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psnet.ahrq.gov/issue/how-incorporate-quality-improvement-and-patient-safety-projects-your-training
November 21, 2021 - This commentary states the case for integrating problem analysis , intervention prioritization, and … Using the opportunity estimator tool to improve engagement in a quality and safety intervention
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psnet.ahrq.gov/issue/impact-implementation-family-initiated-escalation-care-deteriorating-patient-hospital
December 21, 2018 - Rapid response teams (RRTs) are a widely implemented safety intervention with a growing body of literature … implementation of a coproduced family centered communication programme: multicenter before and after intervention
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psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - A comprehensive quality improvement intervention resulted in a significant reduction in adverse drug … June 20, 2011
Preprinted order sets as a safety intervention in pediatric sedation.
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psnet.ahrq.gov/issue/intravenous-infusion-safety-technology-return-investment
October 29, 2017 - patient safety and cost savings, making a strong business case for investing in this patient safety intervention … multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention
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psnet.ahrq.gov/issue/implementing-standardized-reporting-and-safety-checklists
September 29, 2017 - An educational intervention increased nurses' knowledge of the SBAR communication tool. … June 15, 2011
Prospective pilot intervention study to prevent medication errors in drugs
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psnet.ahrq.gov/node/866841/psn-pdf
September 23, 2024 - System Approaches to Social Determinants of Health
Screening and Intervention Innovation Summary
September … 2024
https://psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-
intervention-innovation … https://psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation … and home repairs.3
Planning and Development
The keys to success of any patient safety innovation or intervention … “System approaches to social determinants of health screening and
Intervention.”
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psnet.ahrq.gov/node/865455/psn-pdf
March 27, 2024 - findings/nhqrdr/chartbooks/carecoordination/measure1.html
https://psnet.ahrq.gov/issue/effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred … /psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention … https://psnet.ahrq.gov/issue/effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred … One intervention study in a hospital
obstetrics department found that in the year following the implementation … https://psnet.ahrq.gov/issue/interdisciplinary-and-interprofessional-communication-intervention-how-psychological-safety
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psnet.ahrq.gov/node/33604/psn-pdf
December 15, 2024 - A 2012
randomized controlled trial of a pharmacist-led intervention in primary care practices in the … United Kingdom
tested an intervention bundle comprised of review of electronic medical records, prescriber … partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
https://psnet.ahrq.gov/issue/effectiveness-pharmacist-intervention-reduce-medication-errors-and-health-care-resources … https://psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
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psnet.ahrq.gov/issue/changes-medication-safety-indicators-england-throughout-covid-19-pandemic-using-opensafely
October 19, 2022 - This article evaluated the impact of a pharmacist-led information technology intervention ( PINCER ) … September 23, 2020
Scaling-up a pharmacist-led information technology intervention (PINCER
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psnet.ahrq.gov/issue/spreading-strategy-prevent-suicide-after-psychiatric-hospitalization-results-quality
May 04, 2022 - This study evaluated the impact of the WHO Brief Intervention and Contact (BIC) Program on suicide after … March 20, 2019
A longitudinal study of a multifaceted intervention to reduce newborn
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psnet.ahrq.gov/issue/effect-transitional-pharmaceutical-care-program-occurrence-ades-after-discharge-hospital
September 08, 2021 - The authors discuss several possible explanations as to why the intervention did not impact ADEs and … June 16, 2019
A comprehensive pharmacist intervention to reduce morbidity in patients
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psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff
April 28, 2021 - Post-intervention, the accuracy and completeness of handoffs improved. … Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention
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psnet.ahrq.gov/issue/national-quality-program-achieves-improvements-safety-culture-and-reduction-preventable-harms
November 02, 2022 - Each site embarked on a multimodal intervention that included leadership engagement, team training … improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention
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psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
January 22, 2020 - the checklist for CLABSI prevention has been widely publicized, equally important components of the intervention … May 25, 2011
An intervention to decrease catheter-related bloodstream infections in the
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - The observed trend provides much more compelling support for the intervention than would a study with … Sometimes implementation of an intervention changes the measurement of the study's outcomes. … Before the intervention, cardiac arrests meant literal cardiac arrests. … , avoiding having the intervention do double duty as the main data source.( 7 ,10 )
Do the outcomes … Could the intervention have had adverse effects not reported in the study?
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - Both cases represent failures of timely diagnosis and intervention; permanent loss of muscle tissue and … Cellular anoxia and tissue necrosis follow if intervention is delayed. … they would have undergone fasciotomy unnecessarily if ICP alone was used to determine the need for intervention … While delaying intervention for a probable case of CS is undesirable, unnecessary fasciotomy is associated … Contacting patients soon after discharge by text or telephone is another intervention that may alert
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psnet.ahrq.gov/issue/hospital-based-medication-reconciliation-practices-systematic-review
April 05, 2013 - Citation
Related Resources From the Same Author(s)
Effect of a pharmacist intervention … May 19, 2021
Effects of a multifaceted medication reconciliation quality improvement intervention … September 9, 2013
Effect of pharmacist counseling intervention on health care utilization … December 30, 2014
Effect of a pharmacist intervention on clinically important medication
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psnet.ahrq.gov/issue/their-own-words-safety-and-quality-perspectives-families-hospitalized-children-medical
September 18, 2024 - Related Resources From the Same Author(s)
A coproduced family reporting intervention … Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention … implementation of a coproduced family centered communication programme: multicenter before and after intervention
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psnet.ahrq.gov/issue/examining-patient-safety-events-using-behaviour-change-wheel-cross-sectional-analysis
September 20, 2012 - the research team found poor alignment between the underlying causes of the events and the type of intervention … highlight the importance of systematic, behavior-informed approaches to improve event reporting and intervention
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psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
September 20, 2011 - elements include selecting measurable outcomes, applying evidence-based interventions, ensuring the intervention … September 20, 2011
Collaborative cohort study of an intervention to reduce ventilator-associated