Results

Total Results: 5,529 records

Showing results for "institution".

281. Technology, cognition and error. | PSNet
     psnet.ahrq.gov/issue/technology-cognition-and-error
     September 04, 2024 - Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution

282. 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

283. Innovative use of the electronic health record to support harm reduction efforts. | PSNet
     psnet.ahrq.gov/issue/innovative-use-electronic-health-record-support-harm-reduction-efforts
     July 31, 2013 - Researchers describe how they were able to reduce harm resulting from hospital-acquired conditions at their institution

284. 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

285. Committed to Safety: Ten Case Studies on Reducing Harm to Patients. | PSNet
     psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
     July 31, 2012 - the results achieved, and the lessons learned to assist others making similar efforts at their own institution

286. Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. | PSNet
     psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
     March 13, 2013 - perform a time out , and explores the ramifications of the error for the surgeon, the patient, and the institution

287. 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

288. Hospital board checklist to improve culture and reduce central line–associated bloodstream infections. | PSNet
     psnet.ahrq.gov/issue/hospital-board-checklist-improve-culture-and-reduce-central-line-associated-bloodstream
     May 24, 2012 - disengaged from safety efforts, and this article provides a blueprint for executives to direct focused and institution-wide

289. Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet
     psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year
     November 12, 2014 - Researchers examined 747 adverse anesthesia events at a single institution and found that 43% were preventable

290. Sentinel events. In memory of Ben—a case study. | PSNet
     psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
     July 01, 2016 - describes a collaborative, mutually supportive, systems-oriented approach to safety in place at her institution

291. 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

292. 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

293. Exclusion of residents from surgery-intensive care team communication: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative-study
     December 04, 2015 - According to this qualitative study at a single academic institution, staff surgeons and intensivists

294. 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

295. 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

296. 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

297. Patient safety answers require outreach, in-reach, and partnerships. | PSNet
     psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships
     August 23, 2023 - the Same Author(s) Patient handoffs and multi-specialty trainee perspectives across an institution

298. Wireless technologies and patient safety in hospitals. | PSNet
     psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
     August 30, 2023 - 28, 2018 The postpartum hemorrhage patient safety bundle implementation at a single institution

299. Implementing Patient Safety: Addressing Culture, Conditions and Values to Help People Work Safely. | PSNet
     psnet.ahrq.gov/issue/implementing-patient-safety-addressing-culture-conditions-and-values-help-people-work-safely
     October 18, 2017 - October 5, 2022 Institution of just culture physician peer review in an academic medical

300. Medication errors involving overrides of healthcare technology. | PSNet
     psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
     January 11, 2017 - Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution