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Showing results for "implementing".

7901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47053/psn-pdf
      May 23, 2018 - TeamSTEPPS Canada. May 23, 2018 Canadian Patient Safety Institute. https://psnet.ahrq.gov/issue/teamstepps-canada The TeamSTEPPS program was developed to support effective communication and teamwork skills in various health care settings. This site supports the Canadian TeamSTEPPS initiative. The program will pre…

7902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43534/psn-pdf
      January 22, 2016 - Creating a fellowship curriculum in patient safety and quality. January 22, 2016 Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012. https://psnet.ahrq.gov/issue/creating-fellowship-curriculum-pati…

7903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36971/psn-pdf
      September 12, 2011 - Hospital patient safety: characteristics of best-performing hospitals. September 12, 2011 Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J Healthc Manag. 2007;52(3):188-204; discussion 204-5. https://psnet.ahrq.gov/issue/hospital-patient-safety-characterist…

7904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45583/psn-pdf
      January 18, 2017 - ASHP IV Adult Continuous Infusions. January 18, 2017 Bethesda, MD: American Society of Health-System Pharmacists; 2016. https://psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions Miscalculations of intravenous infusion concentrations can result in patient harm. Representing the first phase of a standards deve…

7905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34718/psn-pdf
      August 05, 2008 - How can we save the next victim? August 5, 2008 Belkin L https://psnet.ahrq.gov/issue/how-can-we-save-next-victim In this article, Belkin examines how the medical field has recently shifted away from blaming individuals for medical error toward a model that searches for systems problems and solutions for preventio…

7906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35119/psn-pdf
      November 03, 2015 - Patient safety and health information technology conference: A newsmaker interview with Carolyn M. Clancy, MD. November 3, 2015 Barclay L. https://psnet.ahrq.gov/issue/patient-safety-and-health-information-technology-conference-newsmaker- interview-carolyn-m In this interview, Agency for Healthcare Research and …

7907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38024/psn-pdf
      August 27, 2008 - Promoting patient safety using an early warning scoring system. August 27, 2008 Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40. https://psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system Imp…

7908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40138/psn-pdf
      July 21, 2011 - Decision support and patient safety: the time has come. July 21, 2011 Hasley SK. Decision support and patient safety: the time has come. Am J Obstet Gynecol. 2011;204(6):461-5. doi:10.1016/j.ajog.2010.10.901. https://psnet.ahrq.gov/issue/decision-support-and-patient-safety-time-has-come This review reveals how dec…

7909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39811/psn-pdf
      September 13, 2010 - Disclosure of medical errors: the right thing to do. September 13, 2010 Schuer KM, AAPA QCC of the. Disclosure of medical errors: the right thing to do. JAAPA. 2010;23(8):27-9. https://psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do This article discusses medical error disclosure, provides evidence of…

7910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36939/psn-pdf
      September 09, 2011 - Internal reporting system to improve a pharmacy's medication distribution process. September 9, 2011 Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. https://psnet.ahrq.gov/issue/internal…

7911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49857/psn-pdf
      March 01, 2019 - Duplicate Insulin Order March 1, 2019 Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/duplicate-insulin-order The Case A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency department (ED) for complaints of letharg…

7912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836841/psn-pdf
      June 01, 2020 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission April 7, 2022 https://psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and- paramedics-provide-home Sum…

7913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49725/psn-pdf
      January 01, 2015 - Haste Makes Care Unsafe January 1, 2015 Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/haste-makes-care-unsafe The Case An 80-year-old man with a history of coronary artery disease and atrial fibrillation underwent a combined elective coronary artery bypass graft (CABG…

7914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41729/psn-pdf
      October 10, 2012 - Checklists change communication about key elements of patient care. October 10, 2012 Newkirk M, Pamplin JC, Kuwamoto R, et al. Checklists change communication about key elements of patient care. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):S75-82. doi:10.1097/TA.0b013e3182606239. https://psnet.ahrq.gov/issue/check…

7915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47262/psn-pdf
      August 22, 2018 - The Case for Medication Safety Officers (MSO). August 22, 2018 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/case-medication-safety-officers-mso Medication safety is a concern in various settings across an organization. This white paper discusses the role of a medication …

7916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36065/psn-pdf
      May 27, 2011 - Passing the "Yo' Mama" test. May 27, 2011 Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18. https://psnet.ahrq.gov/issue/passing-yo-mama-test This article discusses how a…

7917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38908/psn-pdf
      January 03, 2017 - Rapid response systems in adult academic medical centers. January 3, 2017 Wood KA, Ranji SR, Ide B, et al. Rapid response systems in adult academic medical centers. Jt Comm J Qual Patient Saf. 2009;35(9):475-82, 437. https://psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers This survey ch…

7918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46500/psn-pdf
      June 27, 2018 - Ariadne Labs. June 27, 2018 Brigham & Women's Hospital; Harvard T.H. Chan School of Public Health. https://psnet.ahrq.gov/issue/ariadne-labs Checklists can help catch gaps in communication and process. This website provides resources related to the use of checklists in surgical, obstetric, and other care environme…

7919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38264/psn-pdf
      January 02, 2017 - Using an advanced practice nursing model for a rapid response team. January 2, 2017 Benson L, Mitchell C, Link M, et al. Using an advanced practice nursing model for a rapid response team. Jt Comm J Qual Patient Saf. 2008;34(12):743-7. https://psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-respon…

7920. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42757/psn-pdf
      November 20, 2013 - Clinical ICT Systems in the Victorian Public Health Sector. November 20, 2013 Doyle J. Melbourne, Australia: Victorian Auditor-General's Office; October 30, 2013. https://psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector Following the implementation of a large clinical information communicati…