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Showing results for "implementing".

  1. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
    June 01, 2014 - PowerPoint Presentation Spotlight Wandering Off the Floors: Safety and Security Risks of Patient Wandering 1 This presentation is based on the June 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73365/psn-pdf
    June 09, 2021 - Enhancing psychological safety in mental health services. June 9, 2021 Hunt DF, Bailey J, Lennox BR, et al. Enhancing psychological safety in mental health services. Int J Ment Health Syst. 2021;15(1):33. doi:10.1186/s13033-021-00439-1. https://psnet.ahrq.gov/issue/enhancing-psychological-safety-mental-health-servi…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37134/psn-pdf
    March 23, 2011 - Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. March 23, 2011 Taylor CR, Hepworth JT, Buerhaus P, et al. Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. Qual Saf Health Care. 2007;16(4):244…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45469/psn-pdf
    January 18, 2017 - Tamper-resistant drugs cannot solve the opioid crisis. January 18, 2017 Leece P, Orkin AM, Kahan M. Tamper-resistant drugs cannot solve the opioid crisis. CMAJ. 2015;187(10):717-718. doi:10.1503/cmaj.150329. https://psnet.ahrq.gov/issue/tamper-resistant-drugs-cannot-solve-opioid-crisis Health care organizations ha…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45846/psn-pdf
    January 07, 2019 - Medication safety in the operating room: literature and expert-based recommendations. January 7, 2019 Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert- based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew379. https://psnet.ahrq.gov/issu…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47630/psn-pdf
    February 27, 2019 - Teaching about diagnostic errors through virtual patient cases: a pilot exploration. February 27, 2019 Geha R, Trowbridge RL, Dhaliwal G, et al. Teaching about diagnostic errors through virtual patient cases: a pilot exploration. Diagnosis (Berl). 2018;5(4):223-227. doi:10.1515/dx-2018-0023. https://psnet.ahrq.gov…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837154/psn-pdf
    May 18, 2022 - Survey shows room for improvement with three new best practices for hospitals. May 18, 2022 ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.  https://psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals Practice changes take time to be fully incorporate…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42117/psn-pdf
    March 20, 2013 - Nurse–patient ratios as a patient safety strategy: a systematic review. March 20, 2013 Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. https://psnet.ahrq.gov/issue/nurse-patient-ratios-patien…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45752/psn-pdf
    January 11, 2017 - TeamSTEPPS in long-term care- an academic partnership: part 1 and part 2. January 11, 2017 Roman TC, Abraham K, Dever K. TeamSTEPPS in Long-Term Care-An Academic Partnership: Part I. J Contin Educ Nurs. 2016;47(11):490-492. doi:10.3928/00220124-20161017-06. https://psnet.ahrq.gov/issue/teamstepps-long-term-care-ac…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60983/psn-pdf
    October 07, 2020 - A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. October 7, 2020 Deacon A, O’Neill T, Delaloye N, et al. A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. Hosp Pediatr. 2020;10(9):758-766. doi:10.1542/hpeds.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39356/psn-pdf
    April 08, 2011 - Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. April 8, 2011 Thomas EJ, Williams AL, Reichman EF, et al. Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. Pediatrics. 2010;125(3):539-546. doi:10.1542/ped…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47872/psn-pdf
    March 27, 2019 - Overview of the Environmental Scan of Primary Care- Based Effort To Reduce Readmissions. March 27, 2019 Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2019. AHRQ Publication No. 18(19)-0055-EF. https://psnet.ahrq.gov/issue/overview-environmental-scan-primar…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866256/psn-pdf
    July 10, 2024 - Disclosure programmes in the US--an inadequate response to medical error. July 10, 2024 Handley GM. Disclosure programmes in the US—an inadequate response to medical error. BMJ. 2024;385:q1318. doi:10.1136/bmj.q1318. https://psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error Communica…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46287/psn-pdf
    April 12, 2019 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. April 12, 2019 Neily J, Silla ES, Sum-Ping S (J) T, et al. Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned. Anesth Analg. 2017;126(2):471-477. doi:10.12…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40182/psn-pdf
    September 25, 2011 - Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months. September 25, 2011 Cima RR, Kollengode A, Clark J, et al. Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. Jt Comm J Qual Patient Saf. 2011;37(2):51-58. https://p…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40162/psn-pdf
    December 29, 2014 - Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. December 29, 2014 Collins CM, Elsaid KA. Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety. Int J Qual Health Care…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44378/psn-pdf
    August 05, 2015 - Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. August 5, 2015 Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 2015;41(8):351-60. https://psnet.ahrq.gov…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40676/psn-pdf
    November 26, 2014 - Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. November 26, 2014 Nuckols TK, Escarce JJ. Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. J Gen Intern Med. 2012;27(2):241-9. doi:10.1007/s11606-011-1775-9. https://psnet.ah…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38143/psn-pdf
    February 18, 2011 - A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. February 18, 2011 Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. J Gen Intern Med. 2008;23(12):2053-7. doi:10.1007/s116…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60949/psn-pdf
    September 23, 2020 - Why accountability sharing in health care organizational cultures means patients are probably safer. September 23, 2020 Eng DM, Schweikart SJ. AMA J Ethics. 2020;22(9):e779-e783. https://psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means- patients-are-probably The recognitio…
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