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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/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
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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/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/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/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/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.
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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/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
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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/perspective/creation-medical-procedure-service-improve-patient-safety
March 01, 2008 - At our institution, the MPS has been implemented only in the Department of Medicine; however, it has … 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 … RW: At your institution, I'm assuming that there is not a procedural service at 2:00 in the morning? … We have at our institution, as with many academic medical centers, a residency training program with
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - So that information, used in a quality committee to try to make care safer in an institution, could be … 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/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - So that information, used in a quality committee to try to make care safer in an institution, could be … 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/web-mm/triaging-interhospital-transfers
April 12, 2023 - become prior to transfer and did not have access to laboratory and imaging data from the referring institution … dictates that hospitals transfer patients requiring specialty care that is unavailable at the transferring institution … receive specific specialty care, such as a particular procedure or surgery unavailable at the referring institution … request process for referring clinicians and the accepting and admitting processes within the receiving institution … interhospital transfer, most commonly to access unique or specialized care not available at the referring institution
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psnet.ahrq.gov/issue/armstrong-institute-academic-institute-patient-safety-and-quality-improvement-research
September 27, 2017 - opportunities that engaged clinicians, administrators, and patients in setting goals to improve safety at their institution
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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
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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/60864/psn-pdf
August 31, 2020 - /psnet.ahrq.gov//#_edn1
https://psnet.ahrq.gov/primer/culture-safety
Strong Safety Processes1
An institution … The institution is not only
seeking the latest information and evidence from outside organizations and
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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/837517/psn-pdf
June 22, 2022 - book shares leadership insights from former NHS Health Secretary
Jeremy Hunt intended to help the institution