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Showing results for "implementing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35556/psn-pdf
    May 27, 2011 - Improving patient safety using interactive, evidence- based decision support tools. May 27, 2011 Quinn MM, Mannion J. Improving patient safety using interactive, evidence-based decision support tools. Jt Comm J Qual Patient Saf. 2005;31(12):678-683. https://psnet.ahrq.gov/issue/improving-patient-safety-using-inter…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36335/psn-pdf
    February 01, 2011 - Rapid response teams—walk, don't run. February 1, 2011 Winters BD, Pham JC, Pronovost PJ. Rapid Response Teams—Walk, Don't Run. JAMA. 2006;296(13). doi:10.1001/jama.296.13.1645. https://psnet.ahrq.gov/issue/rapid-response-teams-walk-dont-run Rapid response teams (RRTs) have been widely advocated as a means of aver…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37056/psn-pdf
    February 24, 2011 - Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. February 24, 2011 O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34646/psn-pdf
    July 01, 2015 - The attributes of medical event reporting systems. July 1, 2015 Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicine. Arch Pathol Lab Med. 1998;122(3):231-8. https://psnet.ahrq.gov/iss…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837042/psn-pdf
    April 04, 2022 - Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management. April 4, 2022 Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management Crisis management skills are valuable at both the organizational and clinical …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47188/psn-pdf
    August 08, 2018 - Disclosure and apology: nursing and risk management working together. August 8, 2018 Russell D. Disclosure and apology: Nursing and risk management working together. Nurs Manage. 2018;49(6):17-19. doi:10.1097/01.NUMA.0000533773.14544.e2. https://psnet.ahrq.gov/issue/disclosure-and-apology-nursing-and-risk-manageme…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46831/psn-pdf
    April 18, 2018 - Guideline Summary: Medication Safety. April 18, 2018 Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096. https://psnet.ahrq.gov/issue/guideline-summary-medication-safety Perioperative medication errors can result in patient harm as well as emotional distress among clinical te…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35749/psn-pdf
    May 09, 2014 - Chemotherapy dose limits set by users of a computer order entry system. May 9, 2014 DuBeshter B; Griggs J; Angel C; Loughner J. https://psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system To avoid excessive dosing of chemotherapeutic agents, standardized dose limits must be agreed u…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42747/psn-pdf
    November 20, 2013 - Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing. November 20, 2013 Raimbault-Chupin M, Spiesser-Robelet L, Guir V, et al. Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing. Int J Clin Pharm. 2013;35(5):847-…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50867/psn-pdf
    February 05, 2020 - Cognitive testing of older clinicians prior to recredentialing. February 5, 2020 Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. https://psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing In an…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47414/psn-pdf
    May 01, 2019 - Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. May 1, 2019 Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 2019;3…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866651/psn-pdf
    September 04, 2024 - Diagnostic Stewardship as a Model to Improve the Quality and Safety of Diagnosis. September 4, 2024 Diagnostic Stewardship As A Model To Improve The Quality And Safety Of Diagnosis. Rockville, MD: Agency for Healthcare Research and Quality; May 2024. AHRQ report no. 24-0010-6-EF https://psnet.ahrq.gov/issue/diagno…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44410/psn-pdf
    August 12, 2015 - Workarounds in the workplace: a second look. August 12, 2015 Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. https://psnet.ahrq.gov/issue/workarounds-workplace-second-look Workarounds are prevalent in health care and create opport…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40478/psn-pdf
    June 13, 2011 - Evaluating the medication process in the context of CPOE use: the significance of working around the system. June 13, 2011 Niazkhani Z, Pirnejad H, van der Sijs H, et al. Evaluating the medication process in the context of CPOE use: the significance of working around the system. Int J Med Inform. 2011;80(7):490-506…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857446/psn-pdf
    December 06, 2023 - Community Health Systems’ ongoing journey to zero preventable harm. December 6, 2023 Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. https://psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zer…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43219/psn-pdf
    January 01, 2015 - Developing a reporting and tracking tool for nursing student errors and near misses. May 28, 2014 Disch J, Barnsteiner J. Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. J Nurs Reg. 2015;5(1):4-10. doi:10.1016/s2155-8256(15)30093-4. https://psnet.ahrq.gov/issue/developing-repor…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44227/psn-pdf
    November 19, 2018 - A scholarly pathway in quality improvement and patient safety. November 19, 2018 Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772. https://psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47766/psn-pdf
    March 27, 2019 - Advancing the Safety of Acute Pain Management. March 27, 2019 Boston, MA: Institute for Healthcare Improvement; 2019. https://psnet.ahrq.gov/issue/advancing-safety-acute-pain-management Pain management has emerged as a complex safety concern. This report discusses four organizational prerequisites to improve pain …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42961/psn-pdf
    February 19, 2014 - Healthcare-associated infections: a national patient safety problem and the coordinated response. February 19, 2014 Jeeva RR, Wright D. Healthcare-associated infections: a national patient safety problem and the coordinated response. Med Care. 2014;52(2 Suppl 1):S4-8. doi:10.1097/MLR.0b013e3182a54581. https://psne…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39218/psn-pdf
    January 13, 2010 - Prolonged hospital stay and the resident duty hour rules of 2003. January 13, 2010 Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged Hospital Stay and the Resident Duty Hour Rules of 2003. Med Care. 2009;47(12). doi:10.1097/mlr.0b013e3181adcbff. https://psnet.ahrq.gov/issue/prolonged-hospital-stay-and-resident-d…
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