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psnet.ahrq.gov/issue/how-does-routine-disclosure-medical-error-affect-patients-propensity-sue-and-their-assessment
December 04, 2016 - appropriately disclose errors were less likely to sue and more likely to subsequently recommend the provider or institution
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psnet.ahrq.gov/issue/improving-organizational-climate-quality-and-quality-care-does-membership-collaborative-help
December 14, 2016 - Multi-institution quality improvement collaboratives have been used to successfully address a variety
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psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
January 12, 2011 - The author shares how this particular institution responded with overarching changes, including a greater
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psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient
December 21, 2014 - National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution
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psnet.ahrq.gov/issue/recalls-and-safety-alerts-affecting-automated-external-defibrillators
December 03, 2014 - May 24, 2017
An institution-wide handoff task force to standardise and improve physician
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psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
July 21, 2010 - September 12, 2011
An institution-wide handoff task force to standardise and improve
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psnet.ahrq.gov/issue/what-causes-near-misses-and-how-are-they-mitigated
April 16, 2008 - June 22, 2022
Institution of just culture physician peer review in an academic medical
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psnet.ahrq.gov/issue/improving-hand-communication
April 24, 2007 - Related Resources
Patient handoffs and multi-specialty trainee perspectives across an institution
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psnet.ahrq.gov/issue/third-annual-report-adverse-health-events-wyoming-healthcare-facilities
October 11, 2016 - 24, 2015
The postpartum hemorrhage patient safety bundle implementation at a single institution
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psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety
October 10, 2018 - 2018
Perceptions of safety culture vary across the intensive care units of a single institution
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psnet.ahrq.gov/issue/patient-handoffs
June 17, 2014 - Related Resources
Patient handoffs and multi-specialty trainee perspectives across an institution
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psnet.ahrq.gov/issue/performing-wrong-procedure
April 24, 2018 - April 24, 2018
Institution of just culture physician peer review in an academic medical
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psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy
January 18, 2012 - Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution
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psnet.ahrq.gov/issue/medication-safety-neonatal-intensive-care-unit-big-measures-our-smallest-patients
September 18, 2024 - end-of-rotation transitions of care among ICU patients
December 4, 2019
Multiple-institution
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psnet.ahrq.gov/issue/comparing-variability-ingredient-strength-and-dose-form-information-electronic-prescriptions
March 20, 2024 - 2021
Surgical management and outcomes of 165 colonoscopic perforations from a single institution
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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - 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 … for prescribing and dispensing of the medication, the risks associated with the drug still exist, and institution-specific
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psnet.ahrq.gov/node/49775/psn-pdf
November 01, 2016 - community-acquired pneumonia), and suggest appropriate orders or order sets as a result.(3)
At our institution—like … optimal design of electrolyte repletion orders and order sets is not entirely clear and may vary
from institution … to institution.
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psnet.ahrq.gov/node/49538/psn-pdf
June 01, 2007 - merit and ethical issues raised by the research, with at least one member at arm's
length from the institution … Although an institution may approve or disapprove research approved by its IRB, the institution may not
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psnet.ahrq.gov/node/33628/psn-pdf
February 01, 2006 - Given that, what is the role of the institution in working with their providers to manage this process … Some errors will be so
egregious and terrible that it would be ethically irresponsible for the institution … JB: There's no question that, if your institution adopts a policy of comprehensive error disclosure,
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psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
July 26, 2023 - December 15, 2011
Patient handoffs and multi-specialty trainee perspectives across an institution