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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44311/psn-pdf
    May 19, 2019 - A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution … A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution … https://psnet.ahrq.gov/issue/patient-safety-rounds-pilot-program-clinics-affiliated-large-research-and … - education This study describes a pilot program to introduce patient safety rounds at a group of outpatient … rounds identified many patient safety issues and were viewed as a success by participants, but the program
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866353/psn-pdf
    July 24, 2024 - A clinical pharmacist-led transitions of care program for veterans with two planned care transitions … A clinical pharmacist-led transitions of care program for veterans with two planned care transitions … https://psnet.ahrq.gov/issue/clinical-pharmacist-led-transitions-care-program-veterans-two-planned-care … This article describes the pilot implementation of the Geriatric High- Risk Evaluation and Liaison Program … https://psnet.ahrq.gov/issue/clinical-pharmacist-led-transitions-care-program-veterans-two-planned-care-transitions
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50704/psn-pdf
    December 04, 2019 - Hospital-Acquired Condition Reduction Program is not associated with additional patient safety improvement … Hospital-Acquired Condition Reduction Program Is Not Associated With Additional Patient Safety Improvement … https://psnet.ahrq.gov/issue/hospital-acquired-condition-reduction-program-not-associated-additional- … patient-safety Since 2013, Medicare’s Hospital-Acquired Condition Reduction Program (HACRP) has reduced … https://psnet.ahrq.gov/issue/hospital-acquired-condition-hac-reduction-program https://psnet.ahrq.gov
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60339/psn-pdf
    May 20, 2020 - We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address … We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address … This article evaluates the implementation of the We Want to Know program, which encourages hospitalized … Over a three-year period at one large, community hospital, the program interviewed over 4,600 patients … Stakeholders (e.g., nurses, nurse managers, physicians, hospital administrators and leadership) found the program
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60621/psn-pdf
    June 24, 2020 - Design and implementation of the infection prevention program into risk management: managing high level … Design and implementation of the infection prevention program into risk management: Managing high level … https://psnet.ahrq.gov/issue/design-and-implementation-infection-prevention-program-risk-management- … managing-high-level This article describes one health system’s experience implementing an infection prevention program … https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60732/psn-pdf
    July 29, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 … https://psnet.ahrq.gov/issue/restructuring-general-surgery-residency-program-epicenter-coronavirus- … disease-2019-pandemic This article describes an emergent restructuring of a general surgery residency program … https://psnet.ahrq.gov/issue/restructuring-general-surgery-residency-program-epicenter-coronavirus-disease
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846149/psn-pdf
    March 15, 2023 - Medication errors in community pharmacies: evaluation of a standardized safety program. … Medication errors in community pharmacies: evaluation of a standardized safety program. … https://psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety- program … pharmacies submitted at least one report, indicating compliance with and participation in the AIMS Program … https://psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60939/psn-pdf
    September 23, 2020 - A national survey of program directors on 2017 work hours requirements. … A national survey of program directors on 2017 work hours requirements. … https://psnet.ahrq.gov/issue/does-increased-schedule-flexibility-lead-change-national-survey-program- … Although the majority of programs supported the ACGME work hour flexibility, only one quarter of programs … -2017-work https://psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements https:
  9. psnet.ahrq.gov/innovations-exchange
    May 01, 2021 - BOOST provides a full implementation toolkit to help institutions implement this and other programs to … The HomeMeds Medication Safety Program identified and addressed targeted medication problems, leading … Women enrolled in the program receive Level 1 addiction treatment (i.e., outpatient services) from an … Known as the Trauma Reception and Resuscitation System (TR&R®), this program generates prompts based … Patient Safety Innovations Geisinger’s Outpatient Addiction Medicine Specialty Program
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850678/psn-pdf
    June 14, 2023 - Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital … A multidisciplinary team developed the AAM program to identify and respond to alerts of likely patient … Key results from implementation of the AAM program include lower mortality within 30 days of an alert … Work with the information technology team to integrate the program into the organization’s EHR. … to refine the AAM program.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72783/psn-pdf
    February 24, 2021 - Measurement matters: changing penalty calculations under the hospital acquired condition reduction program … Measurement matters: changing penalty calculations under the hospital acquired condition reduction program … measurement-matters-changing-penalty-calculations-under-hospital-acquired- condition-reduction Since 2014, Medicare’s Hospital-Acquired Condition Reduction Program … on multistate data, the authors conclude that there is a disconnect between penalties levied by the program … and hospital performance, suggesting that the program may not drive patient safety improvements as
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44259/psn-pdf
    April 01, 2024 - Training Program for Nurses on Shift Work and Long Work Hours. … (Revised 4/2024) https://psnet.ahrq.gov/issue/training-program-nurses-shift-work-and-long-work-hours … This online training program for clinicians and administrators will explore hazards related to nurse … https://psnet.ahrq.gov/issue/training-program-nurses-shift-work-and-long-work-hours https://psnet.ahrq.gov … integrative-review-fatigue-among-nurses-acute-care-settings https://psnet.ahrq.gov/issue/implementing-fatigue-countermeasures-program-nurses-focus-group-analysis
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47307/psn-pdf
    December 12, 2018 - Are teaching hospitals treated fairly in the Hospital- Acquired Condition Reduction Program? … Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition Reduction Program? … /psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction- program … The Hospital-Acquired Condition Reduction Program (HACRP) was established by the Centers for Medicare … ://psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865518/psn-pdf
    April 10, 2024 - Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. … Decreasing prescribing errors in antimicrobial stewardship program- restricted medications. … https://psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted … - medications Antimicrobial stewardship programs (ASPs) can reduce antimicrobial prescribing errors … https://psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61067/psn-pdf
    January 01, 2021 - A program to provide clinicians with feedback on their diagnostic performance in a learning health system … A program to provide clinicians with feedback on their diagnostic performance in a learning health system … https://psnet.ahrq.gov/issue/program-provide-clinicians-feedback-their-diagnostic-performance-learning … The program identified missed opportunities in diagnosis based on clinician reports, patient complaints … Both facilitators and recipients found the program to be useful and believed it would improve future
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836916/psn-pdf
    April 13, 2022 - Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm … https://psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care- … This children’s hospital implemented a robust process improvement program (RPI, which refers to widespread … The program resulted in significant and sustainable improvements to staff confidence and knowledge related
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72756/psn-pdf
    February 17, 2021 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in … Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in … https://psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older … This article describes one nursing home’s experience adapting the Fall TIPS program for use in their … The program, which emphasizes tailored fall-prevention and patient-family engagement, resulted in a
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47481/psn-pdf
    January 23, 2019 - Implementation of a second victim program in the neonatal intensive care unit: an interim analysis of … Implementation of a second victim program in the neonatal intensive care unit: An interim analysis of … https://psnet.ahrq.gov/issue/implementation-second-victim-program-neonatal-intensive-care-unit-interim … This study evaluated health care provider satisfaction with a second victim peer support program in … Many clinicians were unaware of the program but those who had used it expressed satisfaction.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866962/psn-pdf
    October 16, 2024 - Diagnostic Excellence– Age-Friendly Health Systems (DxEx–AFHS) Seed Grant Program Improving Diagnosis … https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant- program-improving … This program will support eight healthcare organizations’ efforts to design and implement innovations … https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant-program-improving … https://psnet.ahrq.gov/issue/diagnostic-excellence-age-friendly-health-systems-dxex-afhs-seed-grant-program-improving
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60917/psn-pdf
    September 16, 2020 - Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. … Impact of an obstetrical hospitalist program on the safety events in a mid-sized obstetrical unit. … https://psnet.ahrq.gov/issue/impact-obstetrical-hospitalist-program-safety-events-mid-sized-obstetrical-unit … This article reports on the impact of an OB hospitalist program on serious safety events in one hospital … After program implementation, there was a significant reduction in serious safety events.

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