Results

Total Results: 5,153 records

Showing results for "institution".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45897/psn-pdf
     August 20, 2018 - More than 50% of the respondents indicated that their institution did not have dedicated time for teaching

242. Customer focused incident monitoring in anaesthesia. | PSNet
     psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
     April 24, 2018 - The authors studied anesthesia-related incident reports at one institution and found that many incidents

243. Chemotherapy medication errors. | PSNet
     psnet.ahrq.gov/issue/chemotherapy-medication-errors
     May 19, 2014 - Most studies were performed in single-institution academic settings and few studies examined how health

244. Malpractice reform—opportunities for leadership by health care institutions and liability insurers. | PSNet
     psnet.ahrq.gov/issue/malpractice-reform-opportunities-leadership-health-care-institutions-and-liability-insurers
     December 19, 2018 - This commentary discusses emerging, institution-led approaches to disclosure and resolution of medical

245. Perinatal clinical decision support system: a documentation tool for patient safety. | PSNet
     psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety
     December 12, 2014 - The authors describe how their institution implemented a decision support system, discuss the barriers

246. Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. | PSNet
     psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge
     June 09, 2011 - The authors analyzed secondary (piggyback) infusions at their institution to illustrate human factors

247. Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. | PSNet
     psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
     July 18, 2018 - transplant surgeon encountered while trying to discuss contributors to troubling patterns at his institution

248. The Result Stopped Here | PSNet
     psnet.ahrq.gov/web-mm/result-stopped-here
     December 01, 2006 - 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

249. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations. | PSNet
     psnet.ahrq.gov/issue/advancing-interprofessional-patient-safety-education-medical-nursing-and-pharmacy-learners
     May 18, 2022 - This commentary describes how one institution designed and implemented a multidisciplinary course to

250. An integrative review: fatigue among nurses in acute care settings. | PSNet
     psnet.ahrq.gov/issue/integrative-review-fatigue-among-nurses-acute-care-settings
     June 01, 2022 - The authors suggest implementing institution-wide policies and educating nurses and administrators about

251. Errare humanum est: frequency of laterality errors in radiology reports. | PSNet
     psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports
     September 13, 2023 - Investigators reviewed more than 1 million reports at a single institution and discovered a very low

252. Personal formularies of primary care physicians across 4 health care systems. | PSNet
     psnet.ahrq.gov/issue/personal-formularies-primary-care-physicians-across-4-health-care-systems
     July 10, 2019 - Results indicated wide variability in the number of unique medications at the physician and institution

253. Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. | PSNet
     psnet.ahrq.gov/issue/developing-standardized-receiver-driven-handoffs-between-referring-providers-and-emergency
     June 03, 2020 - determined that handoffs between outpatient pediatric providers and the emergency department at a single institution

254. Deployment of a second victim peer support program: a replication study. | PSNet
     psnet.ahrq.gov/issue/deployment-second-victim-peer-support-program-replication-study
     January 12, 2022 - Building on a previously described model, the institution developed a system to provide support for staff

255. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. | PSNet
     psnet.ahrq.gov/issue/evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology-academic-medical
     February 24, 2021 - study of nurses working in both the inpatient and outpatient oncology setting at a single health care institution

256. A hospitalization from hell: a patient's perspective on quality. | PSNet
     psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality
     July 19, 2023 - A nurse manager and CEO of the same institution offer their insight into the inefficiencies and concerns

257. Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. | PSNet
     psnet.ahrq.gov/issue/variability-diagnostic-error-rates-10-mri-centers-performing-lumbar-spine-mri-examinations
     March 14, 2022 - patient underwent the same MRI exam at 10 local centers, plus one before and after at the author’s institution

258. Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. | PSNet
     psnet.ahrq.gov/issue/strategies-improving-value-radiology-report-retrospective-analysis-errors-formally-over-read
     November 10, 2021 - This retrospective review of imaging studies submitted to a second institution for a second interpretation

259. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. | PSNet
     psnet.ahrq.gov/issue/lawrence-d-dorr-surgical-techniques-technologies-award-running-two-rooms-does-not-compromise
     July 29, 2020 - This single-institution study found no difference in short- and long-term complication rates for concurrent

260. Cognitive testing of older clinicians prior to recredentialing. | PSNet
     psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
     January 08, 2020 - In an effort to identify cognitively impaired clinicians , this institution implemented a cognitive