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Showing results for "implementing".

9061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853629/psn-pdf
      September 20, 2023 - Global Knowledge Sharing Platform for Patient Safety. September 20, 2023 World Health Organization. https://psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety The sharing of best practices is a key component of enabling successful strategy implementation in support of patient safety plans and go…

9062. 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…

9063. 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…

9064. 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…

9065. 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…

9066. 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-…

9067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41261/psn-pdf
      May 04, 2012 - Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. May 4, 2012 Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s00268-012-1499-y. https://psnet.ahrq.gov/iss…

9068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38117/psn-pdf
      September 29, 2017 - Advances in Patient Safety: New Directions and Alternative Approaches. September 29, 2017 Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1- 4). https://psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches The 115 articles freel…

9069. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35357/psn-pdf
      February 03, 2011 - Effects of work hour reduction on residents' lives: a systematic review. February 3, 2011 Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088. https://psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-syst…

9070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36241/psn-pdf
      October 21, 2010 - 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. October 21, 2010 Pittet D, Allegranzi B, Storr J, et al. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005- 2006. Int J Infect Dis. 2006;10(6):419-24. https://psnet.ahrq.gov/issue/clean-care-safer-care-global-patient-safe…

9071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39701/psn-pdf
      April 14, 2011 - Medication errors with electronic prescribing (eP): two views of the same picture. April 14, 2011 Savage I, Cornford T, Klecun E, et al. Medication errors with electronic prescribing (eP): Two views of the same picture. BMC Health Serv Res. 2010;10:135. doi:10.1186/1472-6963-10-135. https://psnet.ahrq.gov/issue/me…

9072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35980/psn-pdf
      January 01, 2019 - The development of the National Reporting and Learning System in England and Wales, 2001-2005. December 23, 2012 Williams SK, Osborn SS. The development of the National Reporting and Learning System in England and Wales, 2001–2005. Med J Aust. 2019;184(S10) (S10):s65-s68. doi:10.5694/j.1326-5377.2006.tb00366.x. ht…

9073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36754/psn-pdf
      August 09, 2011 - Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. August 9, 2011 Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. J Nurs Care Qual. 2007;22(2):159-63. https://psnet.ahrq.gov/issue…

9074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48052/psn-pdf
      June 12, 2019 - How organisations contribute to improving the quality of healthcare. June 12, 2019 Fulop NJ, Ramsay AIG. How organisations contribute to improving the quality of healthcare. BMJ. 2019;365:l1773. doi:10.1136/bmj.l1773. https://psnet.ahrq.gov/issue/how-organisations-contribute-improving-quality-healthcare Quality a…

9075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837808/psn-pdf
      August 05, 2024 - Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. August 5, 2024 Washington, DC: Leapfrog Group; July 2024. https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals Diagnostic safety is beginning to be established as a systemic, rather than solely an ind…

9076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38890/psn-pdf
      December 30, 2014 - Intravenous infusion safety technology: return on investment. December 30, 2014 Danello SH, Maddox RR, Schaack GJ. Intravenous Infusion Safety Technology: Return on Investment. Hosp Pharm. 2010;44(8):680-688. doi:10.1310/hpj4408-680. https://psnet.ahrq.gov/issue/intravenous-infusion-safety-technology-return-invest…

9077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867804/psn-pdf
      February 26, 2025 - Are We Safer Today? February 26, 2025 Bates DW, Lee M, Mossburg SE. Are We Safer Today? PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/are-we-safer-today In the 1999 report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (now the National Academy of Medicine) drew on two lar…

9078. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
      June 01, 2014 - PowerPoint Presentation Spotlight Wandering Off the Floors: Safety and Security Risks of Patient Wandering 1 This presentation is based on the June 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…

9079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45320/psn-pdf
      January 01, 2017 - The problem with the '5 whys.' September 14, 2016 Card AJ. The problem with '5 whys'. BMJ Qual Saf. 2017;26(8):671-677. doi:10.1136/bmjqs-2016-005849. https://psnet.ahrq.gov/issue/problem-5-whys Investigation of incidents in complex systems can be hindered by time limitations, lack of follow-up, and incomplete res…

9080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45476/psn-pdf
      September 21, 2016 - Use of a surgical safety checklist to improve team communication. September 21, 2016 Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019. https://psnet.ahrq.gov/issue/use-surgical-safety-checklist-i…