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Total Results: over 10,000 records

Showing results for "implementing".

9061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35751/psn-pdf
      July 19, 2010 - Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study. July 19, 2010 McMullin J, Cook D, Griffith L, et al. Minimizing errors of omission: behavioural reenforcement of heparin to avert venous emboli: the BEHAVE study. Crit Care Med. 2006;34(3):694-9. https://…

9062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37053/psn-pdf
      July 31, 2008 - Electronic health record use and the quality of ambulatory care in the United States. July 31, 2008 Linder JA, Ma J, Bates DW, et al. Electronic health record use and the quality of ambulatory care in the United States. Arch Intern Med. 2007;167(13):1400-5. https://psnet.ahrq.gov/issue/electronic-health-record-use…

9063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43562/psn-pdf
      September 24, 2014 - What's that sound? Managing alarm fatigue. September 24, 2014 George TP, Martin V. What?s that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!. 2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f. https://psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue Alarm fatigue has been described as a cont…

9064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42861/psn-pdf
      January 15, 2014 - Transitioning Newborns From NICU to Home: A Resource Toolkit. January 15, 2014 Rockville, MD: Agency for Healthcare Research and Quality; December 2013. AHRQ Publication No. 12(14)-0054-EF. https://psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit Infants discharged from the neonatal intensiv…

9065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44561/psn-pdf
      October 30, 2023 - AHRQ Impact Case Studies: Patient Safety. October 30, 2023 Agency for Healthcare Research and Quality. 2019-2023. https://psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety AHRQ supports the development and testing of various resources for health care organizations to implement as safety improvement stra…

9066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45809/psn-pdf
      October 29, 2017 - Three perspectives on changes in resident work environment and duty hours. October 29, 2017 Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908. https://psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours In July 2017, the ACGME modified resident physici…

9067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838028/psn-pdf
      September 15, 2022 - Creating a Communication Coaching Structure and Support for your CRP Program. September 7, 2022 Collaborative for Accountability and Improvement. September 15, 2022. https://psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program Communication and resolution program (CRP) succes…

9068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39530/psn-pdf
      March 22, 2011 - Surgical adverse outcome reporting as part of routine clinical care. March 22, 2011 Kievit J, Krukerink M, van de Mheen PJM-. Surgical adverse outcome reporting as part of routine clinical care. Qual Saf Health Care. 2010;19(6):e20. doi:10.1136/qshc.2008.027458. https://psnet.ahrq.gov/issue/surgical-adverse-outcom…

9069. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72645/psn-pdf
      January 13, 2021 - The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. January 13, 2021 Wright L. New Yorker. January 4, 2021;96(463):20-59.  https://psnet.ahrq.gov/issue/plague-year-mistakes-and-struggles-behind-americas-covid-19-tragedy Uncertainty, misinformation, management gaps, and r…

9070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43023/psn-pdf
      April 16, 2014 - Institutional disclosure: promise and problems. April 16, 2014 Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132. https://psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems Using case review and interviews, res…

9071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39829/psn-pdf
      January 09, 2025 - Hospital Reporting Program: Annual Summary. January 9, 2025 Portland, OR: Oregon Patient Safety Commission. https://psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary This site provides data and analysis from two Oregon Patient Safety Commission patient safety initiatives: the Patient Safety Reporting …

9072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35482/psn-pdf
      May 27, 2011 - The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. May 27, 2011 Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pediatrics. 2005;116(5):e634-42. https:/…

9073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43427/psn-pdf
      August 06, 2014 - Surgical checklists unused in 10% of hospitals, CMS data shows. August 6, 2014 Clark C. HealthLeaders Media. July 24, 2014. https://psnet.ahrq.gov/issue/surgical-checklists-unused-10-hospitals-cms-data-shows The Hospital Compare Web site has begun to publicly report which hospitals are using checklists, and the r…

9074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41553/psn-pdf
      December 02, 2014 - Quality improvement initiative to reduce serious safety events and improve patient safety culture. December 2, 2014 Muething S, Goudie A, Schoettker PJ, et al. Quality improvement initiative to reduce serious safety events and improve patient safety culture. Pediatrics. 2012;130(2):e423-31. doi:10.1542/peds.2011-35…

9075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40912/psn-pdf
      March 02, 2012 - Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital. March 2, 2012 Wood JL, Burnette JS. Enhancing patient safety with intelligent intravenous infusion devices: Experience in a specialty cardiac hospital. Heart & Lung. 2011;41(2). doi:10.1016/j.hrtlng.…

9076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866697/psn-pdf
      September 11, 2024 - Patient Safety: Emerging Applications of Safety Science. September 11, 2024 Cox C, Hughes H, Nicholls J. Patient Safety: Emerging Applications Of Safety Science. Somerset, UK: Class Publishing; 2024. ISBN 9781801610834. https://psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science Patient safety…

9077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44934/psn-pdf
      February 07, 2023 - National Safety Standards for Invasive Procedures (NatSSIPs2). February 7, 2023 Centre for Perioperative Care. London, UK; January 2023. https://psnet.ahrq.gov/issue/national-safety-standards-invasive-procedures-natssips Patients face risks when undergoing surgery. This revised guidance provides recommendations de…

9078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43457/psn-pdf
      August 02, 2015 - A human factors subsystems approach to trauma care. August 2, 2015 Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA Surg. 2014;149(9):962-8. https://psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care Human factors analysis led to five system changes i…

9079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46441/psn-pdf
      December 06, 2017 - Reducing delay in diagnosis: multistage recommendation tracking. December 6, 2017 Wandtke B, Gallagher S. Reducing Delay in Diagnosis: Multistage Recommendation Tracking. AJR Am J Roentgenol. 2017;209(5):970-975. doi:10.2214/AJR.17.18332. https://psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendat…

9080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38190/psn-pdf
      May 14, 2009 - Oncology medication safety: a 3D status report 2008. May 14, 2009 Johnson PE, Chambers C, Vaida AJ. Oncology medication safety: a 3D status report 2008. J Oncol Pharm Pract. 2008;14(4):169-80. doi:10.1177/1078155208097634. https://psnet.ahrq.gov/issue/oncology-medication-safety-3d-status-report-2008 This survey di…