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Showing results for "implementing".

  1. Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. | PSNet

    psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020
    September 10, 2014 - Book/Report Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. Citation Text: Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. Washington, DC: Veterans Affairs Office of Inspector General; August …

  2. A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. | PSNet

    psnet.ahrq.gov/issue/systematic-review-strategies-reporting-neonatal-hospital-acquired-bloodstream-infections
    January 09, 2018 - Review A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. Citation Text: Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital-acquired bloodstream infections. Arch Dis Child Fetal Neon…

  3. Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.  | PSNet

    psnet.ahrq.gov/issue/randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing
    June 04, 2014 - Study Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.  Citation Text: Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention …

  4. The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-pediatric-intensive-care-means-improving-patient-safety
    December 16, 2009 - Study The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. Citation Text: Frey B, Doell C, Klauwer D, et al. The Morbidity and Mortality Conference in Pediatric Intensive Care as a Means for Improving Patient Safety. Pediatr Crit Car…

  5. Association of measured quality with financial health among U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/association-measured-quality-financial-health-among-us-hospitals
    December 07, 2022 - Study Association of measured quality with financial health among U.S. hospitals. Citation Text: Enumah SJ, Resnick AS, Chang DC. Association of measured quality with financial health among U.S. hospitals. PLOS ONE. 2022;17(4):e0266696. doi:10.1371/journal.pone.0266696. Copy Citation …

  6. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. | PSNet

    psnet.ahrq.gov/issue/usage-and-accuracy-medication-data-nationwide-health-information-exchange-quebec-canada
    June 17, 2020 - Study Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. Citation Text: Motulsky A, Weir DL, Couture I, et al. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. J Am Med Inform Assoc. 201…

  7. Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet

    psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
    March 23, 2022 - Study Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. Citation Text: LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…

  8. Emergency hospitalizations for unsupervised prescription medication ingestions by young children. | PSNet

    psnet.ahrq.gov/issue/emergency-hospitalizations-unsupervised-prescription-medication-ingestions-young-children
    April 22, 2020 - Study Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Citation Text: Lovegrove MC, Mathew J, Hampp C, et al. Emergency hospitalizations for unsupervised prescription medication ingestions by young children. Pediatrics. 2014;134(4):e1009-1…

  9. Effect of admission medication reconciliation on adverse drug events from admission medication changes. | PSNet

    psnet.ahrq.gov/issue/effect-admission-medication-reconciliation-adverse-drug-events-admission-medication-changes
    April 12, 2019 - Study Effect of admission medication reconciliation on adverse drug events from admission medication changes. Citation Text: Boockvar K, Blum S, Kugler A, et al. Effect of admission medication reconciliation on adverse drug events from admission medication changes. Arch Intern Med. 201…

  10. Medical team training improves team performance: AOA critical issues. | PSNet

    psnet.ahrq.gov/issue/medical-team-training-improves-team-performance-aoa-critical-issues
    April 24, 2018 - Commentary Medical team training improves team performance: AOA critical issues. Citation Text: Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290. Copy …

  11. Principles of automation for patient safety in intensive care: learning from aviation. | PSNet

    psnet.ahrq.gov/issue/principles-automation-patient-safety-intensive-care-learning-aviation
    April 20, 2022 - Commentary Principles of automation for patient safety in intensive care: learning from aviation. Citation Text: Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…

  12. Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. | PSNet

    psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-hospital-general-medicine
    October 19, 2022 - Study Classic Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Citation Text: Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital …

  13. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. | PSNet

    psnet.ahrq.gov/issue/impact-intraoperative-distractions-patient-safety-prospective-descriptive-study-using
    August 18, 2017 - Study Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. Citation Text: Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated ins…

  14. Human errors in emergency medical services: a qualitative analysis of contributing factors. | PSNet

    psnet.ahrq.gov/issue/human-errors-emergency-medical-services-qualitative-analysis-contributing-factors
    July 07, 2021 - Study Human errors in emergency medical services: a qualitative analysis of contributing factors. Citation Text: Poranen A, Kouvonen A, Nordquist H. Human errors in emergency medical services: a qualitative analysis of contributing factors. Scand J Trauma Resusc Emerg Med. 2024;32(1):78.…

  15. Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
    December 18, 2013 - Study Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. Citation Text: Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing ke…

  16. Nurses' perceptions of error communication and reporting in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-error-communication-and-reporting-intensive-care-unit
    February 20, 2008 - Study Nurses' perceptions of error communication and reporting in the intensive care unit. Citation Text: Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48.…

  17. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy
    May 27, 2011 - Study Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Citation Text: Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sc…

  18. Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. | PSNet

    psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
    August 04, 2021 - Commentary Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. Citation Text: Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…

  19. Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. | PSNet

    psnet.ahrq.gov/issue/association-clinical-knowledge-support-system-improved-patient-safety-reduced-complications
    October 19, 2022 - Study Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States. Citation Text: Bonis PA, Pickens GT, Rind DM, et al. Association of a clini…

  20. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. | PSNet

    psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using
    June 29, 2022 - Study Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. Citation Text: Falcone ML, Tokac U, Fish AF, et al. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory fac…
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