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Showing results for "implementing".

8881. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41483/psn-pdf
      September 12, 2016 - Rapid response teams and failure to rescue: one community's experience. September 12, 2016 Hammer JA, Jones TL, Brown SA. Rapid response teams and failure to rescue: one community's experience. J Nurs Care Qual. 2012;27(4):352-8. doi:10.1097/NCQ.0b013e31825a8e2f. https://psnet.ahrq.gov/issue/rapid-response-teams-a…

8882. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38378/psn-pdf
      September 24, 2010 - I-CaRe: a case review tool focused on improving inpatient care. September 24, 2010 Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61. https://psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpati…

8883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37318/psn-pdf
      January 04, 2012 - The meaning of justice in safety incident reporting. January 4, 2012 Weiner BJ, Hobgood C, Lewis MA. The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13. https://psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting This article describes how the principles of just culture …

8884. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41431/psn-pdf
      June 06, 2012 - First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. June 6, 2012 Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778. https://psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety This publication examines patient safe…

8885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40795/psn-pdf
      March 04, 2015 - Patient safety event reporting in a large radiology department. March 4, 2015 Schultz SR, Watson RE, Prescott SL, et al. Patient Safety Event Reporting in a Large Radiology Department. American Journal of Roentgenology. 2011;197(3). doi:10.2214/ajr.11.6718. https://psnet.ahrq.gov/issue/patient-safety-event-reporti…

8886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41729/psn-pdf
      October 10, 2012 - Checklists change communication about key elements of patient care. October 10, 2012 Newkirk M, Pamplin JC, Kuwamoto R, et al. Checklists change communication about key elements of patient care. J Trauma Acute Care Surg. 2012;73(2 Suppl 1):S75-82. doi:10.1097/TA.0b013e3182606239. https://psnet.ahrq.gov/issue/check…

8887. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42757/psn-pdf
      November 20, 2013 - Clinical ICT Systems in the Victorian Public Health Sector. November 20, 2013 Doyle J. Melbourne, Australia: Victorian Auditor-General's Office; October 30, 2013. https://psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector Following the implementation of a large clinical information communicati…

8888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34699/psn-pdf
      January 04, 2017 - Organizational costs of preventable medical errors. January 4, 2017 Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. https://psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors Using two composite case studies a…

8889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34583/psn-pdf
      July 03, 2015 - Patient Safety Challenge Grants. July 3, 2015 Agency for Healthcare Research and Quality; AHRQ. https://psnet.ahrq.gov/issue/patient-safety-challenge-grants In fiscal year 2004, the Agency for Healthcare Research and Quality (AHRQ) awarded nearly $4 million in Patient Safety Challenge Grants to support 13 new prac…

8890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38015/psn-pdf
      August 27, 2008 - Impact of electronic prescribing in a hospital setting: a process-focused evaluation.  August 27, 2008 Cunningham TR, Geller S, Clarke SW. Impact of electronic prescribing in a hospital setting: a process- focused evaluation. Int J Med Inform. 2008;77(8):546-54. https://psnet.ahrq.gov/issue/impact-electronic-presc…

8891. Misidentifying the Unidentified – John Doe and the EHR | PSNet
      psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
      September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR Citation Text: Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …

8892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33719/psn-pdf
      October 01, 2011 - The Context Is the Intervention October 1, 2011 Øvretveit J. The Context Is the Intervention. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/context-intervention Perspective Introduction What we say, do, and feel are facts. We live and work in groups, in a society, and are influenced by this context.…

8893. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
      August 28, 2024 - system. 3 Finally, to understand work-done versus work-as-imagined, the authors (CV and KH) have started implementing

8894. Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/application-safety-ii-principles
      August 28, 2024 - system. 3 Finally, to understand work-done versus work-as-imagined, the authors (CV and KH) have started implementing

8895. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39175/psn-pdf
      December 16, 2009 - Impact of a standard medication chart on prescribing errors: a before-and-after audit. December 16, 2009 Coombes ID, Stowasser DA, Reid C, et al. Impact of a standard medication chart on prescribing errors: a before-and-after audit. Qual Saf Health Care. 2009;18(6):478-85. doi:10.1136/qshc.2007.025296. https://psn…

8896. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37558/psn-pdf
      July 05, 2013 - Patient safety and quality improvement. July 5, 2013 Agency for Healthcare Research and Quality. Fed Register. February 12, 2008;73(29):8112-8183. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement These proposed rules seek to support the implementation of portions of the Patient Safety and Quality…

8897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41728/psn-pdf
      January 18, 2013 - Who's covering our loved ones: surprising barriers in the sign-out process. January 18, 2013 Antonoff MB, Berdan EA, Kirchner VA, et al. Who's covering our loved ones: surprising barriers in the sign- out process. Am J Surg. 2013;205(1):77-84. doi:10.1016/j.amjsurg.2012.05.009. https://psnet.ahrq.gov/issue/whos-co…

8898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36464/psn-pdf
      January 07, 2011 - Establishing a rapid response team (RRT) in an academic hospital: one year's experience. January 7, 2011 King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114. https://psnet.ahrq.gov/issue/establishing-rapi…

8899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35125/psn-pdf
      June 29, 2005 - 2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation. June 29, 2005 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/2005-annual-patient-safety-and-health-information-technology-conference- making-…

8900. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34973/psn-pdf
      September 29, 2017 - Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. September 29, 2017 Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. Policy Polit Nurs Pract. 200…