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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - So that information, used in a quality committee to try to make
care safer in an institution, could … Hence the information will be clinically comparable no matter where in the institution an event
occurs—or … even in what institution it occurs. … Then the aggregate reports can be done on
all medication errors in the institution over some time period … So that's how we address the needs of the local institution to rationalize and
harmonize what they're
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psnet.ahrq.gov/node/33805/psn-pdf
April 01, 2016 - 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 … 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. … importance of their input in achieving the clinical excellence in
quality and safety goals of the institution
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psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
March 28, 2012 - 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
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psnet.ahrq.gov/issue/closer-look-associations-between-hospital-leadership-walkrounds-and-patient-safety-climate
December 31, 2012 - While the application of leadership walkrounds varies widely from institution to institution, this multicenter
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psnet.ahrq.gov/issue/charges-and-lengths-stay-attributable-adverse-patient-care-events-using-pediatric-specific
January 04, 2021 - Pediatric patient safety events during hospitalization: approaches to accounting for institution-level … Pediatric patient safety events during hospitalization: approaches to accounting for institution-level
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psnet.ahrq.gov/node/33670/psn-pdf
July 01, 2008 - 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.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - increase communication across an authority gradient
Consider the current culture of safety in your own institution … http://www.uth.tmc.edu/schools/med/imed/patient_safety/Safety%20Climate-EWR.pdf
Test Your Own Institution … If a ward clerk in your institution caused a 20-minute delay in the OR schedule to confirm that a patient
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psnet.ahrq.gov/node/33664/psn-pdf
March 01, 2008 - It has to develop slowly at any institution. The first thing is to look at what the need is. … Lastly,
any reduction in complication rates obviously translates into cost savings for the institution … If an institution has a baseline complication rate for procedures and then a group wants to
start a … At our institution at this point, the
commitment goes beyond complication rates in the strict sense. … RW: At your institution, I'm assuming that there is not a procedural service at 2:00 in the morning?
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psnet.ahrq.gov/issue/improving-oversight-graduate-medical-education-enterprise-one-institutions-strategies-and
September 21, 2009 - Improving Oversight of the Graduate Medical Education Enterprise: One Institution??? … Improving Oversight of the Graduate Medical Education Enterprise: One Institution???
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psnet.ahrq.gov/node/36931/psn-pdf
September 09, 2011 - customer-focused-incident-monitoring-anaesthesia
The authors studied anesthesia-related incident reports at one institution
-
psnet.ahrq.gov/node/33627/psn-pdf
February 01, 2006 - Since 2001, our institution
has specified that, "It is the right of the patient to receive information … tell the patient what happened, using
plain language; (ii) accept responsibility on behalf of the institution … settlements, but a steep drop in total payouts.(8) The University of Michigan Health System and our own
institution … Moved in part by this experience, she has become a tremendous advocate for patient safety, both at our
institution
-
psnet.ahrq.gov/node/866538/psn-pdf
August 14, 2024 - significant improvements in employees’ perceptions of psychological safety at the departmental level but
not institution-wide
-
psnet.ahrq.gov/node/866254/psn-pdf
July 10, 2024 - a transplant
surgeon encountered while trying to discuss contributors to troubling patterns at his institution
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psnet.ahrq.gov/node/60626/psn-pdf
June 24, 2020 - the COVID-19 experience at one nursing home and discusses how the
infection progressed through the institution
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psnet.ahrq.gov/node/46272/psn-pdf
January 01, 2019 - Building on a previously described model, the institution developed a system to provide support
for
-
psnet.ahrq.gov/node/837517/psn-pdf
June 22, 2022 - book shares leadership insights from former NHS Health Secretary
Jeremy Hunt intended to help the institution
-
psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - But we have more than 12,000 employees in our institution—so, how would you like to follow all employees … Average compliance is now very high at our institution according to the Five Moments for Hand Hygiene … Before starting with this type of nurturing strategy, you must ensure that the institution is providing … But, most of the time, I would prefer change to move forward in a partnership between the institution … , the health care workers in this institution, and the patients receiving care at this institution.
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psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
May 01, 2014 - But we have more than 12,000 employees in our institution—so, how would you like to follow all employees … Average compliance is now very high at our institution according to the Five Moments for Hand Hygiene … Before starting with this type of nurturing strategy, you must ensure that the institution is providing … But, most of the time, I would prefer change to move forward in a partnership between the institution … , the health care workers in this institution, and the patients receiving care at this institution.
-
psnet.ahrq.gov/node/47586/psn-pdf
March 20, 2019 - The authors report significant improvement in protocol adherence following
institution of barcoding
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psnet.ahrq.gov/node/50867/psn-pdf
February 05, 2020 - cognitive-testing-older-clinicians-prior-recredentialing
In an effort to identify cognitively impaired clinicians, this institution