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Showing results for "implementing".

8961. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34991/psn-pdf
      June 22, 2009 - Use of failure mode and effects analysis in improving the safety of i.v. drug administration. June 22, 2009 Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Am J Health Syst Pharm. 2005;62(9):917-20. https://psnet.ahrq.gov/issue/use-failure-mode-an…

8962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36564/psn-pdf
      January 12, 2011 - Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010. January 12, 2011 Crane J, Crane FG. Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010. Hosp Top. 2006;84(4):3-8. http…

8963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41340/psn-pdf
      January 03, 2017 - How to develop a second victim support program: a toolkit for health care organizations. January 3, 2017 Pratt SD, Kenney L, Scott SD, et al. How to develop a second victim support program: a toolkit for health care organizations. Jt Comm J Qual Patient Saf. 2012;38(5):235-40, 193. https://psnet.ahrq.gov/issue/how…

8964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42460/psn-pdf
      July 31, 2013 - Effectiveness of the surgical safety checklist in a high standard care environment. July 31, 2013 Lübbeke A, Hovaguimian F, Wickboldt N, et al. Effectiveness of the surgical safety checklist in a high standard care environment. Med Care. 2013;51(5):425-9. doi:10.1097/MLR.0b013e31828d1489. https://psnet.ahrq.gov/is…

8965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73897/psn-pdf
      September 29, 2021 - Peer Support Toolkit. September 29, 2021 Betsy Lehman Center for Patient Safety. September 2021. https://psnet.ahrq.gov/issue/peer-support-toolkit Clinicians involved in adverse events that harm patients can struggle to come to terms with error. This toolkit is designed to assist organizations in the development o…

8966. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38698/psn-pdf
      June 10, 2009 - Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. June 10, 2009 Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Appl Ergon. 2009;40(3):379-95. doi:10.1016/j.apergo.2008.11.004. …

8967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41856/psn-pdf
      November 21, 2012 - Electronic health records and National Patient-Safety Goals. November 21, 2012 Sittig DF, Singh H. Electronic Health Records and National Patient-Safety Goals. New England Journal of Medicine. 2012;367(19). doi:10.1056/nejmsb1205420. https://psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safet…

8968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35311/psn-pdf
      January 02, 2017 - Medication dosing errors for patients with renal insufficiency in ambulatory care. January 2, 2017 Yap C, Dunham D, Thompson JA, et al. Medication Dosing Errors for Patients with Renal Insufficiency in Ambulatory Care. The Joint Commission Journal on Quality and Patient Safety. 2016;31(9). doi:10.1016/s1553-7250(0…

8969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42263/psn-pdf
      January 14, 2014 - The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. January 14, 2014 Myers JS, Tess A, Glasheen JJ, et al. The Quality and Safety Educators Academy: fulfilling an unmet need for faculty development. Am J Med Qual. 2014;29(1):5-12. doi:10.1177/1062860613484082. https://psnet.…

8970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43003/psn-pdf
      March 05, 2014 - Learning from every death. March 5, 2014 Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053. https://psnet.ahrq.gov/issue/learning-every-death This commentary describes how design and implementation of an institutional mortality…

8971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43315/psn-pdf
      May 10, 2016 - Chief resident for quality improvement and patient safety: a description. May 10, 2016 Cox LAM, Fanucchi LC, Sinex NC, et al. Chief resident for quality improvement and patient safety: a description. Am J Med. 2014;127(6):565-8. doi:10.1016/j.amjmed.2014.02.034. https://psnet.ahrq.gov/issue/chief-resident-quality-…

8972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37816/psn-pdf
      April 27, 2010 - In situ simulation: a method of experiential learning to promote safety and team behavior. April 27, 2010 Miller KK, Riley W, Davis SE, et al. In situ simulation: a method of experiential learning to promote safety and team behavior. J Perinat Neonatal Nurs. 2008;22(2):105-113. doi:10.1097/01.JPN.0000319096.97790.…

8973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35811/psn-pdf
      March 29, 2006 - Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. March 29, 2006 Angus DC; Shorr AF; White A; Dremsizov TT; Schmitz RJ; Kelley MA;Committee on Manpower for Pulmonary and Critical Care Societies; COMPACCS. https://psnet.ahrq.gov/issue/critical-care-…

8974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35563/psn-pdf
      June 08, 2010 - A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. June 8, 2010 Singh R, Naughton B, Taylor JS, et al. A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. Med Educ. 2005;39(12):1195-204. https://psnet.ahrq.…

8975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37780/psn-pdf
      March 10, 2011 - Evaluation of an inpatient computerized medication reconciliation system. March 10, 2011 Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561. https://psnet.ahrq.gov/issue/evaluation-inp…

8976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42563/psn-pdf
      October 09, 2013 - Quick Response codes for surgical safety: a prospective pilot study. October 9, 2013 Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036. https://psnet.ahrq.gov/issue/quick-response-code…

8977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36557/psn-pdf
      July 14, 2010 - Adoption of technology to improve medication safety: perspectives of pharmacy directors. July 14, 2010 Bussard BE, McAlearney AS, Pedersen CA, et al. Adoption of Technology to Improve Medication Safety. J Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000236914.48955.99. https://psnet.ahrq.gov/issue/adoption-technolo…

8978. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60257/psn-pdf
      April 23, 2020 - When We Do Harm: A Doctor Confronts Medical Error. April 23, 2020 Ofri D. Boston, MA: Beacon Press; 2020. ISBN 9780807037881. https://psnet.ahrq.gov/issue/when-we-do-harm-doctor-confronts-medical-error Human and system failures combine to result in preventable patient harm. This book highlights the need for frontl…

8979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38532/psn-pdf
      January 13, 2017 - Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report. January 13, 2017 Rockville, MD: Agency for Healthcare Research and Quality; February 2009. AHRQ Publication No. 090003. https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-pane…

8980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37432/psn-pdf
      November 29, 2009 - The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. November 29, 2009 Hanlon C; Rosenthal J. Portland, ME: National Academy for State Health Policy; 2007. https://psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate…