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Showing results for "implementing".

8961. 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…

8962. 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…

8963. 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…

8964. 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…

8965. 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…

8966. 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…

8967. 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…

8968. 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…

8969. 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…

8970. 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…

8971. 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 …

8972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33673/psn-pdf
      September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety September 1, 2008 Rothschild JM, Keohane C. The Role of Bar Coding and Smart Pumps in Safety. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety Perspective Medication safety in hospitals depends on the successful execu…

8973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49646/psn-pdf
      February 01, 2012 - Poorly Advanced Directives February 1, 2012 Anderson WG. Poorly Advanced Directives. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/poorly-advanced-directives The Case Cared for at home by his wife and family, an 82-year-old man with multiple chronic medical conditions described his overall health as decli…

8974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50927/psn-pdf
      February 21, 2020 - Patient Safety in Primary Care February 21, 2020 Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/patient-safety-primary-care Introduction A strong primary care system is foundational to achieving high-quality, accessible, efficient healthcare …

8975. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-472
      February 26, 2025 - February 26, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, repor…

8976. Handoffs and Transitions | PSNet
      psnet.ahrq.gov/perspective/handoffs-and-transitions
      February 01, 2007 - Annual Perspective Handoffs and Transitions Niraj Sehgal, MD, MPH | January 22, 2014  View more articles from the same authors. Citation Text: Sehgal NL. Handoffs and Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…

8977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848110/psn-pdf
      April 26, 2023 - Subsequently, the patient suffered multiple falls despite the nursing staff implementing “fall precautions

8978. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50755/psn-pdf
      December 18, 2019 - A step-by-step guide to implementing a malnutrition coding program for adult inpatients.

8979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41075/psn-pdf
      January 18, 2012 - Wide heart monitor use tied to missed alarms. January 18, 2012 Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use of the Latest Standards for Electrocardiography trial. J…

8980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47280/psn-pdf
      October 15, 2018 - Master of Healthcare Quality and Safety. October 15, 2018 Harvard Medical School. https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety This one-year degree program will train clinicians and health care executives to lead safety and quality improvement initiatives. Participants will learn how to develo…