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Showing results for "implementing".

8781. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40887/psn-pdf
      June 27, 2018 - Daily check-in for safety: from best practice to common practice. June 27, 2018 Stockmeier C, Clapper C. Patient Saf Qual Healthc. September/October 2011;8:30-31,34-36. https://psnet.ahrq.gov/issue/daily-check-safety-best-practice-common-practice This article reports on organizations that have implemented daily ch…

8782. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37753/psn-pdf
      May 02, 2018 - Some red rules shouldn't rule in hospitals. May 2, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 24, 2008;13:1-3. https://psnet.ahrq.gov/issue/some-red-rules-shouldnt-rule-hospitals This article provides a set of criteria for health care professionals to develop and implement red rules as an effecti…

8783. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36598/psn-pdf
      June 30, 2011 - E-prescribing first step to improved safety. June 30, 2011 Finkelstein JB. E-prescribing first step to improved safety. Journal of the National Cancer Institute. 2006;98(24):1763-5. https://psnet.ahrq.gov/issue/e-prescribing-first-step-improved-safety This article discusses changes implemented at Dana-Farber Cance…

8784. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35937/psn-pdf
      June 19, 2007 - Ounce of prevention: to reduce errors, hospitals prescribe innovative designs. June 19, 2007 Naik G. Wall Street Journal. May 8, 2006; A1. https://psnet.ahrq.gov/issue/ounce-prevention-reduce-errors-hospitals-prescribe-innovative-designs This article reports on innovations implemented at a Wisconsin hospital to im…

8785. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35190/psn-pdf
      June 17, 2014 - The quality connection. June 17, 2014 Solovy A. The 100 most wired 2005: the quality connection. Hospitals Health Network. 2005;79(7):38-50, 2. https://psnet.ahrq.gov/issue/quality-connection This article reports on the results of Hospitals & Health Networks' 2005 Most Wired Survey and Benchmarking Study. Results …

8786. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35517/psn-pdf
      November 17, 2016 - Joint Commission Journal on Quality and Patient Safety. November 17, 2016 Baker D, ed. Oakbrook Terrace, IL: Joint Commission. ISSN: 1553-7250. https://psnet.ahrq.gov/issue/joint-commission-journal-quality-and-patient-safety This monthly, peer-reviewed journal provides both empirical studies and practical instructi…

8787. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39041/psn-pdf
      October 21, 2009 - The OR and a "just culture." October 21, 2009 Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003. https://psnet.ahrq.gov/issue/or-and-just-culture To illustrate the value of just culture implementation, this piece describes a hypothetical scenario involving the WHO Sa…

8788. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42411/psn-pdf
      July 24, 2013 - Surgical checklists: the human factor. July 24, 2013 O'Connor P, Reddin C, O'Sullivan M, et al. Surgical checklists: the human factor. Patient Saf Surg. 2013;7(1):14. doi:10.1186/1754-9493-7-14. https://psnet.ahrq.gov/issue/surgical-checklists-human-factor This qualitative study identified several barriers to the …

8789. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36067/psn-pdf
      September 28, 2010 - Operating room briefings. September 28, 2010 Makary MA, Holzmueller CG, Sexton B, et al. Operating room debriefings. Jt Comm J Qual Patient Saf. 2006;32(7):407-410, 357. https://psnet.ahrq.gov/issue/operating-room-briefings The authors describe a postoperative debriefing tool used by surgical teams at Johns Hopkin…

8790. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36957/psn-pdf
      October 16, 2008 - The Patient Safety in Surgery Study. October 16, 2008 J Am Coll Surg. 2007;204(6):1087-1300. https://psnet.ahrq.gov/issue/patient-safety-surgery-study This special issue shares the results of the AHRQ-funded Patient Safety in Surgery Study, which compared surgical outcomes at Veterans Affairs' medical centers with…

8791. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42557/psn-pdf
      August 28, 2013 - European Union Network for Patient Safety and Quality of Care. August 28, 2013 European Union Network for Patient Safety and Quality of Care; PaSQ. https://psnet.ahrq.gov/issue/european-union-network-patient-safety-and-quality-care This organization aims to promote implementation of recommended patient safety prac…

8792. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37082/psn-pdf
      January 02, 2017 - Improving rapid response systems: progress, issues, and future directions. January 2, 2017 Ovretveit J, Suffoletto J-A. Improving rapid response systems: progress, issues, and future directions. https://psnet.ahrq.gov/issue/improving-rapid-response-systems-progress-issues-and-future-directions The authors discuss …

8793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41681/psn-pdf
      January 01, 2013 - Patient safety in plastic surgery. September 12, 2012 Trussler AP, Tabbal GN. Patient safety in plastic surgery. Plast Reconstr Surg. 2013;130(3):470e-478e. doi:10.1097/prs.0b013e31825dc349. https://psnet.ahrq.gov/issue/patient-safety-plastic-surgery This commentary outlines tactics to prevent complications in pla…

8794. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41350/psn-pdf
      May 02, 2012 - Medication reconciliation in the hospital: what, why, where, when, who and how? May 2, 2012 Fernandes O; Shojania KG. https://psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how This commentary examines the practical considerations required to implement a high quality medication…

8795. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39757/psn-pdf
      September 02, 2016 - Drug shortages threaten patient safety. September 2, 2016 ISMP Medication Safety Alert! Acute Care Edition. July 29, 2010;15:1-4. https://psnet.ahrq.gov/issue/drug-shortages-threaten-patient-safety This article discusses medication shortages and how they exacerbate medication error and treatment delay. The piece i…

8796. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39961/psn-pdf
      March 08, 2015 - When errors occur. March 8, 2015 Wetzel TG. When errors occur, 'I'm sorry' is a big step, but just the first. Hospitals & health networks. 2010;84(10):41-2, 44, 2. https://psnet.ahrq.gov/issue/when-errors-occur This article describes how hospital responses to adverse events have affected disclosure process strate…

8797. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40176/psn-pdf
      May 25, 2011 - A leadership initiative to improve communication and enhance safety. May 25, 2011 Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410. https://psnet.ahrq.gov/issue/leadership-initiati…

8798. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38221/psn-pdf
      June 13, 2011 - Medication reconciliation in a community, nonteaching hospital. June 13, 2011 Wortman SB. Medication reconciliation in a community, nonteaching hospital. Am J Health Syst Pharm. 2008;65(21):2047-54. doi:10.2146/ajhp080091. https://psnet.ahrq.gov/issue/medication-reconciliation-community-nonteaching-hospital This …

8799. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38923/psn-pdf
      September 09, 2009 - Improving communication in the emergency department. September 9, 2009 Redfern E, Brown R, Vincent C. Improving communication in the emergency department. Emerg Med J. 2009;26(9):658-61. doi:10.1136/emj.2008.065623. https://psnet.ahrq.gov/issue/improving-communication-emergency-department Implementation of structu…

8800. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42797/psn-pdf
      June 10, 2018 - Understanding and managing IV container overfill. June 10, 2018 ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4. https://psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill This newsletter article reports on concerns associated with chemotherapy preparations due to varia…