Results

Total Results: 5,150 records

Showing results for "institution".

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

262. Listen to the Family | PSNet
     psnet.ahrq.gov/web-mm/listen-family
     April 15, 2015 - 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 the … Key recommendations need to be retained, but logistical details should be modified at each institution

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49761/psn-pdf
     May 01, 2016 - At our institution, wet reads are documented in the electronic medical record, then tracked and adjudicated … Subcritical findings were found in approximately 3.3% of cases at our institution in 2015, comparable … for discrepancy rates in preliminary interpretations provided by radiology trainees at an academic institution

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49770/psn-pdf
     September 01, 2016 - development of risk reduction strategies, which should be implemented before the medication is used at the institution … These strategies should be available in an institution-specific protocol readily accessible to practitioners … prescribing and dispensing of the medication, the risks associated with the drug still exist, and institution-specific

265. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. | PSNet
     psnet.ahrq.gov/issue/miscount-incidents-novel-approach-exploring-risk-factors-unintentionally-retained-surgical
     June 11, 2014 - items , according to this prospective cohort study of nearly 24,000 procedures at a single academic institution

266. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. | PSNet
     psnet.ahrq.gov/issue/applying-toyota-production-system-principles-psychiatric-hospital-making-transfers-safer-and
     January 27, 2016 - process of testing and evaluation, to improving patient safety and continuity of care at a psychiatric institution

267. Improved incident reporting following the implementation of a standardized emergency department peer review process. | PSNet
     psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
     September 10, 2014 - The institution of a non-punitive peer review process with standardized feedback for incident reports

268. Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. | PSNet
     psnet.ahrq.gov/issue/targeting-improvements-patient-safety-large-academic-center-institutional-handoff-curriculum
     August 03, 2017 - This commentary describes the development and implementation of an institution-wide handoff curriculum

269. The Preventable Harm Index: an effective motivator to facilitate the drive to zero. | PSNet
     psnet.ahrq.gov/issue/preventable-harm-index-effective-motivator-facilitate-drive-zero
     January 15, 2014 - This commentary describes how a tool developed to aggregate preventable events helped one institution

270. Quality gaps identified through mortality review. | PSNet
     psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
     November 11, 2015 - This study described the implementation of an institution-wide mortality review process, which identified

271. Organizational costs of preventable medical errors. | PSNet
     psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors
     April 01, 2010 - studies as examples, the authors review the financial and organizational costs of medical error to an institution

272. Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. | PSNet
     psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge
     April 10, 2013 - This commentary describes how one institution devised, tested, and validated a self-reporting tool to

273. Labeling solutions and medications in sterile procedural settings. | PSNet
     psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
     July 13, 2016 - response to a 2006 National Patient Safety Goal (NPSG), this article shares the experiences of a single institution

274. Preventable anesthesia mishaps: a study of human factors. | PSNet
     psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
     June 23, 2015 - study reports on the retrospective analysis of nearly 360 preventable incidents at an urban teaching institution

275. Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. | PSNet
     psnet.ahrq.gov/issue/medication-reconciliation-academic-medical-center-implementation-comprehensive-program
     April 24, 2018 - multidisciplinary medication history and reconciliation initiative that reduced drug errors at their institution

276. Improving patient safety in radiology: concepts for a comprehensive patient safety program. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-radiology-concepts-comprehensive-patient-safety-program
     December 14, 2016 - This article describes how one institution targeted interventions at both error reduction and safety

277. 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

278. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
     psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
     September 25, 2019 - At our institution, the current standard turnaround time for uncomplicated, routine biopsy cases is 48 … At our institution, all intraoperative consultation diagnoses are incorporated into a designated section … Factors that impact turnaround time of surgical pathology specimens in an academic institution. … Transition to subspecialty sign-out at an academic institution and its advantages.

279. 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

280. Effect of the 80-hour work week on resident case coverage. | PSNet
     psnet.ahrq.gov/issue/effect-80-hour-work-week-resident-case-coverage
     July 21, 2010 - However, this institution found that residents participated in similar numbers of cases before and after