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Total Results: over 10,000 records

Showing results for "implementing".

9101. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43015/psn-pdf
      May 29, 2014 - Team-training in healthcare: a narrative synthesis of the literature. May 29, 2014 Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014;23(5):359-72. doi:10.1136/bmjqs-2013-001848. https://psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthe…

9102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35021/psn-pdf
      April 03, 2012 - Health Information Technology Leadership Panel: Final Report. April 3, 2012 Lewin Group: Falls Church, VA; March 2005. https://psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report Prepared by the Lewin Group for the Department of Health and Human Services, this 45-page report summarize…

9103. 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…

9104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46875/psn-pdf
      March 07, 2018 - Improving medication-related clinical decision support. March 7, 2018 Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. https://psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-suppo…

9105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44480/psn-pdf
      October 14, 2015 - Improving radiology report quality by rapidly notifying radiologist of report errors. October 14, 2015 Minn MJ, Zandieh AR, Filice RW. Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. J Digit Imaging. 2015;28(4):492-8. doi:10.1007/s10278-015-9781-9. https://psnet.ahrq.gov/issue…

9106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36969/psn-pdf
      May 21, 2014 - Evaluation of the Patient Safety Improvement Corps: Experiences of the First Two Groups of Trainees. May 21, 2014 Teleki S, Santa Monica, CA: RAND Corporation; 2006. ISBN: 978-0-8330-3992-7 https://psnet.ahrq.gov/issue/evaluation-patient-safety-improvement-corps-experiences-first-two-groups- trainees This report …

9107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42828/psn-pdf
      December 18, 2013 - Texting while doctoring: a patient safety hazard. December 18, 2013 Sinsky CA, Beasley JW. Texting while doctoring: a patient safety hazard. Ann Intern Med. 2013;159(11):782-3. doi:10.7326/0003-4819-159-11-201312030-00012. https://psnet.ahrq.gov/issue/texting-while-doctoring-patient-safety-hazard This commentary r…

9108. 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…

9109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35410/psn-pdf
      September 11, 2009 - Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. September 11, 2009 Keohane C, Hayes J, Saniuk C, et al. Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. J Infus Nurs. 2005;28(5):321-328. https://psnet.ahrq.gov/is…

9110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44964/psn-pdf
      March 09, 2016 - EHRs in the ER: as doctors adapt, concerns emerge about medical errors. March 9, 2016 Luthra S. https://psnet.ahrq.gov/issue/ehrs-er-doctors-adapt-concerns-emerge-about-medical-errors Many emergency departments have recently implemented electronic health records, which has introduced new safety hazards. This news…

9111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41056/psn-pdf
      January 11, 2012 - Beyond communication: the role of standardized protocols in a changing health care environment. January 11, 2012 Vardaman JM, Cornell P, Gondo MB, et al. Beyond communication: the role of standardized protocols in a changing health care environment.  Health Care Manage Rev. 2012;37(1):88-97. doi:10.1097/HMR.0b013e…

9112. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40163/psn-pdf
      December 21, 2014 - Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. December 21, 2014 Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. https://psnet.ahrq.gov/issue/integ…

9113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42732/psn-pdf
      May 05, 2014 - Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. May 5, 2014 Quigley PA, Barnett SD, Bulat T, et al. Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. J Nurs Care Qual. 2014;29(1):51-9. doi:10.1097/01.NCQ.000…

9114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37549/psn-pdf
      September 09, 2008 - Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a children's center. September 9, 2008 Hunt EA, Zimmer KP, Rinke ML, et al. Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a chi…

9115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35657/psn-pdf
      July 05, 2013 - Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. July 5, 2013 Casey MM, Moscovice I, Davidson G. Minneapolis, MN: Upper Midwest Rural Health Research Center; 2005. https://psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-im…

9116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43010/psn-pdf
      March 19, 2014 - Why pediatricians fail to diagnose hypertension: a multicenter survey. March 19, 2014 Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066. https://psnet.ahrq.gov/issue/why-pediatrician…

9117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44977/psn-pdf
      March 01, 2020 - Choosing a Patient Safety Organization March 1, 2020 Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0030. https://psnet.ahrq.gov/issue/choosing-patient-safety-organization Patient safety organizations (PSOs) collect and analyze protected incident data from across the …

9118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44016/psn-pdf
      November 21, 2016 - Partnering to Improve Quality and Safety: A Framework for Working With Patient and Family Advisors. November 21, 2016 Chicago, IL: Health Research & Educational Trust; 2015. https://psnet.ahrq.gov/issue/partnering-improve-quality-and-safety-framework-working-patient-and-family- advisors Patient and family advisor…

9119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35433/psn-pdf
      November 11, 2015 - Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. November 11, 2015 Nast PA, Avidan M, Harris CB, et al. Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postopera…

9120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43009/psn-pdf
      January 07, 2015 - Improving the Emergency Department Discharge Process. January 7, 2015 Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. 14(15)-0067-EF. https://psnet.ahrq.gov/issue/improving-emergency-department-discharge-process This report a…