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Showing results for "implementing".

  1. Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet

    psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
    August 03, 2022 - Study Electronic approaches to making sense of the text in the adverse event reporting system. Citation Text: Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhr…

  2. The influence of organizational factors on patient safety: examining successful handoffs in health care. | PSNet

    psnet.ahrq.gov/issue/influence-organizational-factors-patient-safety-examining-successful-handoffs-health-care
    November 20, 2015 - Study The influence of organizational factors on patient safety: examining successful handoffs in health care. Citation Text: Richter J, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining successful handoffs in health care. Health Care Manage …

  3. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. | PSNet

    psnet.ahrq.gov/issue/evaluating-effect-safety-culture-error-reporting-comparison-managerial-and-staff-perspectives
    January 20, 2016 - Study Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Citation Text: Richter J, McAlearney AS, Pennell ML. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Am J Me…

  4. "Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses. | PSNet

    psnet.ahrq.gov/issue/are-we-there-yet-ten-persistent-hazards-and-inefficiencies-use-medication-administration
    August 04, 2021 - Study "Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses. Citation Text: Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use …

  5. Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. | PSNet

    psnet.ahrq.gov/issue/prescription-errors-and-outcomes-related-inconsistent-information-transmitted-through
    April 04, 2011 - Study Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. Citation Text: Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through compu…

  6. Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people. | PSNet

    psnet.ahrq.gov/issue/computerized-prescribing-alerts-and-group-academic-detailing-reduce-use-potentially
    July 10, 2008 - Study Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people. Citation Text: Simon SR, Smith DH, Feldstein AC, et al. Computerized prescribing alerts and group academic detailing to reduce the use of poten…

  7. Support from hospital to home for elders: a randomized trial. | PSNet

    psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
    November 30, 2016 - Study Support from hospital to home for elders: a randomized trial. Citation Text: Goldman E, Sarkar U, Kessell E, et al. Support from hospital to home for elders: a randomized trial. Ann Intern Med. 2014;161(7):472-81. doi:10.7326/M14-0094. Copy Citation Format: DOI Google…

  8. Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. | PSNet

    psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
    July 03, 2016 - Study Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. Citation Text: Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…

  9. Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. | PSNet

    psnet.ahrq.gov/issue/evaluation-electronic-health-record-structured-discharge-summary-provide-real-time-adverse
    December 29, 2014 - Study Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. Citation Text: Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real ti…

  10. Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. | PSNet

    psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities
    April 17, 2024 - Study Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. Citation Text: Lucier D, Folcarelli P, Totte C, et al. Surveying Care Teams after in-Hospital Deaths to Identify Preventable Harm and Opportunities to Impr…

  11. Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. | PSNet

    psnet.ahrq.gov/issue/leveraging-redesigned-morbidity-and-mortality-conference-incorporates-clinical-and
    April 24, 2018 - Commentary Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. Citation Text: Tad-Y DB, Pierce RG, Pell JM, et al. Leveraging a Redesigned Morbidity and Mortality Conference That Incor…

  12. Learn About the Submit an Innovation Process | PSNet

    psnet.ahrq.gov/innovations-video
    August 09, 2025 - Learn About the Submit an Innovation Process PSNet’s Submit an Innovation feature allows organizations to share successfully implemented innovative practices and/or interventions that have resulted in improved patient safety and reduced harm. Watch the video below to learn more about the Submit an Innovation process…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36887/psn-pdf
    May 16, 2007 - Hospitals tie CEO bonuses to safety. May 16, 2007 Rowland C. https://psnet.ahrq.gov/issue/hospitals-tie-ceo-bonuses-safety This article reports on Massachusetts hospitals that are basing hospital executive bonuses on the extent to which their hospitals implement and comply with safety measures. https://psnet.ahrq…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35566/psn-pdf
    December 14, 2005 - Hospitals try to break a deadly 'code.' December 14, 2005 Kowalczyk L. https://psnet.ahrq.gov/issue/hospitals-try-break-deadly-code This article reports on the implementation of rapid response teams in Boston hospitals and the potential for reducing patient mortality. https://psnet.ahrq.gov/issue/hospitals-try-br…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36170/psn-pdf
    December 30, 2012 - Standardizing safety. December 30, 2012 Meyers S. Standardizing safety. Trustee. 2006;59(7):12-4, 21, 1. https://psnet.ahrq.gov/issue/standardizing-safety The author describes how several hospitals implemented crew resource management programs to improve communication. https://psnet.ahrq.gov/issue/standardizing-s…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38954/psn-pdf
    September 16, 2009 - For all the right reasons. September 16, 2009 Hagland M. https://psnet.ahrq.gov/issue/all-right-reasons This article discusses approaching computerized provider order entry (CPOE) implementation from a patient safety perspective and shares success stories from numerous US hospitals. https://psnet.ahrq.gov/issue/a…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39346/psn-pdf
    March 10, 2010 - How-to Guide: Multidisciplinary Rounds. March 10, 2010 Cambridge, MA: Institute for Healthcare Improvement; February 2010. https://psnet.ahrq.gov/issue/how-guide-multidisciplinary-rounds This manual offers practical advice on how to plan for and implement care team rounds that involve a variety of health care prov…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42044/psn-pdf
    February 13, 2013 - Patient Safety. February 13, 2013 Minnesota Hospital Association; MHA. https://psnet.ahrq.gov/issue/patient-safety-10 This Web site provides access to materials for patient safety improvement efforts in Minnesota, including initiatives to reduce adverse drug events and hospital collaboratives to implement best pra…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42817/psn-pdf
    December 18, 2013 - Medication Reconciliation for Hospitalists. December 18, 2013 Society of Hospital Medicine. https://psnet.ahrq.gov/issue/medication-reconciliation-hospitalists This Web site provides resources to help health systems implement the Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS) medication…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33852/psn-pdf
    January 01, 2017 - Patient Engagement in Safety January 1, 2017 Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/patient-engagement-safety Annual Perspective 2017 Background In the past 2 decades, patient engagement in safety has evolved from obscurity to maturity. The Ins…
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