Results

Total Results: 5,529 records

Showing results for "institution".

261. The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet
     psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
     March 10, 2021 - This institution implemented a psychiatry-specific incident reporting tool.

262. 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

263. 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

264. Accountability for medical error: moving beyond blame to advocacy. | PSNet
     psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy
     December 19, 2018 - accountability—accountability at the level of the individual clinician, the health care team, and the institution—as

265. 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

266. 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

267. 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

268. Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. | PSNet
     psnet.ahrq.gov/issue/use-nondisclosure-agreements-medical-malpractice-settlements-large-academic-health-care
     December 19, 2018 - Some agreements prohibited disclosure to regulatory agencies, a practice which the institution has since

269. 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

270. 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

271. 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

272. 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

273. 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

274. 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

275. 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

276. AMC PSO Resource Center. | PSNet
     psnet.ahrq.gov/issue/amc-pso-resource-center
     November 17, 2021 - April 6, 2016 Institution of just culture physician peer review in an academic medical

277. 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

278. 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

279. 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

280. 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