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Showing results for "implementing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845080/psn-pdf
    February 22, 2023 - A high-reliability organization mindset. February 22, 2023 Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual. 2022;37(6):504-510. doi:10.1097/jmq.0000000000000086. https://psnet.ahrq.gov/issue/high-reliability-organization-mindset The goal for health care organiz…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44909/psn-pdf
    March 23, 2016 - Root Cause Analysis Workbook for Community/Ambulatory Pharmacy. March 23, 2016 Horsham, PA: Institute for Safe Medication Practices; 2013. https://psnet.ahrq.gov/issue/root-cause-analysis-workbook-communityambulatory-pharmacy Root cause analysis offers a structured way to detect and address system weaknesses. This…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838929/psn-pdf
    October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care. October 26, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39572/psn-pdf
    January 03, 2017 - The tangible handoff: a team approach for advancing structured communication in labor and delivery. January 3, 2017 Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient Saf. 2010;36(6):282-287, 241. https:…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35158/psn-pdf
    January 02, 2017 - Using simulation-based training to improve patient safety: what does it take? January 2, 2017 Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71. https://psnet.ahrq.gov/issue/using-simulation-based-training-…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44018/psn-pdf
    November 16, 2015 - Targeted communication intervention using nursing crew resource management principles. November 16, 2015 Tschannen D, McClish D, Aebersold M, et al. Targeted communication intervention using nursing crew resource management principles. J Nurs Care Qual. 2015;30(1):7-11. doi:10.1097/NCQ.0000000000000073. https://p…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41489/psn-pdf
    October 12, 2012 - Defining patient safety in hospice: principles to guide measurement and public reporting. October 12, 2012 Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10.1089/jpm.2011.0530. https://psnet.ahr…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848044/psn-pdf
    April 26, 2023 - Effect of a hospital command centre on patient safety: an interrupted time series study. April 26, 2023 Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653. https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study Command centers…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42128/psn-pdf
    August 15, 2013 - Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper- based order entry. August 15, 2013 Jozefczyk KG, Kennedy WK, Lin MJ, et al. Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based order entry. J Pha…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37847/psn-pdf
    June 18, 2008 - Effect of the 80-hour work week on resident case coverage. June 18, 2008 Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg. 2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028. https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43493/psn-pdf
    February 18, 2015 - Hospital tones down alarms to reduce fatigue, enhance safety. February 18, 2015 Olson J. https://psnet.ahrq.gov/issue/hospital-tones-down-alarms-reduce-fatigue-enhance-safety Alarm fatigue has been recognized as a contributor to serious errors in hospitals. Reporting on how nuisance alarms increase risks, this ne…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45526/psn-pdf
    January 01, 2019 - Improving incident reporting among physician trainees. September 28, 2016 Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72786/psn-pdf
    February 24, 2021 - Drug shortages amid the COVID-19 pandemic. February 24, 2021 Bookwalter CM. US Pharmacist. 2021;46(2):25-28.    https://psnet.ahrq.gov/issue/drug-shortages-amid-covid-19-pandemic COVID-19 has increased uncertainties in sectors across health care. This article discusses a variety of supply-chain fact…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38385/psn-pdf
    February 04, 2009 - Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. February 4, 2009 Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. Int J Med Inform. 2008…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33962/psn-pdf
    June 22, 2007 - Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements. June 22, 2007 HB 1602. Washington State Legislature. 2003-2004. https://psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hosp…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35636/psn-pdf
    June 24, 2010 - Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. June 24, 2010 Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods. Am J Obstet Gynecol. 2006;194(1). doi:10.101…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38061/psn-pdf
    November 08, 2008 - Medication errors in pediatric inpatients: prevalence and results of a prevention program. November 8, 2008 Otero P, Leyton A, Mariani G, et al. Medication errors in pediatric inpatients: prevalence and results of a prevention program. Pediatrics. 2008;122(3):e737-43. doi:10.1542/peds.2008-0014. https://psnet.ahrq…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39251/psn-pdf
    September 24, 2016 - No interruptions please: impact of a no interruption zone on medication safety in intensive care units. September 24, 2016 Anthony K, Wiencek C, Bauer C, et al. No interruptions please: impact of a No Interruption Zone on medication safety in intensive care units. Crit Care Nurse. 2010;30(3):21-9. doi:10.4037/ccn20…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46272/psn-pdf
    January 01, 2019 - Deployment of a second victim peer support program: a replication study. September 24, 2017 Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031. https://psnet.ahrq.gov/issue/deployment-second-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35966/psn-pdf
    January 02, 2017 - Assessing and monitoring override medications in automated dispensing devices. January 2, 2017 Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17. https://psnet.ahrq.gov/issue/assessing-and-monitoring…
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