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Showing results for "initiatives".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45390/psn-pdf
    August 31, 2016 - Standardization of compounded oral liquids for pediatric patients in Michigan. August 31, 2016 Engels MJ, Ciarkowski SL, Rood J, et al. Standardization of compounded oral liquids for pediatric patients in Michigan. Am J Health Syst Pharm. 2016;73(13):981-990. doi:10.2146/150471. https://psnet.ahrq.gov/issue/standa…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40064/psn-pdf
    July 08, 2013 - Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project. July 8, 2013 Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010. https://psnet.ahrq.gov/issue/hand-hygiene-project-best-practices-hospitals-part…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36207/psn-pdf
    October 13, 2010 - Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. October 13, 2010 Wetterneck TB, Skibinski K, Roberts TL, et al. Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. Am J Health Syst Pharm. 2006;63(16):1528-38. https://psnet.ahrq…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43335/psn-pdf
    July 09, 2014 - Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. July 9, 2014 Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.0000000000000266. https://psnet.ahrq.gov/is…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34602/psn-pdf
    February 17, 2009 - Disclosure of unanticipated events: the next step in better communication with patients (part 1 of 3). February 17, 2009 Chicago, IL; American Society of Healthcare Risk Management: 2003. https://psnet.ahrq.gov/issue/disclosure-unanticipated-events-next-step-better-communication-patients-part- 1-3 The change in t…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46341/psn-pdf
    August 16, 2017 - In treating sepsis, questions about timing and mandates. August 16, 2017 Abbasi J. In Treating Sepsis, Questions About Timing and Mandates. JAMA. 2017;318(6):506-508. doi:10.1001/jama.2017.7997. https://psnet.ahrq.gov/issue/treating-sepsis-questions-about-timing-and-mandates Delayed treatment of sepsis can result …

  7. Interactive Urinary Incontinence Care Pathway Flowchart | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/projects/urinary/resources/interactive-pathway-flowchart.html
    January 01, 2023 - Back to MUI Resources Interactive Urinary Incontinence Care Pathway Flowchart Resource This document is available on the AHRQ website (PDF, 173 KB) Summary This UI care pathway flowchart was created using draw.io by the EMPOWER study team to aid practices participating in the…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43657/psn-pdf
    November 26, 2014 - Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital. November 26, 2014 American Society of Health-System Pharmacists https://psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital Insulin is classified as a high-alert medication due to the potential to cause serious patient harm w…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43529/psn-pdf
    October 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014 Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040. https://psnet.ahr…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47132/psn-pdf
    June 28, 2018 - National Steering Committee for Patient Safety. June 28, 2018 Agency for Healthcare Research and Quality and the Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/national-steering-committee-patient-safety Preventable patient harm is a global public health concern. This announcement highlights a ne…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43270/psn-pdf
    June 18, 2014 - Group urges going metric to head off dosing mistakes. June 18, 2014 Budnitz DS, Lovegrove MC, Rose KO. Adherence to Label and Device Recommendations for Over-the- Counter Pediatric Liquid Medications. PEDIATRICS. 2014;133(2). doi:10.1542/peds.2013-2362. https://psnet.ahrq.gov/issue/group-urges-going-metric-head-dos…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45477/psn-pdf
    October 05, 2016 - Promoting safety through well-being: an experience in healthcare. October 5, 2016 Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208. https://psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare Th…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46367/psn-pdf
    August 30, 2017 - Why are so many women being misdiagnosed? August 30, 2017 Mickle K. Glamour. August 11, 2017. https://psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed Implicit bias and differences in communication style can affect patient care. This magazine article reports on factors that contribute to misdiagnosis …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45285/psn-pdf
    September 14, 2016 - Improving pathologists' communication skills. September 14, 2016 Dintzis SM. Improving Pathologists' Communication Skills. AMA J Ethics. 2016;18(8):802-8. doi:10.1001/journalofethics.2016.18.8.medu1-1608. https://psnet.ahrq.gov/issue/improving-pathologists-communication-skills Despite increasing recognition that e…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46167/psn-pdf
    June 07, 2017 - Identifying patients with sepsis on the hospital wards. June 7, 2017 Bhattacharjee P, Edelson DP, Churpek MM. Identifying Patients With Sepsis on the Hospital Wards. Chest. 2016;151(4). doi:10.1016/j.chest.2016.06.020. https://psnet.ahrq.gov/issue/identifying-patients-sepsis-hospital-wards Undiagnosed sepsis can l…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43493/psn-pdf
    February 18, 2015 - Hospital tones down alarms to reduce fatigue, enhance safety. February 18, 2015 Olson J. https://psnet.ahrq.gov/issue/hospital-tones-down-alarms-reduce-fatigue-enhance-safety Alarm fatigue has been recognized as a contributor to serious errors in hospitals. Reporting on how nuisance alarms increase risks, this ne…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42109/psn-pdf
    March 13, 2013 - Nursing crew resource management: a follow-up report from the Veterans Health Administration. March 13, 2013 Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1097/NNA.0b013e318283dafa. https://psnet…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50919/psn-pdf
    October 03, 2013 - SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients. October 3, 2013 Holden RJ, Carayon P, Gurses AP, et al. SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients. Ergonomics. 2013;56(11):1669-…

  19. Exhibit 1.3. Characteristics of LHC (All Hospitals) | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-3.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.3. Characteristics of LHC (All Hospitals) Previous Page   Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45466/psn-pdf
    September 07, 2016 - Building a highway to quality health care. September 7, 2016 Watson S, Pronovost P. Building a Highway to Quality Health Care. J Patient Saf. 2016;12(3):165-6. doi:10.1097/PTS.0000000000000074. https://psnet.ahrq.gov/issue/building-highway-quality-health-care Substantial progress has been made in improving health …
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