-
psnet.ahrq.gov/node/38692/psn-pdf
March 04, 2015 - Investigators reviewed more than 1 million reports at a single institution and discovered a very
low
-
psnet.ahrq.gov/node/36634/psn-pdf
March 03, 2011 - issue/surgeon-information-transfer-and-communication-factors-affecting-quality-and-
efficiency
The institution
-
psnet.ahrq.gov/node/41847/psn-pdf
November 28, 2012 - improving-organizational-climate-quality-and-quality-care-does-membership-
collaborative-help
Multi-institution
-
psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
February 01, 2006 - Given that, what is the role of the institution in working with their providers to manage this process … Some errors will be so egregious and terrible that it would be ethically irresponsible for the institution … JB: There's no question that, if your institution adopts a policy of comprehensive error disclosure, … Since 2001, our institution has specified that, "It is the right of the patient to receive information … ) tell the patient what happened, using plain language; (ii) accept responsibility on behalf of the institution
-
psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - Since 2001, our institution has specified that, "It is the right of the patient to receive information … ) tell the patient what happened, using plain language; (ii) accept responsibility on behalf of the institution … Given that, what is the role of the institution in working with their providers to manage this process … Some errors will be so egregious and terrible that it would be ethically irresponsible for the institution … JB: There's no question that, if your institution adopts a policy of comprehensive error disclosure,
-
psnet.ahrq.gov/web-mm/ectopic-or-not
March 27, 2024 - At our institution, a third level is obtained 48 hours after the second to confirm continued falling … The criteria for treating an ectopic pregnancy with methotrexate vary from institution to institution … At our institution, the presence of blood in the pelvis is not considered a contraindication to medical
-
psnet.ahrq.gov/node/44044/psn-pdf
June 21, 2015 - authors also provide detailed
descriptions of the implementation process and barriers faced at each institution
-
psnet.ahrq.gov/node/39985/psn-pdf
November 10, 2010 - of different types of reporting
systems to obtain a comprehensive view of patient safety within an institution
-
psnet.ahrq.gov/node/35436/psn-pdf
September 15, 2009 - The authors provide a
literature review of this arena and discuss the various patient, nurse, and institution
-
psnet.ahrq.gov/node/35907/psn-pdf
October 03, 2017 - Investigators at a single academic institution used a trauma
registry (risk-management database) along
-
psnet.ahrq.gov/node/40020/psn-pdf
September 20, 2011 - perform a time out,
and explores the ramifications of the error for the surgeon, the patient, and the institution
-
psnet.ahrq.gov/node/38217/psn-pdf
April 26, 2017 - culture-safety
https://psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
-
psnet.ahrq.gov/node/44164/psn-pdf
November 03, 2015 - Some agreements prohibited disclosure to
regulatory agencies, a practice which the institution has since
-
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/glossary/handoffs-and-handovers
September 13, 2021 - increased transitions between settings, with patients more often move from one ward to another or from one institution
-
psnet.ahrq.gov/issue/reduction-pediatric-identification-band-errors-quality-collaborative
March 14, 2022 - A multi-institution collaborative quality improvement project, based on a prior intervention , successfully
-
psnet.ahrq.gov/node/37112/psn-pdf
May 26, 2011 - incorporated CPOE, automated dispensing, bar coding, and
an electronic medication record, this single-institution
-
psnet.ahrq.gov/node/37803/psn-pdf
January 06, 2017 - sequential investments made in
human capital starting from the time of a highly publicized error at their institution
-
psnet.ahrq.gov/node/36530/psn-pdf
January 07, 2011 - issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-
attentional-failures
The institution
-
psnet.ahrq.gov/node/42736/psn-pdf
October 31, 2014 - Although a prior single-institution study found increased complication rates for daytime
procedures