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Showing results for "implementing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43611/psn-pdf
    December 19, 2014 - The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. December 19, 2014 Mellin-Olsen J, Staender S. The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. Curr Opin Anaesthesiol. 2014;27(6):630-634. doi:10.1097/ACO.0000000000000131. https…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40002/psn-pdf
    January 19, 2011 - Considerations for the design of safe and effective consumer health IT applications in the home. January 19, 2011 Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67. doi:10.1136/qshc.2010.041897. ht…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43440/psn-pdf
    August 13, 2014 - Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. August 13, 2014 Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July 2014. NIHCR Research Brief No. 17. https://psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50666/psn-pdf
    November 13, 2019 - Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. November 13, 2019 ISMP Medication Safety Alert! Acute Care Edition. October 24, 2019. https://psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use- non-profile…

  5. 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…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38246/psn-pdf
    January 02, 2009 - Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. January 2, 2009 Markert A, Thierry V, Kleber M, et al. Chemotherapy safety and severe adverse events in cancer patients: Strategies to efficiently avoid chemotherap…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865347/psn-pdf
    March 27, 2024 - Safety and Human Performance in the Operating Room and Other Extreme Environments. March 27, 2024 Ruskin KJ, ed. Int Anesthesiol Clin. 2024;62(2):1-65. https://psnet.ahrq.gov/issue/safety-and-human-performance-operating-room-and-other-extreme- environments Anesthesia is a vital component of surgical care that can…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46208/psn-pdf
    July 12, 2017 - Improving patient safety by practicing in a just culture. July 12, 2017 Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005. https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture The importance of just culture is widel…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34570/psn-pdf
    March 07, 2005 - Measuring the Success of the Regional Medication Safety Program for Hospitals. March 7, 2005 Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005. https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals The Regional Medication Safety Prog…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866437/psn-pdf
    August 07, 2024 - Wake Up Safe in the USA & international patient safety. August 7, 2024 Iyer RS, Dave N, Du T, et al. Wake Up Safe in the USA & international patient safety. Paediatr Anaesth. 2024;34(9):958-969. doi:10.1111/pan.14920. https://psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety Patient safety organizati…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42380/psn-pdf
    December 29, 2014 - Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. December 29, 2014 Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysi…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41614/psn-pdf
    September 26, 2012 - Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. September 26, 2012 Freundlich RE, Grondin L, Tremper KK, et al. Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia pro…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39263/psn-pdf
    February 03, 2010 - Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? February 3, 2010 Johnson V, Mangram A, Mitchell C, et al. Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia? A…

  14. 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…

  15. 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…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48067/psn-pdf
    June 12, 2019 - Maternal sleepiness and risk of infant drops in the postpartum period. June 12, 2019 Bittle MD, Knapp H, Polomano RC, et al. Maternal Sleepiness and Risk of Infant Drops in the Postpartum Period. Jt Comm J Qual Patient Saf. 2019;45(5):337-347. doi:10.1016/j.jcjq.2018.12.001. https://psnet.ahrq.gov/issue/maternal-s…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42468/psn-pdf
    August 07, 2013 - A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. August 7, 2013 Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of volunt…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45985/psn-pdf
    March 29, 2017 - Building a high-reliability organization: one system's patient safety journey. March 29, 2017 Building a high-reliability organization: one system's patient safety journey. J Healthc Manag. 2017;62. https://psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey High reliabil…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39060/psn-pdf
    October 28, 2009 - Impact of duty-hour restriction on resident inpatient teaching. October 28, 2009 Mazotti LA, Vidyarthi AR, Wachter RM, et al. Impact of duty-hour restriction on resident inpatient teaching. J Hosp Med. 2009;4(8). doi:10.1002/jhm.448. https://psnet.ahrq.gov/issue/impact-duty-hour-restriction-resident-inpatient-teac…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46896/psn-pdf
    July 17, 2019 - Apology and unintended harm in global health. July 17, 2019 Addiss DG, Amon JJ. Apology and Unintended Harm in Global Health. Health Hum Rights. 2019;21(1):19- 32. https://psnet.ahrq.gov/issue/apology-and-unintended-harm-global-health Although disclosure and apology for mistakes in medical care are recommended, le…
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