-
psnet.ahrq.gov/node/42191/psn-pdf
June 25, 2013 - multidisciplinary, pharmacy-associated intervention halved the number of pediatric chemotherapy errors
at a single institution
-
psnet.ahrq.gov/node/47068/psn-pdf
June 25, 2018 - Using data from a
single institution, researchers observed that while more than 99% of abnormal mammograms
-
psnet.ahrq.gov/node/38887/psn-pdf
August 26, 2009 - culture-safety
https://psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
-
psnet.ahrq.gov/node/34697/psn-pdf
December 08, 2010 - describes a collaborative, mutually supportive, systems-oriented approach to safety in place at her
institution
-
psnet.ahrq.gov/node/44407/psn-pdf
April 15, 2016 - In this study at a large pediatric institution, implementation of a
computerized provider order entry
-
psnet.ahrq.gov/node/33932/psn-pdf
May 27, 2011 - study reports on the retrospective analysis of nearly 360 preventable incidents at an urban teaching
institution
-
psnet.ahrq.gov/node/34061/psn-pdf
January 04, 2017 - The authors share the experiences of
their institution in implementing this activity in nearly 50 clinical
-
psnet.ahrq.gov/node/41643/psn-pdf
September 05, 2012 - patient-safety-climate-us-hospitals-variation-management-level
https://psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
-
psnet.ahrq.gov/node/47257/psn-pdf
September 26, 2018 - This institution implemented a psychiatry-specific incident reporting tool.
-
psnet.ahrq.gov/node/46616/psn-pdf
July 02, 2019 - Although this
single institution investigation of a homegrown, older CPOE system may not be generalizable
-
psnet.ahrq.gov/node/50384/psn-pdf
September 25, 2019 - implementing a blood-borne pathogen exposure checkpoint within the
surgical safety checklist at a single institution
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
May 01, 2011 - are reluctant to criticize colleagues
Outline a process for disclosure of an error made by another institution … complicate this case:
The disclosing physicians did not make the error
The error occurred at another institution … *
Process for Complex Disclosure
If another provider or institution has committed an error, a
-
psnet.ahrq.gov/node/47284/psn-pdf
December 05, 2018 - Researchers examined 747 adverse anesthesia events at a single
institution and found that 43% were preventable
-
psnet.ahrq.gov/node/40806/psn-pdf
October 31, 2011 - National Surgical Quality Improvement Program
(ACS-NSQIP) postoperative adverse events at a single
institution
-
psnet.ahrq.gov/node/45605/psn-pdf
November 30, 2016 - This commentary describes
how one institution designed and implemented a multidisciplinary course to
-
psnet.ahrq.gov/node/45743/psn-pdf
June 21, 2017 - strategies-improving-value-radiology-report-retrospective-analysis-errors-
formally-over-read
This retrospective review of imaging studies submitted to a second institution
-
psnet.ahrq.gov/node/46372/psn-pdf
September 13, 2017 - This commentary describes how one institution implemented an initiative to address
hand washing compliance
-
psnet.ahrq.gov/node/37674/psn-pdf
June 16, 2011 - workforce-perceptions-hospital-safety-culture-development-and-validation-patient-safety
https://psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
-
psnet.ahrq.gov/node/35159/psn-pdf
January 02, 2017 - This article
shares the views of a single institution in its efforts to construct reconciliation forms
-
psnet.ahrq.gov/node/35265/psn-pdf
February 03, 2011 - The author shares how
this particular institution responded with overarching changes, including a greater