Results

Total Results: 5,529 records

Showing results for "institution".

241. 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

242. 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

243. 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

244. Patient Safety During Perinatal and Neonatal Care. | PSNet
     psnet.ahrq.gov/issue/patient-safety-during-perinatal-and-neonatal-care
     November 15, 2017 - 30, 2022 The postpartum hemorrhage patient safety bundle implementation at a single institution

245. Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. | PSNet
     psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance
     August 04, 2021 - The authors describe their experiences in implementing changes at their institution to address the 2003

246. Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. | PSNet
     psnet.ahrq.gov/issue/has-improved-hand-hygiene-compliance-reduced-risk-hospital-acquired-infections-among
     July 10, 2024 - In contrast, another study from a United States institution found that the rates of multiple HAIs consistently

247. 'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature. | PSNet
     psnet.ahrq.gov/issue/why-there-another-persons-name-my-infusion-bag-patient-safety-chemotherapy-care-review
     May 01, 2024 - An AHRQ WebM&M commentary discusses how one institution responded to a serious chemotherapy error.

248. Standardizing safety. | PSNet
     psnet.ahrq.gov/issue/standardizing-safety
     January 13, 2021 - August 8, 2018 Multiple-institution comparison of resident and faculty perceptions of

249. Training
     psnet.ahrq.gov/training
     October 06, 2007 - Sponsor Type Member association (36) Not for profit (21) Academic institution … Academy Organization: Thomas Jefferson University, College of Population Health Sponsor Type: Academic institution … Organization: Johns Hopkins Armstrong Institute for Patient Safety and Quality Sponsor Type: Academic institution

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33621/psn-pdf
     November 01, 2005 - Much of it can be avoided if the primary teams and physicians are made aware that (i) the institution … Since the actual structure, size, and cost of an RRT is likely to vary so much from institution to institution

251. Improving departmental psychological safety through a medical school-wide initiative | PSNet
     psnet.ahrq.gov/issue/improving-departmental-psychological-safety-through-medical-school-wide-initiative
     July 19, 2023 - significant improvements in employees’ perceptions of psychological safety at the departmental level but not institution-wide

252. 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

253. 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

254. 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

255. Impact of a successful speaking up program on health-care worker hand hygiene behavior. | PSNet
     psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
     February 11, 2015 - This commentary describes how one institution implemented an initiative to address hand washing compliance

256. 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

257. 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

258. A review of medication errors and the second victim in pediatric pharmacy. | PSNet
     psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy
     January 27, 2019 - The authors also present options for support that individuals can access if their institution does not

259. 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

260. Analysis of suicides reported as adverse events in psychiatry resulted in nine quality improvement initiatives. | PSNet
     psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
     October 21, 2020 - Based on a multi-year chart review at one institution, the authors concluded that suicide risk assessment