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Showing results for "implementing".

8941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37115/psn-pdf
      October 04, 2011 - Evaluation of an anonymous system to report medical errors in pediatric inpatients. October 4, 2011 Taylor JA, Brownstein D, Klein EJ, et al. Evaluation of an anonymous system to report medical errors in pediatric inpatients. J Hosp Med. 2007;2(4):226-33. https://psnet.ahrq.gov/issue/evaluation-anonymous-system-re…

8942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43864/psn-pdf
      January 28, 2015 - Starter Kit for Alarm Fatigue. January 28, 2015 National Association of Clinical Nurse Specialists; NACNS. https://psnet.ahrq.gov/issue/starter-kit-alarm-fatigue Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit provides checklists, resources, and implemen…

8943. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45311/psn-pdf
      May 20, 2019 - The Joint Commission Big Book of Checklists. 2nd Edition. May 20, 2019 Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598. https://psnet.ahrq.gov/issue/joint-commission-big-book-checklists-2nd-edition Checklists are a widely accepted strategy to improve communication and standardize processes to su…

8944. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50874/psn-pdf
      February 05, 2020 - Checking In on the Checklist. February 5, 2020 Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020. https://psnet.ahrq.gov/issue/checking-checklist Checklists are integrated into error reduction strategies and healthcare team communication efforts worldwide but implementation and impact of the tool varies …

8945. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41713/psn-pdf
      September 26, 2012 - Why patients need leaders: introducing a ward safety checklist. September 26, 2012 Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098. https://psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-…

8946. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37919/psn-pdf
      July 16, 2008 - Adverse event protocol for interventional pain medicine: the importance of an organized response. July 16, 2008 Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2008.00446.x. https://psnet.ahrq.gov/…

8947. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41931/psn-pdf
      December 19, 2012 - Preventing wrong-site surgery in Minnesota: a 5-year journey. December 19, 2012 Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34. https://psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey Discussing a 5-year effort to report, analyze, and red…

8948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42537/psn-pdf
      October 02, 2013 - The use of a checklist in a pediatric oncology clinic. October 2, 2013 McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657. https://psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic An Institute o…

8949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865348/psn-pdf
      January 01, 2023 - Learning Health Systems January 1, 2023 Agency for Health Research and Quality. https://psnet.ahrq.gov/issue/learning-health-systems The learning health system model centers on the purposeful, systematic use of internal data and knowledge with external evidence to improve the safety and quality of care. This websi…

8950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74095/psn-pdf
      February 01, 2022 - Zero Suicide Initiative. November 17, 2021 Office of the Federal Register, National Archives and Records Administration. Fed Register. November 3, 2021;(86):60883-60893. https://psnet.ahrq.gov/issue/zero-suicide-initiative Patient suicide attempts are considered never events. This funding announcement calls for pr…

8951. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35271/psn-pdf
      June 29, 2009 - Use of specific indicators to detect warfarin-related adverse events.   June 29, 2009 Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404. https://psnet.ahrq.gov/issue/use-specific-indic…

8952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36688/psn-pdf
      May 27, 2011 - Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care. May 27, 2011 Vardi A; Efrati O; Levin I; Matok I; Rubinstein M; Paret G; Barzilay Z. https://psnet.ahrq.gov/issue/prevention-potential-errors-resuscitation-medications-or…

8953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36425/psn-pdf
      December 22, 2010 - Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. December 22, 2010 Wagar EA, Tamashiro L, Yasin B, et al. Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. Arch Pathol Lab Med. 2006;130(11):1662-1668. https://p…

8954. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42668/psn-pdf
      January 09, 2014 - Delayed medical emergency team calls and associated outcomes. January 9, 2014 Boniatti MM, Azzolini N, Viana M, et al. Delayed medical emergency team calls and associated outcomes. Crit Care Med. 2014;42(1):26-30. doi:10.1097/CCM.0b013e31829e53b9. https://psnet.ahrq.gov/issue/delayed-medical-emergency-team-calls-a…

8955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46553/psn-pdf
      October 25, 2017 - Telehealth. October 25, 2017 Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. https://psnet.ahrq.gov/issue/telehealth Telemedicine can improve patient experience and access to health care. This commentary reviews the current state of telehealth practi…

8956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44155/psn-pdf
      June 24, 2015 - Patient Safety Tool Kit. June 24, 2015 WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596. https://psnet.ahrq.gov/issue/patient-safety-tool-kit Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and s…

8957. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41682/psn-pdf
      September 19, 2012 - Impact of the unit-based patient safety officer. September 19, 2012 Nedved P, Chaudhry R, Pilipczuk D, et al. Impact of the unit-based patient safety officer. J Nurs Adm. 2012;42(9):431-434. doi:10.1097/NNA.0b013e318266810e. https://psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer A unit-based nurse p…

8958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40155/psn-pdf
      January 26, 2011 - Addressing safety concerns about U-500 insulin in a hospital setting. January 26, 2011 Samaan KH, Dahlke M, Stover J. Addressing safety concerns about U-500 insulin in a hospital setting. Am J Health Syst Pharm. 2011;68(1):63-8. doi:10.2146/ajhp100224. https://psnet.ahrq.gov/issue/addressing-safety-concerns-about-…

8959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36863/psn-pdf
      August 29, 2011 - Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. August 29, 2011 Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607. https://psnet.ahrq.gov/issue/embedding-qual…

8960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73326/psn-pdf
      June 01, 2021 - CANDOR Webinar Series. June 1, 2021 Patient Safety Movement Foundation. 2021.  https://psnet.ahrq.gov/issue/candor-webinar-series The Communication and Optimal Resolution (CANDOR) model was designed to support early error disclosure with patients and families after mistakes in care occur. This three-part webi…