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Showing results for "implementing".

8801. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39632/psn-pdf
      May 20, 2016 - Medical Liability Reform & Patient Safety Initiative. May 20, 2016 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/medical-liability-reform-patient-safety-initiative This website disseminates information regarding an AHRQ-funded initiative to implement and evaluate medical liability …

8802. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36897/psn-pdf
      August 31, 2011 - Characterization of prescribing errors in an internal medicine clinic. August 31, 2011 Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70. https://psnet.ahrq.gov/issue/characterization-prescribing-errors…

8803. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35257/psn-pdf
      June 25, 2009 - JCAHO's safety goals—the clock is ticking, will your ED be compliant? June 25, 2009 JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5. https://psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant This article provides practical advise for e…

8804. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34605/psn-pdf
      January 13, 2016 - The growing role of the Patient Safety Officer: implications for risk managers. January 13, 2016 Chicago, IL: American Society of Healthcare Risk Management; 2004. https://psnet.ahrq.gov/issue/growing-role-patient-safety-officer-implications-risk-managers This report describes the development of the Patient Safety…

8805. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35864/psn-pdf
      June 17, 2014 - Exploring strategies for reducing hospital errors. June 17, 2014 McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag. 2006;51(2):123-136. https://psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors The authors surveyed health care quality directors on …

8806. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35653/psn-pdf
      June 25, 2010 - Effective strategies to increase reporting of medication errors in hospitals. June 25, 2010 Force MVO, Deering L, Hubbe J, et al. Effective strategies to increase reporting of medication errors in hospitals. J Nurs Adm. 2006;36(1):34-41. https://psnet.ahrq.gov/issue/effective-strategies-increase-reporting-medicati…

8807. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39939/psn-pdf
      June 27, 2018 - Hospitals collaborate to prevent wrong-site surgery. June 27, 2018 Pelczarski KM, Braun PA, Young E. Patient Saf Qual Healthc. Sept/Oct 2010;7:20-22,25-26. https://psnet.ahrq.gov/issue/hospitals-collaborate-prevent-wrong-site-surgery This article describes a wrong-site surgery prevention program and how it was succ…

8808. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36857/psn-pdf
      January 22, 2017 - Eliminating perioperative adverse events at Ascension Health. January 22, 2017 Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66. https://psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health The…

8809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41825/psn-pdf
      November 21, 2012 - Supporting a psychiatric hospital culture of safety. November 21, 2012 Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577. https://psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safe…

8810. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40330/psn-pdf
      March 30, 2011 - Smart pumps: implications for nurse leaders. March 30, 2011 Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118. doi:10.1097/NAQ.0b013e31820fbdc0. https://psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders This commentary discusses the benefits and limitatio…

8811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35425/psn-pdf
      June 17, 2014 - Have you M.E.T. the future of better patient safety? June 17, 2014 Larson L. Have you M.E.T. the future of better patient safety? Trustee : the journal for hospital governing boards. 2005;58(8):6-10, 1. https://psnet.ahrq.gov/issue/have-you-met-future-better-patient-safety This article recaps the origins of the me…

8812. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36365/psn-pdf
      February 08, 2011 - Designing Safer Rotas for Junior Doctors in the 48-Hour Week. February 8, 2011 Horrocks N, Pounder R. London, UK: Royal College of Physicians of London; 2006. https://psnet.ahrq.gov/issue/designing-safer-rotas-junior-doctors-48-hour-week This report discusses risks associated with junior doctor night shift work an…

8813. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42035/psn-pdf
      February 13, 2013 - Using Safety Cases in Industry and Healthcare. February 13, 2013 London, UK: Health Foundation; December 2012. ISBN: 9781906461430.  https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare This report details how high-risk industries use safety cases to identify, evaluate, address, and monitor …

8814. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35513/psn-pdf
      February 22, 2010 - Utility of an online medication-error-reporting system. February 22, 2010 Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. Am J Health Syst Pharm. 2005;62(21):2265-70. https://psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system The investigators survey…

8815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36010/psn-pdf
      January 02, 2017 - Operating room briefings: working on the same page. January 2, 2017 Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5. https://psnet.ahrq.gov/issue/operating-room-briefings-working-same-page The authors describe a tool fo…

8816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33984/psn-pdf
      April 17, 2024 - ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. April 17, 2024 Horsham, PA; Institute for Safe Medication Practices; April 17, 2024. https://psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations A handy list for medical personnel to ensure and implement safe…

8817. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34135/psn-pdf
      February 28, 2024 - Hand Hygiene in Healthcare Settings. February 28, 2024 Centers for Disease Control and Prevention https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings The hand hygiene guidelines represent part of a U.S. Centers for Disease Control and Prevention (CDC) strategy to promote patient safety by reducing infect…

8818. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40991/psn-pdf
      January 17, 2017 - MRI safety 10 years later. January 17, 2017 Gilk T, Latino RJ. Patient Saf Qual Healthc. November/December 2011;8:22-23,26-29. https://psnet.ahrq.gov/issue/mri-safety-10-years-later Describing a case of accidental patient death in an MRI suite, this article reviews a root cause analysis of the event and notes that…

8819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37473/psn-pdf
      December 27, 2014 - Communicating Critical Test Results. December 27, 2014 Burlington MA: Massachusetts Coalition for the Prevention of Medical Errors, MassPRO.  https://psnet.ahrq.gov/issue/communicating-critical-test-results-0 This set of materials provides checklists, worksheets, and other aids to help implement a reliable cri…

8820. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42769/psn-pdf
      November 27, 2013 - Sepsis: recognizing the next event. November 27, 2013 Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. doi:10.1097/01.NURSE.0000434320.25397.53. https://psnet.ahrq.gov/issue/sepsis-recognizing-next-event This commentary describes the development and implementatio…