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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - We ensured we had institutional support and involved the residents in the design of the intervention … RW : You mentioned that after the pilot intervention was done—and I assume this was before the multicenter … Individuals from each site were designated to play key roles in developing the intervention and were … However, it's important to note that when I reference the I-PASS handoff intervention, I don't mean just … We referred to the final component of the intervention as "the campaign," which was an effort to promote
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psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-barcode-medication-administration-nursing-staff-using
August 28, 2024 - the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention … February 7, 2024
Analysis of intervention employability in pharmacy-related medication … September 13, 2023
An intervention to increase situational awareness and the Culture … the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention
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psnet.ahrq.gov/issue/reduction-race-and-gender-bias-clinical-treatment-recommendations-using-clinician-peer
August 09, 2023 - Study participants were assigned to a control (i.e., independent reflection) or intervention (i.e., “ … Participants in the intervention group were more likely to recommend appropriate care and showed no
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psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection
August 21, 2019 - practices in a bundled approach, the incidence of postoperative infections was actually higher in the intervention … September 20, 2011
Effectiveness of an information technology intervention to improve
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psnet.ahrq.gov/issue/improving-end-rotation-transitions-care-among-icu-patients
September 23, 2020 - This single-center pilot study examined the impact of an ICU handoff intervention consisting of an in-person … The authors found that the intervention was feasible to implement with high fidelity and did not improve
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psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter
May 18, 2022 - They found that the intervention improved dosing accuracy and administration time. … May 18, 2022
Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication
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psnet.ahrq.gov/issue/randomized-ambora-trial-impact-pharmacologicalpharmaceutical-care-medication-safety-and
November 03, 2021 - randomized to receive usual care (control) or additional intensive pharmacological/ pharmaceutical care (intervention … Patients in the intervention group reported considerably fewer medication errors and side effects and
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - Although a seemingly simple intervention, checklists have a sound
theoretical basis in principles of … This intervention achieved a stunning reduction in line infections, with many ICUs completely
eliminating … doctor-uses-pre-flight-checklist
https://psnet.ahrq.gov/issue/checklist
https://psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu … widely implemented, it has become clear that their success depends on appropriately targeting
the intervention … surgical-safety-checklist-successfully-conducted-observational-study-social-interactions
https://psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - Frontline staff should be included and consulted in the project planning process to ensure the intervention … Implemented
2014
Problem Addressed
Regardless of how successful an intervention … a previous course of action can be incredibly challenging to both initiate and then sustain if the intervention … The success of this nudge project pilot formed the basis for a much larger intervention that is currently … Frontline staff should be included and consulted in the project planning process to ensure the intervention
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psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-interventions-reducing-avoidable-hospital-readmission
April 25, 2018 - Frequently cited barriers included limited resources, poor team communication, and complicated intervention … November 22, 2017
Patient Safety Dialogue: evaluation of an intervention aimed at achieving
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psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
June 30, 2021 - To address this problem, the Arkansas Children’s Hospital developed an intervention to increase situational … The intervention consisted of four elements:
Objective (e.g., pediatric early warning score [PEWS … This intervention was piloted on the Infant-Toddler unit and was expanded across all other medical-surgical … Nurses reported that the intervention empowered them to proactively respond to patient deterioration … This intervention leverages proven safety practices (i.e., triggers , huddles ) and has broad applicability
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psnet.ahrq.gov/issue/impact-cancelrx-discontinuation-controlled-substance-prescriptions-interrupted-time-series
September 01, 2021 - The CancelRx system is a health information technology-based intervention intended to mitigate the … Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention
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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - His care model, the Care Transitions Intervention , is being adopted by leading health care organizations … The Intervention has been associated with significant decreases in rehospitalization rates .
Dr. … And that really is the intervention. … An important model is the Care Transitions Intervention , which involved providing elders and their … The Care Transitions Intervention: results of a randomized controlled trial.
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psnet.ahrq.gov/issue/longitudinal-medication-reconciliation-hospital-admission-discharge-and-post-discharge
August 19, 2020 - June 29, 2022
Evaluating the impact of a pharmacist-led prescribing feedback intervention … June 17, 2020
Pharmacist-led intervention on the reduction of inappropriate medication … use in patients with heart failure: a systematic review of randomized trials and non-randomized intervention … July 8, 2020
Effect of a pharmacist intervention on clinically important medication errors
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psnet.ahrq.gov/issue/burnout-mediates-association-between-depression-and-patient-safety-perceptions-cross
June 30, 2021 - "Change is what can actually make the tough times better": a patient-centred patient safety intervention … February 22, 2019
A qualitative formative evaluation of a patient-centred patient safety intervention … September 24, 2017
The patient reporting and action for a safe environment (PRASE) intervention … cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention
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psnet.ahrq.gov/issue/improving-communication-and-response-clinical-deterioration-increase-patient-safety-intensive
December 09, 2020 - care, this surgical intensive care unit (SICU) implemented an interdisciplinary quality improvement intervention … The intervention consisted of educating nurses on conditions necessitating escalation, multidisciplinary
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psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
February 26, 2025 - managed expectantly to promptly identify those who have treatment failure and require definitive surgical intervention … When surgical intervention is delayed, progressive infection and septic complications may worsen and … impossible to know whether earlier diversion would have prevented the rectovesical fistula, but earlier intervention … Timely delivery of definitive surgical intervention is necessary to avoid preventable patient morbidity … October 16, 2024
Testing an intervention to improve health care worker well-being during
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psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review
April 20, 2022 - the authors describe the work system, process, and outcomes related to failure to rescue, and develop intervention … November 25, 2020
Effect of a cluster randomised team training intervention on adverse
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psnet.ahrq.gov/issue/impact-pharmacist-previsit-input-providers-chronic-opioid-prescribing-safety
November 16, 2022 - The intervention led to a 14% decrease in morphine milligram equivalents per day without a change in … Understanding factors that could influence patient acceptability of the use of the PINCER intervention
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psnet.ahrq.gov/issue/safer-prescribing-and-care-elderly-space-cluster-randomised-controlled-trial-general-practice
November 18, 2020 - This randomized trial examined the usefulness of an existing intervention to support safer prescribing … November 11, 2020
Impact of a pharmacist-administered deprescribing intervention on nursing