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Showing results for "implementing".

9141. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47003/psn-pdf
      July 18, 2018 - Impact of an antiretroviral stewardship strategy on medication error rates. July 18, 2018 Shea KM, Hobbs AL, Shumake JD, et al. Impact of an antiretroviral stewardship strategy on medication error rates. Am J Health Syst Pharm. 2018;75(12):876-885. doi:10.2146/ajhp170420. https://psnet.ahrq.gov/issue/impact-antire…

9142. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74143/psn-pdf
      December 01, 2021 - Confronting Racism in Health Care: Moving from Proclamations to New Practices. December 1, 2021 Hostetter M, Klein S. New York, NY: Commonwealth Fund;  October 18, 2021 https://psnet.ahrq.gov/issue/confronting-racism-health-care-moving-proclamations-new-practices Structural racism affects the safety and equit…

9143. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43654/psn-pdf
      April 02, 2015 - Nursing bedside clinical handover—an integrated review of issues and tools. April 2, 2015 Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706. https://psnet.ahrq.gov/issue/nursing-bedside-cl…

9144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37802/psn-pdf
      November 14, 2011 - Differences in day and night shift clinical performance in anesthesiology. November 14, 2011 Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in anesthesiology. Hum Factors. 2008;50(2):276-90. https://psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-perfor…

9145. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42727/psn-pdf
      November 13, 2013 - Impact of electronic health record systems on information integrity: quality and safety implications. November 13, 2013 Bowman S. Impact of electronic health record systems on information integrity: quality and safety implications. Perspect Health Inf Manag. 2013;10:1c. https://psnet.ahrq.gov/issue/impact-electron…

9146. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44612/psn-pdf
      October 28, 2015 - Transitional chaos or enduring harm? The EHR and the disruption of medicine. October 28, 2015 Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. https://psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-…

9147. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42000/psn-pdf
      March 06, 2013 - Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. March 6, 2013 Lineberry M, Bryan E, Brush T, et al. Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. Jt Comm J Qual Patient Saf. 2013;39(2):89-95. https://psnet…

9148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45885/psn-pdf
      May 03, 2017 - E-collection: Safety and Error Prevention in Health. May 3, 2017 https://psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health The increasing implementation of health information technology has introduced both benefits and challenges to patient safety. Articles in this series explore the impacts of t…

9149. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39817/psn-pdf
      March 18, 2011 - Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. March 18, 2011 White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model. Qual Saf Health …

9150. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39295/psn-pdf
      January 03, 2017 - The Veterans Affairs shift change physician-to-physician handoff project. January 3, 2017 Anderson J, Shroff D, Curtis A, et al. The Veterans Affairs shift change physician-to-physician handoff project. Jt Comm J Qual Patient Saf. 2010;36(2):62-71. https://psnet.ahrq.gov/issue/veterans-affairs-shift-change-physici…

9151. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46043/psn-pdf
      April 05, 2017 - High-reliability and the I-PASS communication tool. April 5, 2017 Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5. https://psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool High reliability has y…

9152. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45497/psn-pdf
      October 12, 2016 - Detection of adverse drug events using an electronic trigger tool. October 12, 2016 Lim D, Melucci J, Rizer MK, et al. Detection of adverse drug events using an electronic trigger tool. Am J Health Syst Pharm. 2016;73(17 Suppl 4):S112-20. doi:10.2146/ajhp150481. https://psnet.ahrq.gov/issue/detection-adverse-drug-…

9153. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38055/psn-pdf
      January 12, 2009 - Improving patient safety: patient-focused, high-reliability team training. January 12, 2009 McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595. https://psnet.ahrq.gov/issue/improving-p…

9154. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36367/psn-pdf
      April 11, 2011 - Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. April 11, 2011 Kaji AH, Gausche-Hill M, Conrad H, et al. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. Pediatrics. 2006;118(4):1493-150…

9155. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34902/psn-pdf
      February 27, 2009 - Hospital rules-based system: the next generation of medical informatics for patient safety. February 27, 2009 Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. https://psnet.ahrq.gov/issue/hospit…

9156. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44457/psn-pdf
      September 29, 2017 - Hospitals slow to adopt patient apology policies. September 29, 2017 Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30. https://psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies Communication-and-resolution approaches to medical errors have garnered …

9157. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38225/psn-pdf
      February 16, 2011 - Changing conversations: teaching safety and quality in residency training. February 16, 2011 Voss JD, May NB, Schorling JB, et al. Changing conversations: teaching safety and quality in residency training. Acad Med. 2008;83(11):1080-7. doi:10.1097/ACM.0b013e31818927f8. https://psnet.ahrq.gov/issue/changing-convers…

9158. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35375/psn-pdf
      January 02, 2017 - Integrating the intensive care unit safety reporting system with existing incident reporting systems. January 2, 2017 Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual Patient Saf. 2005;31(10):585-93.…

9159. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48182/psn-pdf
      August 21, 2019 - Organizational learning in hospitals: a realist review. August 21, 2019 Lyman B, Jacobs JD, Hammond EL, et al. Organizational learning in hospitals: A realist review. J Adv Nurs. 2019;75(11):2352-2377. doi:10.1111/jan.14091. https://psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review Organization…

9160. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837153/psn-pdf
      January 01, 2025 - Annual Communication, Apology, and Resolution (CARe) Forum. October 29, 2024 Betsy Lehman Center for Patient Safety.  https://psnet.ahrq.gov/issue/annual-communication-apology-and-resolution-care-forum Communication and resolution programs are a promising strategy for successful management of relationships a…