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Showing results for "implementing".

9241. What happens when things go wrong? | PSNet
      psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
      April 24, 2018 - Commentary What happens when things go wrong? Citation Text: Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth. 2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

9242. More than a tick box: medical checklist development, design, and use. | PSNet
      psnet.ahrq.gov/issue/more-tick-box-medical-checklist-development-design-and-use
      December 02, 2020 - Commentary More than a tick box: medical checklist development, design, and use. Citation Text: Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286. Copy Citat…

9243. Using simulation to improve patient safety: dawn of a new era. | PSNet
      psnet.ahrq.gov/issue/using-simulation-improve-patient-safety-dawn-new-era
      October 29, 2017 - Commentary Using simulation to improve patient safety: dawn of a new era. Citation Text: Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817. Copy Citation Format: …

9244. Description of inpatient medication management using cognitive work analysis. | PSNet
      psnet.ahrq.gov/issue/description-inpatient-medication-management-using-cognitive-work-analysis
      October 19, 2022 - Study Description of inpatient medication management using cognitive work analysis. Citation Text: Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181b…

9245. Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication. | PSNet
      psnet.ahrq.gov/issue/redesigning-rounds-icu-standardizing-key-elements-improves-interdisciplinary-communication
      April 17, 2024 - Study Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication. Citation Text: O'Brien A, O'Reilly K, Dechen T, et al. Redesigning Rounds in the ICU: Standardizing Key Elements Improves Interdisciplinary Communication. Jt Comm J Qual Patient Saf.…

9246. Creating effective quality-improvement collaboratives: a multiple case study. | PSNet
      psnet.ahrq.gov/issue/creating-effective-quality-improvement-collaboratives-multiple-case-study
      December 19, 2012 - Study Creating effective quality-improvement collaboratives: a multiple case study. Citation Text: Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. …

9247. From good intentions to successful implementation: the case of patient safety in Canada. | PSNet
      psnet.ahrq.gov/issue/good-intentions-successful-implementation-case-patient-safety-canada
      February 24, 2011 - Commentary From good intentions to successful implementation: the case of patient safety in Canada. Citation Text: Thomas PG. From good intentions to successful implementation: the case of patient safety in Canada. Canadian Public Administration/Administration publique du Canada. 2008;…

9248. Multidisciplinary crisis simulations: the way forward for training surgical teams. | PSNet
      psnet.ahrq.gov/issue/multidisciplinary-crisis-simulations-way-forward-training-surgical-teams
      July 31, 2008 - Study Multidisciplinary crisis simulations: the way forward for training surgical teams. Citation Text: Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53. Copy Citation Form…

9249. 131-What-Are-The-4-Es-One-Pager (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/131-what-are-the-4-es-one-pager.docx
      May 24, 2024 - The aim is to Engage hearts and minds and thus, change attitudes and behaviors.1-6 Raise awareness of the problem, communicate benefits of the solution, and lay out the goals for the intervention. · Use unit data, published literature, and national benchmarks. Storytelling is an underrated tool. Engagement is not a on…

9250. Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. | PSNet
      psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach
      March 03, 2011 - Study Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. Citation Text: Moorthy K, Munz Y, Forrest D, et al. Surgical Crisis Management Skills Training and Assessment. Ann Surg. 2006;244(1). doi:10.1097/01.sl…

9251. Weekend versus weekday admission and mortality from myocardial infarction. | PSNet
      psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
      February 18, 2011 - Study Weekend versus weekday admission and mortality from myocardial infarction. Citation Text: Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…

9252. Characteristics associated with postdischarge medication errors. | PSNet
      psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors
      April 12, 2023 - Study Characteristics associated with postdischarge medication errors. Citation Text: Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023. Copy Citation Format: …

9253. Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. | PSNet
      psnet.ahrq.gov/issue/instituting-vincristine-minibag-administration-innovative-strategy-using-simulation-enhance
      April 24, 2018 - Commentary Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. Citation Text: Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy Using Simulation to Enhance Che…

9254. Enhancing medication use safety: benefits of learning from your peers. | PSNet
      psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers
      May 07, 2008 - Study Enhancing medication use safety: benefits of learning from your peers. Citation Text: Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938. Copy Cit…

9255. Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. | PSNet
      psnet.ahrq.gov/issue/admission-handoff-communications-clinicians-shared-understanding-patient-severity-illness-and
      May 31, 2017 - Study Admission handoff communications: clinician's shared understanding of patient severity of illness and problems. Citation Text: Brannen M, Cameron KA, Adler MD, et al. Admission Handoff Communications. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181c029e5. Copy Citation …

9256. A model of recovering medical errors in the coronary care unit. | PSNet
      psnet.ahrq.gov/issue/model-recovering-medical-errors-coronary-care-unit
      June 02, 2010 - Study A model of recovering medical errors in the coronary care unit. Citation Text: Hurley A, Rothschild JM, Moore ML, et al. A model of recovering medical errors in the coronary care unit. Heart Lung. 2008;37(3):219-26. doi:10.1016/j.hrtlng.2007.06.002. Copy Citation Format: …

9257. Organizational culture, critical success factors, and the reduction of hospital errors. | PSNet
      psnet.ahrq.gov/issue/organizational-culture-critical-success-factors-and-reduction-hospital-errors
      December 12, 2014 - Study Organizational culture, critical success factors, and the reduction of hospital errors. Citation Text: Stock GN, McFadden KL, Gowen CR. Organizational culture, critical success factors, and the reduction of hospital errors. Int J Prod Econ. 2006;106(2). doi:10.1016/j.ijpe.2006.0…

9258. About AHRQ's Nursing Home Network | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/about/index.html
      December 01, 2023 - About AHRQ's Nursing Home Network The AHRQ ECHO National Nursing Home COVID-19 Action Network—a partnership among AHRQ, the University of New Mexico's ECHO Institute and the Institute for Healthcare Improvement (IHI)—provided free training and mentorship to nursing homes across the country to increase the imple…

9259. Reasons for after-hours calls by hospital floor nurses to on-call physicians. | PSNet
      psnet.ahrq.gov/issue/reasons-after-hours-calls-hospital-floor-nurses-call-physicians
      March 21, 2017 - Study Reasons for after-hours calls by hospital floor nurses to on-call physicians. Citation Text: Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9. Copy Citation F…

9260. Systems approaches to surgical quality and safety: from concept to measurement. | PSNet
      psnet.ahrq.gov/issue/systems-approaches-surgical-quality-and-safety-concept-measurement
      January 19, 2016 - Review Systems approaches to surgical quality and safety: from concept to measurement. Citation Text: Vincent CA, Moorthy K, Sarker SK, et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg. 2004;239(4):475-82. Copy Citation Format: …