Results

Total Results: 5,150 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. 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

283. 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

284. 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

285. 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

286. 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

287. 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

288. 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

289. 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

290. Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate. | PSNet
     psnet.ahrq.gov/issue/chemotherapy-medication-errors-pediatric-cancer-treatment-center-prospective-characterization
     January 22, 2017 - multidisciplinary, pharmacy-associated intervention halved the number of pediatric chemotherapy errors at a single institution

291. Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. | PSNet
     psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
     January 04, 2017 - Basic concepts for WalkRounds are detailed, along with the demographics at each institution, descriptions

292. Making the business case for patient safety. | PSNet
     psnet.ahrq.gov/issue/making-business-case-patient-safety
     March 04, 2011 - usually represent billable charges and are not, from a purely economic standpoint, injurious to the institution

293. Confronting a colleague who covers up a medical error. | PSNet
     psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
     September 16, 2020 - clinical outcomes associated with intrahospital transitions December 4, 2019 Multiple-institution

294. Eliminating perioperative adverse events at Ascension Health. | PSNet
     psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
     November 16, 2022 - July 18, 2019 Bringing perioperative emergency manuals to your institution: a "How To

295. Information technology cannot guarantee patient safety. | PSNet
     psnet.ahrq.gov/issue/information-technology-cannot-guarantee-patient-safety
     March 14, 2022 - September 20, 2011 Drug administration errors in an institution for individuals with

296. 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

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. 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. | PSNet
     psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
     August 12, 2020 - December 1, 2021 Institution of just culture physician peer review in an academic medical

299. 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

300. Improving Pediatric Surgery Quality and Outcomes in the 21st Century. | PSNet
     psnet.ahrq.gov/issue/improving-pediatric-surgery-quality-and-outcomes-21st-century
     June 26, 2013 - Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution