-
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/44164/psn-pdf
November 03, 2015 - Some agreements prohibited disclosure to
regulatory agencies, a practice which the institution has since
-
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
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psnet.ahrq.gov/issue/preventing-blood-transfusion-failures-fmea-effective-assessment-method
August 25, 2021 - The authors describe the use of FMEA at a single institution to improve the safety of the blood transfusion
-
psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die
September 15, 2021 - COVID-19 experience at one nursing home and discusses how the infection progressed through the institution
-
psnet.ahrq.gov/issue/rapid-response-systems-prospective-study-response-times
November 16, 2022 - rapid response system did not reduce the time between the onset of clinical deterioration and the institution
-
psnet.ahrq.gov/issue/does-surgeon-fatigue-influence-outcomes-after-anterior-resection-rectal-cancer
August 04, 2021 - In this single-institution study, surgeon fatigue (defined as having performed clinical services after
-
psnet.ahrq.gov/node/33843/psn-pdf
October 01, 2017 - At my own institution, we were having difficulty getting what we
thought were an adequate number of … Also, it can help an
institution in that, if people are going to their own health care facility, they … Especially if the physician is now working for a health care
institution, be it a hospital or an HMO … And according to this study, that is exactly what is happening at that particular institution. … But now it's almost more the obligation toward the institution that
is monitoring us and paying us.
-
psnet.ahrq.gov/node/39499/psn-pdf
January 03, 2017 - The authors surveyed faculty and staff
at their institution and found that 39% were familiar with the
-
psnet.ahrq.gov/node/42736/psn-pdf
October 31, 2014 - Although a prior single-institution study found increased complication rates for daytime
procedures
-
psnet.ahrq.gov/node/37112/psn-pdf
May 26, 2011 - incorporated CPOE, automated dispensing, bar coding, and
an electronic medication record, this single-institution
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psnet.ahrq.gov/node/39873/psn-pdf
January 22, 2017 - When the issue was raised by a physician with a common last name during executive
walk rounds, the institution
-
psnet.ahrq.gov/node/39892/psn-pdf
September 20, 2011 - disclose errors were less likely to sue and more likely to subsequently recommend the
provider or institution
-
psnet.ahrq.gov/node/43969/psn-pdf
November 17, 2017 - Reporting errors to the institution and discussing incidents with peers are also recommended safety
-
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/41661/psn-pdf
March 11, 2013 - An AHRQ WebM&M commentary discusses how one
institution responded to a serious chemotherapy error.
-
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/49451/psn-pdf
June 01, 2004 - hematocrit, and platelets, among others, but the specific panic thresholds for these tests vary
from one institution … A significant source of latent error is a panic value policy that poorly fits the needs of the
institution … i) whether the involved laboratory failed to follow
its own panic value procedure, and (ii) if the institution … For example, an institution that had no panic value procedure for positive cultures from
cerebrospinal
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psnet.ahrq.gov/node/49448/psn-pdf
June 01, 2004 - As Chief of
Clinical Affairs at my institution and also a general surgeon, I want to share my perspective … At our institution, Orthopedics marked an "X" on the non-
operative site, while other groups marked … Key
recommendations need to be retained, but logistical details should be modified at each institution
-
psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
September 11, 2023 - At my own institution, we were having difficulty getting what we thought were an adequate number of people … Also, it can help an institution in that, if people are going to their own health care facility, they … Especially if the physician is now working for a health care institution, be it a hospital or an HMO … And according to this study, that is exactly what is happening at that particular institution. … But now it's almost more the obligation toward the institution that is monitoring us and paying us.