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National Center for Patient Safety (NCPS). | PSNet

psnet.ahrq.gov/issue/national-center-patient-safety-ncps

March 27, 2005 - Multi-use Website National Center for Patient Safety (NCPS). … Citation Text: National Center for Patient Safety (NCPS). … Copy URL Cite Citation Citation Text: National Center … September 24, 2017 MHA and MHA Keystone Center Annual Reports.

Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet

psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming

October 19, 2016 - Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center … Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center … Chicago, IL: American Hospital Association, Health Research and Educational Trust, and Joint Commission Center … Chicago, IL: American Hospital Association, Health Research and Educational Trust, and Joint Commission Center … surgery, along with their root causes, and describes initiatives associated with a Joint Commission Center

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. | PSNet

psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent

April 10, 2024 - improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center … Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic Medical Center … recommendations (e.g., label redesign, patient-specific bar coding on pens) at a quaternary academic medical center … Improvement Project to Reduce Risks of Inadvertent Insulin Pen Sharing at a Large Academic Medical Center

Processes for identifying and reviewing adverse events and near misses at an academic medical center. | PSNet

psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses-academic-medical-center

September 25, 2024 - Processes for identifying and reviewing adverse events and near misses at an academic medical center … Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. … This survey of operational leaders at a single academic medical center identified multiple conferences … Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center.

The host hospital 24-hour underreferral rate: an automated measure of call-center safety. | PSNet

psnet.ahrq.gov/issue/host-hospital-24-hour-underreferral-rate-automated-measure-call-center-safety

September 23, 2020 - Study The host hospital 24-hour underreferral rate: an automated measure of call-center … The host hospital 24-hour underreferral rate: an automated measure of call-center safety. … Conducted at a tertiary care pediatric hospital, this cohort study matched calls to the call center with … The study authors advocate for using the under-referral rate as a measure of call center quality of care … The host hospital 24-hour underreferral rate: an automated measure of call-center safety.

Factors associated with workplace violence among healthcare workers in an academic medical center. | PSNet

psnet.ahrq.gov/issue/factors-associated-workplace-violence-among-healthcare-workers-academic-medical-center

May 11, 2022 - Factors associated with workplace violence among healthcare workers in an academic medical center … Factors associated with workplace violence among healthcare workers in an academic medical center. … This study found that over half of healthcare workers at one large academic medical center in the United … Factors associated with workplace violence among healthcare workers in an academic medical center. … May 11, 2022 Institution of just culture physician peer review in an academic medical center

Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. | PSNet

psnet.ahrq.gov/issue/introducing-ahrq-ambulatory-surgery-center-survey-patient-safety-culture

October 06, 2016 - Meeting/Conference Proceedings Introducing the AHRQ Ambulatory Surgery Center Survey … Citation Text: Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. … This webinar highlighted the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Ambulatory Surgery Center … Cite Citation Citation Text: Introducing the AHRQ Ambulatory Surgery Center … November 28, 2023 SOPS Ambulatory Surgery Center Survey: What You Need to Know.

Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. | PSNet

psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency

April 29, 2015 - Study Patient outcomes compared between admissions coordinated by the transfer center … Patient outcomes compared between admissions coordinated by the transfer center and emergency department … outcomes of patients admitted to one hospital via the emergency department (ED) and via a transfer center … In both matched and unmatched cohorts, patients admitted via the referral center had longer length of … Patient outcomes compared between admissions coordinated by the transfer center and emergency department

Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. | PSNet

psnet.ahrq.gov/issue/pharmacy-prevalence-second-victim-syndrome-comprehensive-cancer-center

June 03, 2020 - Study Pharmacy prevalence of second victim syndrome in a comprehensive cancer center … Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. … At one comprehensive cancer center, 37% of pharmacists, pharmacy technicians, and pharmacy staff reported … Pharmacy prevalence of second victim syndrome in a comprehensive cancer center.

Safety of overlapping surgery at a high-volume referral center. | PSNet

psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center

January 11, 2017 - Classic Safety of overlapping surgery at a high-volume referral center … Safety of Overlapping Surgery at a High-volume Referral Center. … compared overlapping surgeries with nonoverlapping surgeries of the same type at a single referral center … Safety of Overlapping Surgery at a High-volume Referral Center.

Preventable morbidity at a mature trauma center. | PSNet

psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center

September 22, 2021 - Study Preventable morbidity at a mature trauma center. … Citation Text: Preventable morbidity at a mature trauma center. … Cite Citation Citation Text: Preventable morbidity at a mature trauma center … 2012 Patient safety in trauma: maximal impact management errors at a level I trauma center

Vanderbilt Center for Patient and Professional Advocacy. | PSNet

psnet.ahrq.gov/issue/vanderbilt-center-patient-and-professional-advocacy

March 02, 2022 - Multi-use Website Vanderbilt Center for Patient and Professional Advocacy. … Citation Text: Vanderbilt Center for Patient and Professional Advocacy. 2135 Blakemore Ave, Nashville … Copy URL Cite Citation Citation Text: Vanderbilt Center … March 2, 2022 National Center for Patient Safety (NCPS). … October 25, 2017 Center for Health Care Human Factors.

Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. | PSNet

psnet.ahrq.gov/issue/incidence-nosocomial-covid-19-patients-hospitalized-large-us-academic-medical-center

October 14, 2020 - Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center … Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. … This cohort study included patients admitted to one large US academic medical center to assess the incidence … Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. … system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center

Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. | PSNet

psnet.ahrq.gov/issue/viewing-prevention-catheter-associated-urinary-tract-infection-system-using-systems

July 12, 2023 - systems engineering and human factors engineering in a quality improvement project in an academic medical center … Systems Engineering and Human Factors Engineering in a Quality Improvement Project in an Academic Medical Center … program, principles of human factors engineering were applied to reduce CAUTI at an academic medical center … Systems Engineering and Human Factors Engineering in a Quality Improvement Project in an Academic Medical Center … Applying human factors engineering to address the telemetry alarm problem in a large medical center

Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project. | PSNet

psnet.ahrq.gov/issue/hand-hygiene-project-best-practices-hospitals-participating-joint-commission-center

May 06, 2015 - Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center … Citation Text: Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center … This report describes how teams participating in The Joint Commission’s Center for Transforming Healthcare … Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center … September 30, 2015 Tennessee Center for Patient Safety.

PULSE Center for Patient Safety Education & Advocacy. | PSNet

psnet.ahrq.gov/issue/pulse-center-patient-safety-education-advocacy

April 21, 2021 - Multi-use Website PULSE Center for Patient Safety Education & Advocacy. … Citation Text: PULSE Center for Patient Safety Education & Advocacy. Wantagh, NY 11793-0353. … December 22, 2021 Betsy Lehman Center for Patient Safety. … February 16, 2022 Indiana Patient Safety Center. … March 17, 2011 Connecticut Center for Patient Safety.

Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center data. | PSNet

psnet.ahrq.gov/issue/adverse-drug-reactions-and-therapeutic-errors-older-adults-hazard-factor-analysis-poison

September 09, 2013 - Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center … Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center … The investigators analyzed medication-related data from a poison control call center and found that 1.6% … Adverse drug reactions and therapeutic errors in older adults: a hazard factor analysis of poison center … A toolkit to disseminate best practices in inpatient medication reconciliation: Multi-Center

Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. | PSNet

psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative

March 29, 2023 - events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center … events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center … review of 154 intraoperative deaths occurring between March 2010 and August 2022 at one academic medical center … events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center

Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center. | PSNet

psnet.ahrq.gov/issue/implementation-online-reporting-system-identify-unprofessional-behaviors-and-mistreatment

July 13, 2022 - system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center … system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center … describes the characteristics of incident reports submitted by trainees in a large academic medical center … system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center

Institution of just culture physician peer review in an academic medical center. | PSNet

psnet.ahrq.gov/issue/institution-just-culture-physician-peer-review-academic-medical-center

October 20, 2021 - Study Institution of just culture physician peer review in an academic medical center … Institution of just culture physician peer review in an academic medical center. … A multidisciplinary panel at one academic medical center established a new approach for physician peer … Institution of just culture physician peer review in an academic medical center.

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