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Showing results for "implementing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851458/psn-pdf
    July 19, 2023 - Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. July 19, 2023 Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conceptual framework of key theories, syste…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867684/psn-pdf
    March 05, 2025 - Development of a preliminary patient safety classification system for generative AI. March 5, 2025 Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017918. https://psnet.ahrq.gov/issue/…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836861/psn-pdf
    April 06, 2022 - How health systems decide to use artificial intelligence for clinical decision support. April 6, 2022 Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:10.1056/cat.21.0416. https://psnet…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837631/psn-pdf
    July 06, 2022 - The impact of an electronic alert to reduce the risk of co- prescription of low molecular weight heparins and direct oral anticoagulants. July 6, 2022 Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoag…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60184/psn-pdf
    April 01, 2020 - Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. April 1, 2020 Nelson CA, Pérez-Chada LM, Creadore A, et al. Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. JAMA Dermatol. 2020;156(5):501-512. doi:1…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47368/psn-pdf
    September 12, 2018 - Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. September 12, 2018 Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for Healthcare Teams to Improve Safety Culture. Int J Environ Res Public Health. 20…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45199/psn-pdf
    June 15, 2016 - Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. June 15, 2016 Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to- Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j.jpainsymman.2016.01.012. https://psn…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866109/psn-pdf
    June 12, 2024 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. June 12, 2024 Bos K, van der Laan MJ, Groeneweg J, et al. Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation improvement matrix. BMJ Open Qual. 2024…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60967/psn-pdf
    September 30, 2020 - Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department. September 30, 2020 Smalley CM, Willner MA, Muir MKR, et al. Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department. Am J Emerg …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838625/psn-pdf
    October 19, 2022 - Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. October 19, 2022 Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. Crit Care Nurse. 2022;42(5):…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47883/psn-pdf
    May 29, 2019 - Patient Safety in Obstetrics and Gynecology. May 29, 2019 Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in this speci…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42238/psn-pdf
    July 02, 2014 - Teaching medical error disclosure to physicians-in- training: a scoping review. July 2, 2014 Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f. https://psnet.ahrq.gov/issue/teaching-me…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44246/psn-pdf
    November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. November 15, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm The National Patient Safety Foundation issued these guidelines for improving root cause a…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859350/psn-pdf
    December 20, 2023 - What are the experiences of team members involved in root cause analysis? A qualitative study. December 20, 2023 Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi:10.1186/s12913-023-10164-9. h…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45542/psn-pdf
    October 05, 2016 - Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care. October 5, 2016 Almashat S, Carome M, Wolfe S, Landrigan CP, Czeisler C. Washington, DC: Public Citizen; September 13, 2016. https://psnet.ahrq.gov/issue/bipartisan-consensus-public-wants-well-rested-medical-resi…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60681/psn-pdf
    January 01, 2022 - Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. July 16, 2020 Burke JR, Downey C, Almoudaris AM. Failure to rescue deteriorating patients: a systematic review of root causes and improvement strategies. J Patient Saf. 2022;18(1):e140-e155. doi:10.1097/pts.000…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44075/psn-pdf
    July 16, 2015 - Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. July 16, 2015 Hsu C-C, Chou C-L, Chen T-J, et al. Physicians Failed to Write Flawless Prescriptions When Computerized Physician Order Entry System Crashed. Clin Ther. 2015;37(5):1076-1080.e1. doi:10.1016/j.cli…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45577/psn-pdf
    February 08, 2017 - EHR-related medication errors in two ICUs. February 8, 2017 Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag. 2017;36(3):6-15. doi:10.1002/jhrm.21259. https://psnet.ahrq.gov/issue/ehr-related-medication-errors-two-icus Despite the demonstrated success of technology …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46546/psn-pdf
    January 10, 2018 - Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California. January 10, 2018 Shaikh U, Afsar-Manesh N, Amin AN, et al. Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care tra…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60660/psn-pdf
    July 09, 2020 - Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. July 9, 2020 Achilleos M, McEwen J, Hoesly M, et al. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. Am J Health Syst Pharm. 2020;77(12). doi:10.1093/ajhp/zxaa090. https:/…
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