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Showing results for "implementing".

  1. Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. | PSNet

    psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical
    March 29, 2023 - Review Classic Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. Citation Text: de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events in…

  2. Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical center in Taiwan. | PSNet

    psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-hfmea-effective-mechanism-preventing-infection
    April 05, 2023 - Study Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical center in Taiwan. Citation Text: Tiao C-H, Tsai L-C, Chen L-C, et al. Healthcare Failure Mode and Eff…

  3. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. | PSNet

    psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability-organization-and
    September 14, 2022 - Study Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. Citation Text: Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and e…

  4. National cluster-randomized trial of duty-hour flexibility in surgical training. | PSNet

    psnet.ahrq.gov/issue/national-cluster-randomized-trial-duty-hour-flexibility-surgical-training
    September 09, 2015 - Study Classic National cluster-randomized trial of duty-hour flexibility in surgical training. Citation Text: Bilimoria KY, Chung JW, Hedges L, et al. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. New Engl J Med. 2016;374(8):71…

  5. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. | PSNet

    psnet.ahrq.gov/issue/weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural-and-urban
    January 19, 2022 - Study Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. Citation Text: Mekonnen B, Wang G, Rajbhandari-Thapa J, et al. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. J…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43684/psn-pdf
    November 26, 2014 - Rapid response systems. November 26, 2014 Hillman KM, Chen J, Jones D. Rapid response systems. Med J Aust. 2014;201(9):519-21. https://psnet.ahrq.gov/issue/rapid-response-systems Rapid response systems have been widely accepted as a method to improve outcomes of hospitalized patients demonstrating signs of rapid d…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867698/psn-pdf
    October 01, 2024 - Toolkit for MRSA Prevention in ICU & Non-ICU Settings. October 1, 2024 Agency for Healthcare Research and Quality. Toolkit for MRSA Prevention in ICU & Non-ICU Settings. October 2024. https://psnet.ahrq.gov/issue/toolkit-mrsa-prevention-icu-non-icu-settings Methicillin-resistant Staphylococcus aureus (MRSA) infect…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852458/psn-pdf
    June 01, 2019 - The patient's role in patient safety. June 1, 2019 Corina I, Abram M, Halperin D. The patient's role in patient safety. Obstet Gynecol Clin North Am. 2019;46(2):215-225. doi:10.1016/j.ogc.2019.01.004. https://psnet.ahrq.gov/issue/patients-role-patient-safety Patients and their families can play an important role i…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40238/psn-pdf
    February 23, 2011 - Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. February 23, 2011 Zwart DLM, Steerneman AHM, van Rensen ELJ, et al. Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. BMJ Qual Saf. 2011;20(2):121-7. doi:10.1136/bmjqs.2009.033472. https…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838027/psn-pdf
    September 07, 2022 - Advancing Anticoagulation Stewardship: A Playbook. September 7, 2022 Washington DC; National Quality Forum and Anticoagulation Forum; 2022. https://psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook Warfarin and other anticoagulants are high-alert medications that, if errors occur in their use, can…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37412/psn-pdf
    December 12, 2007 - The checklist. December 12, 2007 Gawande A. New Yorker. December 10, 2007:86-95. https://psnet.ahrq.gov/issue/checklist This article by bestselling author and surgeon Atul Gawande illustrates the complexity of intensive care and profiles Peter Pronovost, the Johns Hopkins intensivist and safety leader whose effort…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851662/psn-pdf
    July 26, 2023 - Mitigating bias in AI at the point of care. July 26, 2023 Decamp M, Lindvall C. Science. 2023;381(6654):150-152. https://psnet.ahrq.gov/issue/mitigating-bias-ai-point-care Computerized clinical support is vulnerable to bias due to widespread health care inequalities that feed into the systems. This article di…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73926/psn-pdf
    October 06, 2021 - Good for You, Good for Us, Good for Everybody. October 6, 2021 Ridge K. London, England: Crown Copyright; 2021. September 22, 2021. https://psnet.ahrq.gov/issue/good-you-good-us-good-everybody Overprescribing has attained prominence as a safety issue due to the current opioid epidemic, but it has long reduced medi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60917/psn-pdf
    September 16, 2020 - Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. September 16, 2020 Decesare JZ, Bush SY, Morton AN. Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. J Patient Saf. 2020;16(3):e179-e181. doi:10.1097/pts.0000000000000…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40506/psn-pdf
    June 08, 2011 - Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. June 8, 2011 Lingard LA, Regehr G, Cartmill C, et al. Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice. BMJ Qual Saf. 2011;20(6):475-82. doi:1…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38835/psn-pdf
    September 02, 2009 - Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. September 2, 2009 Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sci. 2009;31(5):596-602. doi:10.10…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38823/psn-pdf
    July 29, 2009 - Attending physician work hours: ethical considerations and the last doctor standing. July 29, 2009 Mercurio MR, Peterec SM. Attending physician work hours: ethical considerations and the last doctor standing. Pediatrics. 2009;124(2):758-62. doi:10.1542/peds.2008-2953. https://psnet.ahrq.gov/issue/attending-physici…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50643/psn-pdf
    November 06, 2019 - Same Day Surgery in the US; Findings of Two Inaugural Leapfrog Surveys 2019. November 6, 2019 Washington DC: Leapfrog Group; 2019. https://psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019 Ambulatory surgery centers (ASC) are established venues for surgical care despite lack of …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40241/psn-pdf
    June 20, 2011 - Computerized physician order entry in the critical care environment: a review of current literature. June 20, 2011 Maslove DM, Rizk NW, Lowe HJ. Computerized Physician Order Entry in the Critical Care Environment: A Review of Current Literature. J Intensive Care Med. 2011;26(3). doi:10.1177/0885066610387984. https…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44415/psn-pdf
    October 28, 2015 - Medication discrepancies at pediatric hospital discharge. October 28, 2015 Gattari TB, Krieger LN, Hu HM, et al. Medication Discrepancies at Pediatric Hospital Discharge. Hosp Pediatr. 2015;5(8):439-45. doi:10.1542/hpeds.2014-0085. https://psnet.ahrq.gov/issue/medication-discrepancies-pediatric-hospital-discharge …
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