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Showing results for "implementing".

  1. psnet.ahrq.gov/web-mm/dangerous-dialysis
    June 12, 2024 - July 5, 2017 Implementing a distraction-free practice with the Red Zone Medication Safety
  2. psnet.ahrq.gov/primer/medication-administration-errors
    December 15, 2024 - distractors, convoluted processes, and system misconfiguration. 2 Despite error reduction efforts through implementing
  3. psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
    May 26, 2021 - Health systems have made attempts to decrease the likelihood of adverse drug events by implementing health
  4. psnet.ahrq.gov/web-mm/inside-time-out
    March 01, 2004 - WebM&M Cases Crossing the Line March 1, 2004 Implementing
  5. psnet.ahrq.gov/web-mm/perils-diagnosing-stroke
    August 15, 2017 - Implementing evidence-based protocols in the evaluation of the acute ischemic stroke patient, ensuring
  6. psnet.ahrq.gov/web-mm/result-stopped-here
    December 01, 2006 - Medicare, Medicaid and CLIA programs; regulations implementing the Clinical Laboratory Improvement Amendments
  7. psnet.ahrq.gov/web-mm/missed-appendicitis
    March 13, 2013 - Implementing ways to increase feedback will enhance quality and may minimize error.( 14 ) Especially
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37024/psn-pdf
    January 02, 2017 - Every error a treasure: improving medication use with a nonpunitive reporting system. January 2, 2017 Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.1016/s1553- 7250(07)33046-8. ht…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47262/psn-pdf
    August 22, 2018 - The Case for Medication Safety Officers (MSO). August 22, 2018 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/case-medication-safety-officers-mso Medication safety is a concern in various settings across an organization. This white paper discusses the role of a medication …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38446/psn-pdf
    May 07, 2014 - Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio. May 7, 2014 Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF. https://psnet.ahrq.gov/issue/inpatient-c…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36065/psn-pdf
    May 27, 2011 - Passing the "Yo' Mama" test. May 27, 2011 Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18. https://psnet.ahrq.gov/issue/passing-yo-mama-test This article discusses how a…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42512/psn-pdf
    August 21, 2013 - Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. August 21, 2013 Hansen LO, Greenwald JL, Budnitz T, et al. Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. J Hosp Med. 2013;8(8):421-7. doi:10.1002/jhm.2054. https://psnet.ahrq.gov/issue/project-…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35441/psn-pdf
    September 18, 2009 - Bridging the communication gap in the operating room with medical team training. September 18, 2009 Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-4. https://psnet.ahrq.gov/issue/bridging-communication-gap-operating-r…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39778/psn-pdf
    August 18, 2010 - Eight-year experience with a neurosurgical checklist. August 18, 2010 Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305. https://psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist A 6-item checklist was successfully impleme…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38908/psn-pdf
    January 03, 2017 - Rapid response systems in adult academic medical centers. January 3, 2017 Wood KA, Ranji SR, Ide B, et al. Rapid response systems in adult academic medical centers. Jt Comm J Qual Patient Saf. 2009;35(9):475-82, 437. https://psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers This survey ch…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46500/psn-pdf
    June 27, 2018 - Ariadne Labs. June 27, 2018 Brigham & Women's Hospital; Harvard T.H. Chan School of Public Health. https://psnet.ahrq.gov/issue/ariadne-labs Checklists can help catch gaps in communication and process. This website provides resources related to the use of checklists in surgical, obstetric, and other care environme…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38264/psn-pdf
    January 02, 2017 - Using an advanced practice nursing model for a rapid response team. January 2, 2017 Benson L, Mitchell C, Link M, et al. Using an advanced practice nursing model for a rapid response team. Jt Comm J Qual Patient Saf. 2008;34(12):743-7. https://psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-respon…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50665/psn-pdf
    November 13, 2019 - The SECOND Trial November 13, 2019 Northwestern University Feinberg School of Medicine https://psnet.ahrq.gov/issue/second-trial Surgical resident well-being is paramount to ensuring safe surgical care and a healthy workforce. This website shares information on the Surgical Education Culture Optimization through t…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47352/psn-pdf
    February 13, 2019 - When is the surgeon too old to operate? February 13, 2019 Span P. New York Times. February 1, 2019. https://psnet.ahrq.gov/issue/when-surgeon-too-old-operate Cognitive and functional decline can occur as individuals age. Concerns have been raised regarding the need to assess skills of aging physicians. This newspa…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41836/psn-pdf
    November 14, 2012 - "Team time-out" and surgical safety—experiences in 12,390 neurosurgical patients. November 14, 2012 Oszvald Á, Vatter H, Byhahn C, et al. “Team time-out” and surgical safety—experiences in 12,390 neurosurgical patients. Neurosurg Focus. 2012;33(5). doi:10.3171/2012.8.focus12261. https://psnet.ahrq.gov/issue/team-t…

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