Results

Total Results: 5,153 records

Showing results for "institution".

1421. Medication report reduces number of medication errors when elderly patients are discharged from hospital. | PSNet
      psnet.ahrq.gov/issue/medication-report-reduces-number-medication-errors-when-elderly-patients-are-discharged
      February 04, 2009 - 29, 2020 The postpartum hemorrhage patient safety bundle implementation at a single institution

1422. Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. | PSNet
      psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural
      April 24, 2018 - The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution

1423. Development and testing of tools to detect ambulatory surgical adverse events. | PSNet
      psnet.ahrq.gov/issue/development-and-testing-tools-detect-ambulatory-surgical-adverse-events
      June 04, 2014 - National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution

1424. Extent of diagnostic agreement among medical referrals. | PSNet
      psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals
      October 31, 2011 - National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution

1425. An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. | PSNet
      psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive-behavior-perioperative
      October 15, 2014 - January 7, 2015 An institution-wide handoff task force to standardise and improve physician

1426. Provider and patient perceptions of an external medication history function. | PSNet
      psnet.ahrq.gov/issue/provider-and-patient-perceptions-external-medication-history-function
      July 16, 2015 - Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution

1427. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet
      psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
      April 22, 2013 - Related Resources Patient handoffs and multi-specialty trainee perspectives across an institution

1428. Do patient safety events increase readmissions? | PSNet
      psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
      November 04, 2015 - National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution

1429. Rapidly increasing rapid response team activation rates. | PSNet
      psnet.ahrq.gov/issue/rapidly-increasing-rapid-response-team-activation-rates
      February 18, 2015 - activation is associated with increased hospital mortality, morbidity, and length of stay in a tertiary care institution

1430. The effect of an electronic checklist on critical care provider workload, errors, and performance. | PSNet
      psnet.ahrq.gov/issue/effect-electronic-checklist-critical-care-provider-workload-errors-and-performance
      January 22, 2016 - activation is associated with increased hospital mortality, morbidity, and length of stay in a tertiary care institution

1431. Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet
      psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
      March 03, 2011 - January 8, 2025 Patient handoffs and multi-specialty trainee perspectives across an institution

1432. Reframing the morbidity and mortality conference: the impact of a just culture. | PSNet
      psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
      November 15, 2018 - November 15, 2018 Bringing perioperative emergency manuals to your institution: a "How

1433. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. | PSNet
      psnet.ahrq.gov/issue/ensuring-safe-practice-late-career-physicians-institutional-policies-and-implementation
      May 20, 2019 - Study Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Citation Text: White AA, Gallagher TH, Osinska PH, et al. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Ann Intern Med…

1434. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective | PSNet
      psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
      June 01, 2016 - At my institution, I look at the results of our AHRQ Hospital Survey on Patient Safety Culture and develop

1435. Organizational Learning | PSNet
      psnet.ahrq.gov/curated-library/organizational-learning
      August 11, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Organizational Learning  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…

1436. Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet
      psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
      August 04, 2021 - Study Classic Reducing adverse drug events: lessons from a breakthrough series collaborative. Citation Text: Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…

1437. Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. | PSNet
      psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event-identification
      July 03, 2016 - Study Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. Citation Text: Stockwell DC, Kirkendall E, Muething S, et al. Automated adverse event detection collaborative: e…

1438. Closing the loop: follow-up and feedback in a patient safety program. | PSNet
      psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-patient-safety-program
      January 04, 2017 - Study Closing the loop: follow-up and feedback in a patient safety program. Citation Text: Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21. Copy Citation Format: …

1439. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. | PSNet
      psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional
      October 19, 2022 - Study Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. Citation Text: Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional natio…

1440. Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. | PSNet
      psnet.ahrq.gov/issue/technical-evaluation-testing-and-validation-usability-electronic-health-records-empirically
      March 01, 2017 - Book/Report Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. Citation Text: Technical Evaluation, Testing, and Validation of the Usability …