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psnet.ahrq.gov/node/764405/psn-pdf
March 02, 2022 - To evaluate baseline team communication behavior, clinicians at this institution participated in
interprofessional
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psnet.ahrq.gov/node/47025/psn-pdf
April 11, 2018 - Most studies were performed in single-institution academic settings and few studies
examined how health
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psnet.ahrq.gov/node/46620/psn-pdf
January 30, 2018 - where-should-patient-safety-be-installed
Organizational structure influences the prioritization of safety goals in a health care institution
-
psnet.ahrq.gov/node/39518/psn-pdf
May 12, 2010 - improving-patient-safety-radiology-concepts-comprehensive-patient-safety-
program
This article describes how one institution
-
psnet.ahrq.gov/node/39161/psn-pdf
December 09, 2009 - multidisciplinary medication history and reconciliation initiative
that reduced drug errors at their institution
-
psnet.ahrq.gov/node/40869/psn-pdf
October 26, 2011 - culture-safety
https://psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
-
psnet.ahrq.gov/node/38405/psn-pdf
February 11, 2009 - development-self-report-instrument-measure-patient-safety-attitudes-skills-
and-knowledge
This commentary describes how one institution
-
psnet.ahrq.gov/node/37830/psn-pdf
June 18, 2008 - issue/does-surgeon-fatigue-influence-outcomes-after-anterior-resection-rectal-
cancer
In this single-institution
-
psnet.ahrq.gov/node/73513/psn-pdf
July 21, 2021 - Based on a multi-year chart review at one institution, the authors concluded that suicide risk
assessment
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psnet.ahrq.gov/node/841141/psn-pdf
December 07, 2022 - examined differences in timely versus delayed referrals for urgent skin
cancer evaluations at one institution
-
psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - RW: What factors do you think helped your institution go in the right direction? … The first was that our institution had several adverse events—one involving a healthy research subject … The institution was both forthcoming and shaken by those events, and that created a readiness to change … That humility led the institution to be receptive to ideas about some ways we could try to fix this problem … That plan needs to be structured enough to provide a roadmap for the institution, but loose enough to
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psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - RW: What factors do you think helped your institution go in the right direction? … The first was that our institution had several adverse events—one involving a healthy research subject … The institution was both forthcoming and shaken by those events, and that created a readiness to change … That humility led the institution to be receptive to ideas about some ways we could try to fix this problem … That plan needs to be structured enough to provide a roadmap for the institution, but loose enough to
-
psnet.ahrq.gov/node/34789/psn-pdf
December 23, 2008 - For more than
123,000 medication orders at a single university teaching institution, the overall error
-
psnet.ahrq.gov/node/38211/psn-pdf
May 21, 2009 - Implementing a bar coding system reduced adverse drug events by approximately 50% in this single-
institution
-
psnet.ahrq.gov/node/39450/psn-pdf
February 17, 2011 - malpractice-reform-opportunities-leadership-health-care-institutions-and-
liability-insurers
This commentary discusses emerging, institution-led
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psnet.ahrq.gov/node/37847/psn-pdf
June 18, 2008 - However, this institution found that residents participated in similar numbers of cases before and
after
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psnet.ahrq.gov/node/36419/psn-pdf
July 14, 2010 - time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-
real-world-knowledge
The authors analyzed secondary (piggyback) infusions at their institution
-
psnet.ahrq.gov/node/35913/psn-pdf
February 16, 2011 - Improving Oversight of the Graduate Medical Education Enterprise:
One Institution???
-
psnet.ahrq.gov/node/44946/psn-pdf
February 01, 2017 - This study
described the implementation of an institution-wide mortality review process, which identified
-
psnet.ahrq.gov/node/42625/psn-pdf
November 08, 2013 - items, according to this prospective cohort study of nearly 24,000 procedures at a single
academic institution