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Showing results for "implementing".

8821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40495/psn-pdf
      June 01, 2011 - Rolling out the rapid response team. June 1, 2011 Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, et al. Rolling out the rapid response team. Am J Nurs. 2011;111(5):42-47. doi:10.1097/01.naj.0000398050.30793.0f. https://psnet.ahrq.gov/issue/rolling-out-rapid-response-team This commentary explains how to use evide…

8822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36094/psn-pdf
      February 12, 2014 - Learning from Disasters: A Management Approach. Third ed. February 12, 2014 Toft B, Reynolds S. Leicester, UK: Perpetuity Press Limited; 2005. ISBN: 9781349279029. https://psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed This book provides a discussion of how organizations can learn from failur…

8823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34002/psn-pdf
      March 17, 2011 - Utah DoH Patient Safety Initiatives. March 17, 2011 Center for Health Data, Utah Department of Health, PO Box 144004, Salt Lake City, UT 84114. https://psnet.ahrq.gov/issue/utah-doh-patient-safety-initiatives Utah established a number of collaborative initiatives to understand the nature and occurrence of adverse …

8824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36034/psn-pdf
      September 27, 2010 - One intensive care nursery's experience with enhancing patient safety. September 27, 2010 Alton M, Mericle J, Brandon D. One intensive care nursery's experience with enhancing patient safety. Adv Neonatal Care. 2006;6(3):112-9. https://psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-s…

8825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39137/psn-pdf
      June 07, 2016 - The rise of patient safety organizations. June 7, 2016 Ivill DS, Kearbey AH. New York Law J. November 2, 2009. https://psnet.ahrq.gov/issue/rise-patient-safety-organizations This news feature discusses legal aspects of Patient Safety Organizations' (PSO) role in data collection and evaluation, work product designa…

8826. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40981/psn-pdf
      December 18, 2014 - Improving reporting of outpatient pediatric medical errors. December 18, 2014 Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors. PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477. https://psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors This…

8827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35200/psn-pdf
      July 27, 2005 - Hospital R.Ph.s weigh in on new JCAHO patient safety goals. July 27, 2005 Vecchione A. Drug Topics. July 11, 2005 https://psnet.ahrq.gov/issue/hospital-rphs-weigh-new-jcaho-patient-safety-goals This article summarizes the 2006 Joint Commission on Accreditation of Healthcare Organizations patient safety goals and …

8828. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39851/psn-pdf
      August 17, 2011 - When doctors admit their mistakes. August 17, 2011 Chen PW. https://psnet.ahrq.gov/issue/when-doctors-admit-their-mistakes This newspaper article discusses how disclosure of medical error can be beneficial for physicians and reveals the importance of open disclosure for the doctor–patient relationship. The piece r…

8829. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35891/psn-pdf
      May 03, 2006 - Costs and Benefits of Health Information Technology. May 3, 2006 Shekelle PG, Morton SC, Keeler EB. Rockville, MD: Agency for Healthcare Research and Quality; April 2006. AHRQ Publication No. 06-E006. https://psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology The authors reviewed the literature …

8830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44652/psn-pdf
      November 11, 2015 - Developing a principle-based approach to safe medication practices. November 11, 2015 Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47. https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices This commentary describes the development, implementation, and evaluation of n…

8831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33972/psn-pdf
      June 14, 2011 - Maximize Patient Safety with Advanced Root Cause Analysis. June 14, 2011 Corbett C, Clapper C, Johnson KM, et al. Middleton, MA: HCPro; 2004. ISBN: 1578393485 https://psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis A "how-to" book for organizations that have already implemented a root cau…

8832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42015/psn-pdf
      April 22, 2013 - Building a culture of safety through team training and engagement. April 22, 2013 Thomas L, Galla C. Building a culture of safety through team training and engagement. BMJ Qual Saf. 2013;22(5):425-34. doi:10.1136/bmjqs-2012-001011. https://psnet.ahrq.gov/issue/building-culture-safety-through-team-training-and-enga…

8833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37712/psn-pdf
      March 02, 2010 - Patient Safety Papers 3. March 2, 2010 Baker GR, ed. Healthc Q. 2008;11:1-144.   https://psnet.ahrq.gov/issue/patient-safety-papers-3 This collection of articles shares best practices implemented in Canada to improve patient safety through disclosure processes, teamwork development, medication safety measures…

8834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39200/psn-pdf
      March 28, 2010 - Creating champions for health care quality and safety. March 28, 2010 Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108. https://psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety Inte…

8835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40421/psn-pdf
      January 01, 2020 - Safe Surgery 2020. April 27, 2011 GE Foundation. info@safesurgery2020.org. https://psnet.ahrq.gov/issue/safe-surgery-2015 This Web site provides programmatic resources building on work to implement the World Health Organization surgical safety checklist to improve surgical safety worldwide. Its efforts center…

8836. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39181/psn-pdf
      December 16, 2009 - Decreasing patient misidentification before chemotherapy administration. December 16, 2009 Spruill A, Eron B, Coghill A, et al. Decreasing patient misidentification before chemotherapy administration. Clin J Oncol Nurs. 2009;13(6):716-7. doi:10.1188/09.CJON.716-717. https://psnet.ahrq.gov/issue/decreasing-patient-…

8837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40452/psn-pdf
      May 11, 2011 - The novice nurse and clinical decision-making: how to avoid errors. May 11, 2011 Saintsing D, Gibson LM, Pennington AW. The novice nurse and clinical decision-making: how to avoid errors. J Nurs Manag. 2011;19(3):354-9. doi:10.1111/j.1365-2834.2011.01248.x. https://psnet.ahrq.gov/issue/novice-nurse-and-clinical-de…

8838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38181/psn-pdf
      October 31, 2016 - PSO Privacy Protection Center. October 31, 2016 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/pso-privacy-protection-center This Web site supports AHRQ implementation of the Patient Safety and Quality Improvement Act of 2005 by providing technical assistance and educational materia…

8839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42029/psn-pdf
      September 06, 2016 - Management of drug shortages in the perioperative setting. September 6, 2016 Murray C, Rycek W, Johnson D, Sifuentes-Tovar F. Pharm Purch Prod. January 2013;10:12. https://psnet.ahrq.gov/issue/management-drug-shortages-perioperative-setting This magazine article details how one academic medical center used a colla…

8840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38336/psn-pdf
      January 14, 2009 - Proceedings of a summit on preventing patient harm and death from IV medication errors. January 14, 2009 Proceedings of a summit on preventing patient harm and death from i.v. medication errors. doi:10.2146/ajhp080406. https://psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-…