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psnet.ahrq.gov/issue/building-simulation-based-crisis-resource-management-course-emergency-medicine-phase-1
September 26, 2016 - Building a simulation-based crisis resource management course for emergency medicine, phase … Building a simulation-based crisis resource management course for emergency medicine, phase 1: Results … Building a simulation-based crisis resource management course for emergency medicine, phase 1: Results
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psnet.ahrq.gov/issue/effect-pharmacist-led-multicomponent-intervention-focusing-medication-monitoring-phase
June 29, 2011 - Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase … Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to … Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to
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psnet.ahrq.gov/issue/large-scale-organisational-intervention-improve-patient-safety-four-uk-hospitals-mixed-method
February 23, 2011 - In this phase one study, the SPI focused efforts in 4 hospitals, where a $1.2 million investment was … Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase … Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase
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psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
September 28, 2010 - medical incident analysis models: results of the morbidity and mortality conference improvement study, phase … medical incident analysis models: results of the morbidity and mortality conference improvement study, phase … medical incident analysis models: results of the morbidity and mortality conference improvement study, phase
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psnet.ahrq.gov/node/41619/psn-pdf
November 27, 2012 - A multicenter, phased, cluster-randomized controlled trial
to reduce central line–associated bloodstream infections
in intensive care units.
November 27, 2012
Marsteller JA, Sexton B, Hsu Y-J, et al. A multicenter, phased, cluster-randomized controlled trial to reduce
central line-associated bloodstream infections…
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psnet.ahrq.gov/node/41117/psn-pdf
March 04, 2015 - The effectiveness of integrated health information
technologies across the phases of medication
management: a systematic review of randomized
controlled trials.
March 4, 2015
McKibbon A, Lokker C, Handler S, et al. The effectiveness of integrated health information technologies
across the phases of medication man…
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psnet.ahrq.gov/issue/leaders-and-followers-individual-experiences-during-early-phase-simulation-based-team
January 18, 2011 - Study
Leaders' and followers' individual experiences during the early phase of simulation-based … Leaders' and followers' individual experiences during the early phase of simulation-based team training … Leaders' and followers' individual experiences during the early phase of simulation-based team training
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psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
March 23, 2022 - occurring between 1996-2004 and 2005-2014 and identified a shift from deaths occurring during the early phase … of care (e.g., failed resuscitation and hemorrhage) to deaths occurring during the recovery phase (e.g
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psnet.ahrq.gov/node/854848/psn-pdf
October 31, 2023 - The analytic phase encompasses specimen analysis, report
generation, and turnaround time. … Finally, the post-analytic phase entails the conveyance of pathology
results to the clinical team and … Errors that occur in the analytic phase of surgical pathology differ from those in the analytic phase … For this patient, the pre-analytic phase was uneventful. … The analytic phase began with an intraoperative
consultation with frozen section examination of the
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psnet.ahrq.gov/node/73515/psn-pdf
August 01, 2022 - Phase 1 was implemented from
2012 to 2016 with the goal of transforming 16 nursing homes in Missouri … Phase 2 was implemented from 2016 to 2020 with the goal of expanding to include provider- and facility … -
enhanced reimbursement, while sustaining the successes of Phase 1. … Since the conclusion of the CMS grant, the care components of the initiative piloted in Phase 1 have … Results
The MOQI achieved statistically significant results during Phase 1 of implementation.
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psnet.ahrq.gov/node/42515/psn-pdf
October 24, 2013 - Using four-phased unit-based patient safety walkrounds
to uncover correctable system flaws.
October 24, 2013
Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to
uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39(9):396-403.
https://psnet.ahrq.g…
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - Phase 1 was implemented from 2012 to 2016 with the goal of transforming 16 nursing homes in Missouri. … reimbursement, while sustaining the successes of Phase 1. … Since the conclusion of the CMS grant, the care components of the initiative piloted in Phase 1 have … Results
The MOQI achieved statistically significant results during Phase 1 of implementation. … hospitalizations and statistically significant reductions in four single quarters of the 2.75 years of Phase
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psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
February 18, 2009 - February 18, 2009
Incident reporting practices in the preanalytical phase: low reported … January 18, 2011
Leaders' and followers' individual experiences during the early phase … January 30, 2013
Incident reporting practices in the preanalytical phase: low reported
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psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - Preanalytic phase: clinician test selection, test ordering, specimen procurement, patient and
specimen … Analytic phase: specimen processing, preparation, and assessment by the pathologist with
immediate reporting … Postanalytic phase: receipt of the test results by the clinician followed by clinician interpretation … anatomic pathology, which
have shown overall error rates of about 5% have estimated these rates by phase … : preanalytic phase
(2.0%), analytic phase (0.2%), and postanalytic phase (2.2%).
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psnet.ahrq.gov/issue/intralipid-medication-errors-neonatal-intensive-care-unit
January 02, 2017 - reports submitted to the Medmarx database and found that most errors occur in the administration phase … Characteristics of medication errors made by students during the administration phase
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psnet.ahrq.gov/node/37114/psn-pdf
October 04, 2011 - medical incident
analysis models: results of the morbidity and mortality
conference improvement study, phase … medical incident analysis models: results of the morbidity and mortality conference
improvement study, phase
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - The analytic phase encompasses specimen analysis, report generation, and turnaround time. … Finally, the post-analytic phase entails the conveyance of pathology results to the clinical team and … Errors that occur in the analytic phase of surgical pathology differ from those in the analytic phase … For this patient, the pre-analytic phase was uneventful. … This prolonged the analytic phase and resulted in postponement of the planned surgical procedure.
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psnet.ahrq.gov/issue/listening-learning-responding-concerns
June 12, 2024 - Information
Phase 1 free full text
Phase 2 free full text
Related news article
Save
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psnet.ahrq.gov/node/33775/psn-pdf
December 01, 2014 - Phase 1: Co-development and program design (2009–2011)
Unlike other patient safety initiatives to date … This phase involved co-
development of a first batch of tools and resources and early components of … 2: Managed partnership expansion (2011–2013)
The lessons from phase 1 of APPS were then applied to … During this phase, France also began to support APPS hospital
partnerships involving five additional … development across African countries, thus moving toward implementation-informed policymaking.(16)
Phase
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psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - errors, with an error
rate of 78 per 100,000 visits.(5) Errors often occurred in the administration phase … In the case described, several factors contributed to the error at each phase of the medication-use process … The main contributors to the error during the prescribing
phase were duplicate orders and lack of a … In this case, the main contributors to the error during the pharmacist verification and dispensing phase … The administration phase is an important area to target for improved
drug administration safety.