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Showing results for "implementing".

9141. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60356/psn-pdf
      May 20, 2020 - How the pandemic is reshaping hospital architecture and design. May 20, 2020 Booker C. PBSNewshour Weekend. May 10, 2020. https://psnet.ahrq.gov/issue/how-pandemic-reshaping-hospital-architecture-and-design Built environment characteristics can contribute to the spread of infection. This news segment discusses de…

9142. 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…

9143. 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…

9144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35660/psn-pdf
      June 25, 2010 - Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. June 25, 2010 Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. In…

9145. 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…

9146. 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 …

9147. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42767/psn-pdf
      November 27, 2013 - Barcode medication administration work-arounds: a systematic review and implications for nurse executives. November 27, 2013 Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic review and implications for nurse executives. J Nurs Adm. 2013;43(10):530-535. doi:10.1…

9148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41081/psn-pdf
      February 01, 2012 - Workarounds in the use of IS in healthcare: a case study of an electronic medication administration system. February 1, 2012 Yang Z, Ng B-Y, Kankanhalli A, et al. Workarounds in the use of IS in healthcare: A case study of an electronic medication administration system. International Journal of Human-Computer Studi…

9149. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41824/psn-pdf
      November 07, 2012 - Using simulation to teach nursing students and licensed clinicians obstetric emergencies. November 7, 2012 Alderman JT. Using simulation to teach nursing students and licensed clinicians obstetric emergencies. MCN Am J Matern Child Nurs. 2012;37(6):394-400. doi:10.1097/NMC.0b013e318264bbe7. https://psnet.ahrq.gov/…

9150. 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…

9151. 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…

9152. 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…

9153. 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…

9154. 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…

9155. 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…

9156. 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 …

9157. 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…

9158. 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…

9159. 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…

9160. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
      psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
      August 01, 2009 - , situational awareness and contingency plans (S), and synthesis by receiver (S). 21 In this case, implementing