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Showing results for "implementing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46640/psn-pdf
    August 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72552/psn-pdf
    December 09, 2020 - Hospital-acquired SARS-CoV-2 infection: lessons for public health. December 9, 2020 Richterman A, Meyerowitz EA, Cevik M. Hospital-acquired SARS-CoV-2 infection: lessons for public health. JAMA. 2020;324(21):2155. doi:10.1001/jama.2020.21399. https://psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infection-less…

  3. 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…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42931/psn-pdf
    April 20, 2014 - Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. April 20, 2014 Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf. 2014;40(2):77-82. https://psnet.…

  5. 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…

  6. 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…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867144/psn-pdf
    November 13, 2024 - Life of the Mother. How Abortion Bans Lead to Preventable Deaths. November 13, 2024 Jaramillo C, Surana K, Presser L, et al. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. ProPublica. 2024:September - November 2024. https://psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deat…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60878/psn-pdf
    January 01, 2021 - Intervention study for the reduction of medication errors in elderly trauma patients. September 2, 2020 Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(1):160-166. doi:10.1111/jep.134…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45232/psn-pdf
    August 10, 2016 - Promoting patient safety with perioperative hand-off communication. August 10, 2016 Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs. 2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144. https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-commun…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46374/psn-pdf
    August 30, 2017 - Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. August 30, 2017 Hamilton WL. https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction- perioperative-unit Miscommunication during care transitions can contribute to medical e…

  11. 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…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73507/psn-pdf
    July 21, 2021 - Systematic review of intraoperative anesthesia handoffs and handoff tools. July 21, 2021 Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. https://psnet.ahrq.gov/issue/systematic-…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38099/psn-pdf
    October 01, 2008 - Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. October 1, 2008 Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. Arch Surg. 2008;143(9):847-5…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60768/psn-pdf
    August 05, 2020 - Missed and delayed diagnoses of non-COVID conditions-- collateral harm from a pandemic. August 5, 2020 Carr S. Missed and delayed diagnoses of non-COVID conditions- collateral harm from a pandemic. ImproveDx. 2020;7(4):1-5. https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-non-covid-conditions-collateral-h…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45373/psn-pdf
    November 18, 2016 - Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. November 18, 2016 Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi:10.1016/j.ajic.2016.03.073. ht…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46650/psn-pdf
    July 12, 2018 - Towards a more patient-centered approach to medication safety. July 12, 2018 Lee JL, Dy SM, Gurses AP, et al. Towards a More Patient-Centered Approach to Medication Safety. J Patient Exp. 2018;5(2):83-87. doi:10.1177/2374373517727532. https://psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-s…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849613/psn-pdf
    May 31, 2023 - Smart infusion pump investigations after an unexplained over-infusion. May 31, 2023 ISMP Patient Safety Alert! Acute care edition. May 18, 2023;28(10);1-3. https://psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion Dose error-reduction systems (DERS) and drug libraries are tool…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39517/psn-pdf
    May 25, 2010 - A prospective controlled trial of the effect of a multi- faceted intervention on early recognition and intervention in deteriorating hospital patients. May 25, 2010 Mitchell IA, McKay H, Van Leuvan C, et al. A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and inter…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47061/psn-pdf
    July 25, 2018 - Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm. July 25, 2018 Hutchinson M, Jackson D, Wilson S. Technical rationality and the decentring of patients and care delivery: A critique of 'unavoidable' in the context of patient harm. Nu…

  20. 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…
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