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Showing results for "institution".

41. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34939/psn-pdf
    June 16, 2011 - effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial- clinical-units While executive walk rounds (EWRs) vary in application from institution … to institution, their use continues to grow as a largely unproven method for improving safety culture

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36632/psn-pdf
    July 28, 2010 - devastating consequences for patients and are often a harbinger of serious safety problems within an institution … personnel were surveyed regarding their perception of the risk of wrong-site surgery before and after institution

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47928/psn-pdf
    January 01, 2021 - surveys-patient-safety-culture https://psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution … https://psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution

44. Improving patient care. My right knee. | PSNet
    psnet.ahrq.gov/issue/improving-patient-care-my-right-knee
    August 04, 2021 - dimensions of total quality that he believes every patient deserves when receiving care at a healthcare institution … He fears that no institution can meet his criteria today but points to the future of change that is

45. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42051/psn-pdf
    October 08, 2013 - While the application of leadership walkrounds varies widely from institution to institution, this multicenter

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35424/psn-pdf
    April 09, 2013 - Findings suggested that error rates were dependent on the institution and an association existed between … the institution and error cause, but agreement was lacking on whether these errors resulted from misinterpretation

47. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. | PSNet
    psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
    October 28, 2020 - This article shares the views of a single institution in its efforts to construct reconciliation forms … The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution

48. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44208/psn-pdf
    July 16, 2015 - Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution … Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution

49. About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. | PSNet
    psnet.ahrq.gov/issue/about-politeness-face-and-feedback-exploring-resident-and-faculty-perceptions-how
    June 03, 2020 - Through resident and attending physicians focus groups at a single institution, investigators found that … The authors advocate for transitioning to a culture of growth, which would shift their institution toward

50. Operating room briefings and wrong-site surgery. | PSNet
    psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
    November 26, 2008 - devastating consequences for patients and are often a harbinger of serious safety problems within an institution … personnel were surveyed regarding their perception of the risk of wrong-site surgery before and after institution

51. Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program. | PSNet
    psnet.ahrq.gov/issue/preventing-catheter-associated-bloodstream-infections-survey-policies-insertion-and-care
    June 14, 2023 - This study demonstrated that existing intensive care unit (ICU) policies vary widely from institution … to institution in compliance with evidence-based guidelines.

52. Glucose Roller Coaster | PSNet
    psnet.ahrq.gov/web-mm/glucose-roller-coaster
    February 02, 2022 - On the internal medicine service at our institution, for example, the on-call interns provide some early … At our institution, residents spend 2-4 weeks out of each year in a cross-cover or "float" capacity; … However, improving signout at an institution does not require the installation of sophisticated, complex … The second important intervention at our institution has been the development of a computerized signout … Although robust, institution-wide informatics solutions are ideal, alphanumeric paging and standalone

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49456/psn-pdf
    July 12, 2004 - On the internal medicine service at our institution, for example, the on-call interns provide some early … At our institution, residents spend 2-4 weeks out of each year in a cross-cover or "float" capacity; … However, improving signout at an institution does not require the installation of sophisticated, complex … The second important intervention at our institution has been the development of a computerized signout … Although robust, institution-wide informatics solutions are ideal, alphanumeric paging and standalone

54. The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. | PSNet
    psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units
    June 16, 2011 - While executive walk rounds (EWRs) vary in application from institution to institution, their use continues

55. Latent Error (or Latent Condition) | PSNet
    psnet.ahrq.gov/taxonomy/term/3488
    December 12, 2020 - event may have been a mistake in programming an intravenous pump, a latent error might be that the institution

56. Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature. | PSNet
    psnet.ahrq.gov/issue/surgical-safety-checklists-childrens-surgery-surgeons-attitudes-and-review-literature
    October 23, 2019 - Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution … Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution

57. In Conversation with...Albert Wu, MD, MPH | PSNet
    psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
    February 26, 2025 - Every institution now conducts root cause analysis. … Any institution you speak to will admit that they're much better at finding causes than finding solutions … For example, virtually every institution has problems with, for example, medications being incorrectly … They took some actions, but if you ask anyone in the institution if this was likely to be effective, … In fact, a year later there was almost an identical incident at the same institution.

58. In Conversation With… Thomas J. Nasca, MD, MACP | PSNet
    psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
    July 10, 2024 - Each teaching institution serves a unique patient population. … What we have said is that after each round of accreditation, after we visit each teaching institution … officer, the chief medical officer, the chief nursing officer, the chief of quality and safety in the institution … TN : The positive surprises: the first is the welcome with which we have been received at every institution … Every institution is very interested in trying to be better.

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33716/psn-pdf
    September 01, 2011 - An incident reporting system would be a great way of getting at these local, institution-specific problems … I recognize, of course, that an institution can't be seen as not investigating something where someone … So that the institution is smarter and more likely to fix things than it would be if it had no idea … KS: I've seen some neat things at my own institution where, to try to involve clinicians more, they're … or even to a unit within an institution.

60. Latent Error (or Latent Condition) | PSNet
    psnet.ahrq.gov/glossary/latent-error-or-latent-condition
    September 13, 2021 - event may have been a mistake in programming an intravenous pump, a latent error might be that the institution