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Showing results for "implementing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47913/psn-pdf
    April 10, 2019 - Improving standardization of paging communication using quality improvement methodology. April 10, 2019 Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1362. https://psnet.ahrq.gov/issue…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43469/psn-pdf
    August 27, 2014 - Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. August 27, 2014 Gillespie BM, Chaboyer W, Thalib L, et al. Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. Anesthesiology. 2014;120(6):1…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46383/psn-pdf
    September 20, 2017 - Prescription Drug Monitoring Programs: Evolution and Evidence. September 20, 2017 Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017. https://psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence Health care has been exploring a variety of strategies to mitigate the opioid ep…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45298/psn-pdf
    April 22, 2017 - The problem with root cause analysis. April 22, 2017 Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417- 422. doi:10.1136/bmjqs-2016-005511. https://psnet.ahrq.gov/issue/problem-root-cause-analysis Root cause analysis (RCA) is a strategy to investigate incident…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39859/psn-pdf
    November 21, 2016 - Experience with family activation of rapid response teams. November 21, 2016 Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg Nurs. 2010;19(4):215-22; quiz 223. https://psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams The central tenet behi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45016/psn-pdf
    April 27, 2016 - Medication safety systems and the important role of pharmacists. April 27, 2016 Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1. https://psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists Preventin…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866399/psn-pdf
    July 31, 2024 - Typology of solutions addressing diagnostic disparities: gaps and opportunities. July 31, 2024 Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. https://psnet.ahrq.gov/issue/typol…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74871/psn-pdf
    October 01, 2023 - AHRQ Safety Program for MRSA Prevention. February 14, 2023 Rockville, MD: Agency for Healthcare Research and Quality. April 2022 – October 2023. https://psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention Methicillin-resistant Staphylococcus aureus (MRSA) infections are a persistent challenge in hospitals. Thi…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40736/psn-pdf
    January 04, 2012 - Preventing wrong site, procedure, and patient events using a common cause analysis. January 4, 2012 Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/1062860611412066. https://psnet.ahrq.gov/issue/p…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43142/psn-pdf
    June 15, 2014 - Development and sustainability of an inpatient-to- outpatient discharge handoff tool: a quality improvement project. June 15, 2014 Moy NY, Lee SJ, Chan T, et al. Development and sustainability of an inpatient-to-outpatient discharge handoff tool: a quality improvement project. Jt Comm J Qual Patient Saf. 2014;40(5…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38174/psn-pdf
    November 05, 2008 - National Surgical Quality Improvement Program. November 5, 2008 American College of Surgeons. https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program During the 1980s, the Department of Veterans Affairs (VA) received significant public scrutiny over the quality of surgical care in their hospital…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46114/psn-pdf
    June 07, 2017 - Standardizing concentrations of adult drug infusions in Indiana. June 7, 2017 Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana. Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018. https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46269/psn-pdf
    January 30, 2018 - A randomized controlled trial on the effect of a double check on the detection of medication errors. January 30, 2018 Douglass AM, Elder J, Watson R, et al. A Randomized Controlled Trial on the Effect of a Double Check on the Detection of Medication Errors. Ann Emerg Med. 2018;71(1):74-82.e1. doi:10.1016/j.annemer…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42838/psn-pdf
    January 08, 2014 - Management of arterial lines and blood sampling in intensive care: a threat to patient safety. January 8, 2014 Leslie RA, Gouldson S, Habib N, et al. Management of arterial lines and blood sampling in intensive care: a threat to patient safety. Anaesthesia. 2013;68(11). doi:10.1111/anae.12389. https://psnet.ahrq.g…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39860/psn-pdf
    September 01, 2017 - Interventions to improve hand hygiene compliance in patient care. September 1, 2017 Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4. https://psnet.ahrq.gov/issue/interventions-i…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42048/psn-pdf
    July 01, 2013 - Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. July 1, 2013 Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and respon…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43503/psn-pdf
    August 02, 2015 - The preventive surgical site infection bundle in colorectal surgery: an effective approach to surgical site infection reduction and health care cost savings. August 2, 2015 Keenan JE, Speicher PJ, Thacker JKM, et al. The preventive surgical site infection bundle in colorectal surgery: an effective approach to surg…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843094/psn-pdf
    January 25, 2023 - Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. January 25, 2023 Collaborative for Accountability and Improvement Policy Committee. Seattle, WA: University of Washington; 2022 https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-c…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42905/psn-pdf
    July 30, 2014 - The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. July 30, 2014 Huang LC, Conley D, Lipsitz S, et al. The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability. BMJ Qual Saf. 2014;23(8):639-50. doi:10.1136/bmjqs-2013-002446. https://p…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853966/psn-pdf
    September 27, 2023 - The delivery of safe and effective test result communication, management and follow-up. September 27, 2023 Georgiou A, Li J, Thomas J, et al. The delivery of safe and effective test result communication, management and follow-up. Public Health Res Pract. 2023;33(3):e3332324. doi:10.17061/phrp3332324. https://psnet…
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