2020;158(6):2688-2694. doi:10.1016/j.chest.2020.08.2073. Copy Citation Format: DOI Goog…

  11. Using the patient safety huddle as a tool for high reliability. | PSNet

    psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
    March 01, 2023 - Commentary Using the patient safety huddle as a tool for high reliability. Citation Text: Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004. Copy Citation …

  12. Participation in EHR based simulation improves recognition of patient safety issues. | PSNet

    psnet.ahrq.gov/issue/participation-ehr-based-simulation-improves-recognition-patient-safety-issues
    April 24, 2013 - Study Participation in EHR based simulation improves recognition of patient safety issues. Citation Text: Stephenson LS, Gorsuch A, Hersh WR, et al. Participation in EHR based simulation improves recognition of patient safety issues. BMC Med Educ. 2014;14:224. doi:10.1186/1472-6920-14-22…

  13. Patient–pharmacist communication during a post-discharge pharmacist home visit. | PSNet

    psnet.ahrq.gov/issue/patient-pharmacist-communication-during-post-discharge-pharmacist-home-visit
    May 28, 2015 - Study Patient–pharmacist communication during a post-discharge pharmacist home visit. Citation Text: Ensing HT, Vervloet M, van Dooren AA, et al. Patient-pharmacist communication during a post-discharge pharmacist home visit. Int J Clin Pharm. 2018;40(3):712-720. doi:10.1007/s11096-018-0…

  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. 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…

  16. 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…

  17. 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…

  18. 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…

  19. Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. | PSNet

    psnet.ahrq.gov/issue/improving-surgical-complications-and-patient-safety-nations-largest-military-hospital
    November 09, 2022 - Study Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. Citation Text: Maturo S, Hughes C, Kallingal G, et al. Improving Surgical Complications and Patient Safety at the Nation…

  20. 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…
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