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Showing results for "implementing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60707/psn-pdf
    July 22, 2020 - The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. July 22, 2020 Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to an…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36186/psn-pdf
    September 30, 2010 - Findings of the first consensus conference on medical emergency teams. September 30, 2010 DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e. https://psnet.ahrq.gov/issue/findings-first-c…

  3. 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/…

  4. 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…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851923/psn-pdf
    August 02, 2023 - Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. August 2, 2023 Shaw L, Lawal HM, Briscoe S, et al. Patient, carer and family experiences of seeking redress and reconciliation following a life?changing event: sys…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60541/psn-pdf
    May 01, 2013 - Targeted versus universal decolonization to prevent ICU infection. May 1, 2013 Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa1207290. https://psnet.ahrq.gov/issue/targeted-versus-universal-decoloni…

  7. 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…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851189/psn-pdf
    July 05, 2023 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. July 5, 2023 Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt Comm J Qual Patient Saf. 2023;49(8)…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853236/psn-pdf
    September 06, 2023 - Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. September 6, 2023 Garcia-Jorda D, Nikitovic D, Gilfoyle E. Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. Simul Healthc. 2023;18(4…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854897/psn-pdf
    October 31, 2023 - The strategies employed in this study included implementing a standardized protocol for medication administration

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49450/psn-pdf
    June 01, 2004 - Institutions should support error disclosure both by providing communication skills training and by implementing

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49552/psn-pdf
    January 01, 2008 - Institutional efforts should focus on implementing curricula in medical errors at all levels of medical

  13. The Result Stopped Here | PSNet

    psnet.ahrq.gov/web-mm/result-stopped-here
    December 01, 2006 - Medicare, Medicaid and CLIA programs; regulations implementing the Clinical Laboratory Improvement Amendments

  14. Undetected Foreign Object | PSNet

    psnet.ahrq.gov/web-mm/undetected-foreign-object
    April 24, 2018 - Implementing AORN recommended practices for prevention of retained surgical items.

  15. One Dose, Two Errors | PSNet

    psnet.ahrq.gov/web-mm/one-dose-two-errors
    September 29, 2017 - Implementing an antibiotic stewardship program: guidelines by the Infectious Diseases Society of America

  16. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet

    psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
    March 15, 2023 - The strategies employed in this study included implementing a standardized protocol for medication administration

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33637/psn-pdf
    August 01, 2006 - The patient has a serious medical condition: an https://psnet.ahrq.gov/issue/developing-and-implementing-new-safe-practices-voluntary-adoption-through-statewide

  18. Death by PCA | PSNet

    psnet.ahrq.gov/web-mm/death-pca
    January 06, 2017 - A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary

  19. Inadequate Preanesthetic Evaluation, Airway Trouble | PSNet

    psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
    November 01, 2023 - Mechanisms to address this challenge include standard practices such as implementing a required preoperative

  20. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet

    psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
    February 21, 2024 - Implementing SBAR across a large multihospital health system.
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