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Showing results for "implementing".

9421. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838014/psn-pdf
      September 07, 2022 - Effect of a rapid response team on the incidence of in- hospital mortality. September 7, 2022 Factora F, Maheshwari K, Khanna S, et al. Effect of a rapid response team on the incidence of in-hospital mortality. Anesth Analg. 2022;135(3):595-604. doi:10.1213/ane.0000000000006005. https://psnet.ahrq.gov/issue/effect…

9422. 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…

9423. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40547/psn-pdf
      June 29, 2011 - What context features might be important determinants of the effectiveness of patient safety practice interventions? June 29, 2011 Taylor SL, Dy SM, Foy R, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions? BMJ Qual Saf. 2011;20(7):611-7. doi:…

9424. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42997/psn-pdf
      May 28, 2014 - Exploring perinatal shift-to-shift handover communication and process: an observational study. May 28, 2014 Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166-75. doi:10.1111/jep.12103. https:/…

9425. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41546/psn-pdf
      December 29, 2014 - Using a logic model to design and evaluate quality and patient safety improvement programs. December 29, 2014 Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. doi:10.1093/intqhc/mzs029. https://…

9426. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41952/psn-pdf
      January 16, 2013 - Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. January 16, 2013 Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. Med Phys. 2012;39(11):6968-71. doi:…

9427. 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…

9428. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74032/psn-pdf
      November 03, 2021 - Patient, surgeon, and health care worker safety during the COVID-19 pandemic. November 3, 2021 Hölscher AH. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. Ann Surg. 2021;274(5):681-687. doi:10.1097/sla.0000000000005124. https://psnet.ahrq.gov/issue/patient-surgeon-and-health-care-wor…

9429. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836856/psn-pdf
      April 06, 2022 - To what extent are patients involved in researching safety in acute mental healthcare? April 6, 2022 Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s40900-022-00337-x. https://psnet.ahr…

9430. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60914/psn-pdf
      September 16, 2020 - Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. September 16, 2020 Barreveld AM, McCarthy RJ, Elkassabany N, et al. Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. Anesthesiology. 2020;132(6):1558-1568. do…

9431. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43967/psn-pdf
      November 16, 2015 - Equipped: overcoming barriers to change to improve quality of care (theories of change). November 16, 2015 Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):13-8. doi:10.1136/archdischild-2013- …

9432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47055/psn-pdf
      May 23, 2018 - Surgical checklists save lives—but once in a while, they don't. Why? May 23, 2018 Mukherjee S. New York Times Magazine. May 9, 2018. https://psnet.ahrq.gov/issue/surgical-checklists-save-lives-once-while-they-dont-why Checklists can coordinate action and communication to augment safety, but human and system factor…

9433. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48039/psn-pdf
      August 07, 2019 - Utilization of a role-based head covering system to decrease misidentification in the operating room. August 7, 2019 Rosen DA, Criser AL, Petrone AB, et al. Utilization of a Role-Based Head Covering System to Decrease Misidentification in the Operating Room. J Patient Saf. 2019;15(4):e90-e93. doi:10.1097/PTS.00000…

9434. 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…

9435. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837211/psn-pdf
      May 25, 2022 - 4 actions to reduce medical errors in U.S. hospitals. May 25, 2022 Toussaint JS, Segel KT. Harvard Business Review. April 20, 2022. https://psnet.ahrq.gov/issue/4-actions-reduce-medical-errors-us-hospitals The patient safety movement has had mixed results in sustaining improvement and commitment. This comment…

9436. 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…

9437. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45099/psn-pdf
      December 07, 2018 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. December 7, 2018 Rockville, MD; Agency for Healthcare Quality and Research; March 2016. https://psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-…

9438. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60589/psn-pdf
      June 23, 2020 - Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. June 23, 2020 Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information. June 23, 2020. https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-lear…

9439. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44893/psn-pdf
      March 09, 2016 - Improving the governance of patient safety in emergency care: a systematic review of interventions. March 9, 2016 Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6(1):e009837. doi:10.1136/bmjopen-2015-009837. …

9440. 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…