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Showing results for "implementing".

7921. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38446/psn-pdf
      May 07, 2014 - Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio. May 7, 2014 Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF. https://psnet.ahrq.gov/issue/inpatient-c…

7922. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35441/psn-pdf
      September 18, 2009 - Bridging the communication gap in the operating room with medical team training. September 18, 2009 Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-4. https://psnet.ahrq.gov/issue/bridging-communication-gap-operating-r…

7923. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41431/psn-pdf
      June 06, 2012 - First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. June 6, 2012 Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778. https://psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety This publication examines patient safe…

7924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37318/psn-pdf
      January 04, 2012 - The meaning of justice in safety incident reporting. January 4, 2012 Weiner BJ, Hobgood C, Lewis MA. The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13. https://psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting This article describes how the principles of just culture …

7925. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41483/psn-pdf
      September 12, 2016 - Rapid response teams and failure to rescue: one community's experience. September 12, 2016 Hammer JA, Jones TL, Brown SA. Rapid response teams and failure to rescue: one community's experience. J Nurs Care Qual. 2012;27(4):352-8. doi:10.1097/NCQ.0b013e31825a8e2f. https://psnet.ahrq.gov/issue/rapid-response-teams-a…

7926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39778/psn-pdf
      August 18, 2010 - Eight-year experience with a neurosurgical checklist. August 18, 2010 Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305. https://psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist A 6-item checklist was successfully impleme…

7927. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41836/psn-pdf
      November 14, 2012 - "Team time-out" and surgical safety—experiences in 12,390 neurosurgical patients. November 14, 2012 Oszvald Á, Vatter H, Byhahn C, et al. “Team time-out” and surgical safety—experiences in 12,390 neurosurgical patients. Neurosurg Focus. 2012;33(5). doi:10.3171/2012.8.focus12261. https://psnet.ahrq.gov/issue/team-t…

7928. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42512/psn-pdf
      August 21, 2013 - Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. August 21, 2013 Hansen LO, Greenwald JL, Budnitz T, et al. Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. J Hosp Med. 2013;8(8):421-7. doi:10.1002/jhm.2054. https://psnet.ahrq.gov/issue/project-…

7929. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38378/psn-pdf
      September 24, 2010 - I-CaRe: a case review tool focused on improving inpatient care. September 24, 2010 Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61. https://psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpati…

7930. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37024/psn-pdf
      January 02, 2017 - Every error a treasure: improving medication use with a nonpunitive reporting system. January 2, 2017 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:10.1016/s1553- 7250(07)33046-8. ht…

7931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50665/psn-pdf
      November 13, 2019 - The SECOND Trial November 13, 2019 Northwestern University Feinberg School of Medicine https://psnet.ahrq.gov/issue/second-trial Surgical resident well-being is paramount to ensuring safe surgical care and a healthy workforce. This website shares information on the Surgical Education Culture Optimization through t…

7932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34699/psn-pdf
      January 04, 2017 - Organizational costs of preventable medical errors. January 4, 2017 Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. https://psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors Using two composite case studies a…

7933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34583/psn-pdf
      July 03, 2015 - Patient Safety Challenge Grants. July 3, 2015 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/patient-safety-challenge-grants In fiscal year 2004, the Agency for Healthcare Research and Quality (AHRQ) awarded nearly $4 million in Patient Safety Challenge Grants to support 13 new prac…

7934. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40795/psn-pdf
      March 04, 2015 - Patient safety event reporting in a large radiology department. March 4, 2015 Schultz SR, Watson RE, Prescott SL, et al. Patient Safety Event Reporting in a Large Radiology Department. American Journal of Roentgenology. 2011;197(3). doi:10.2214/ajr.11.6718. https://psnet.ahrq.gov/issue/patient-safety-event-reporti…

7935. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47352/psn-pdf
      February 13, 2019 - When is the surgeon too old to operate? February 13, 2019 Span P. New York Times. February 1, 2019. https://psnet.ahrq.gov/issue/when-surgeon-too-old-operate Cognitive and functional decline can occur as individuals age. Concerns have been raised regarding the need to assess skills of aging physicians. This newspa…

7936. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38015/psn-pdf
      August 27, 2008 - Impact of electronic prescribing in a hospital setting: a process-focused evaluation.  August 27, 2008 Cunningham TR, Geller S, Clarke SW. Impact of electronic prescribing in a hospital setting: a process- focused evaluation. Int J Med Inform. 2008;77(8):546-54. https://psnet.ahrq.gov/issue/impact-electronic-presc…

7937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34973/psn-pdf
      September 29, 2017 - Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. September 29, 2017 Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. Policy Polit Nurs Pract. 200…

7938. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42195/psn-pdf
      October 08, 2013 - Medication errors in the management of anaphylaxis in a pediatric emergency department. October 8, 2013 Benkelfat R, Gouin S, Larose G, et al. Medication errors in the management of anaphylaxis in a pediatric emergency department. J Emerg Med. 2013;45(3):419-425. doi:10.1016/j.jemermed.2012.11.069. https://psnet.a…

7939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36464/psn-pdf
      January 07, 2011 - Establishing a rapid response team (RRT) in an academic hospital: one year's experience. January 7, 2011 King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114. https://psnet.ahrq.gov/issue/establishing-rapi…

7940. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34601/psn-pdf
      January 26, 2009 - Strategies and tips for maximizing failure mode and effect analysis in your organization. January 26, 2009 Chicago, IL: American Society of Healthcare Risk Management; 2002. https://psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your- organization The implementation and appli…