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Medication Management Improvement Project in Two Housing Support Services: A Human Factors, Frontline Staff-Driven Quality Improvement Approach

Pdf view/download doi: 10.26051/d-7jpk-a2vj Background   Medication-related harm remains a significant global patient safety challenge. While the impact of medication safety interventions have been studied in care homes, less attention has been given to housing support services where staff often work in relative isolation. Local Problem An increasing trend in medication incidents was identified within …

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Nasal Cannula Dislodgement Events in Hospitalized At-Risk Adult Patients

Pdf view/download Supplemental oxygen provided to hospitalized at-risk patients is commonly delivered through a 1949-invented, disposable, soft, low-flow nasal cannula that is secured around both ears.1-3 However, nasal cannulae currently sold in the USA are not equipped with an alarm system that promptly alerts caregivers once the cannula is dislodged from the nose and before …

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Electronic Health Record Enhancements and Provider Training After Initial Implementation Improves Provider Efficiency and Satisfaction in a Pediatric ICU

Pdf view/download Background and Objective  The electronic health record (EHR) is a leading cause of physician frustration and burnout. This quality improvement project aimed to improve provider efficiency and satisfaction with the EHR used in a pediatric intensive care unit (PICU). Methods  Through direct provider observation and focus groups we identified causes and solutions to …

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