-
psnet.ahrq.gov/node/47586/psn-pdf
March 20, 2019 - The authors report significant improvement in protocol adherence following
institution of barcoding
-
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
-
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/49852/psn-pdf
February 01, 2019 - become
prior to transfer and did not have access to laboratory and imaging data from the referring institution … 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 … rapid
diagnosis and expedited treatment as well as appropriate triage to the ICU of the accepting institution
-
psnet.ahrq.gov/node/73566/psn-pdf
August 04, 2021 - Results indicated wide variability in the number of unique
medications at the physician and institution
-
psnet.ahrq.gov/node/836753/psn-pdf
March 16, 2022 - patient-safety-vulnerabilities-children-intellectual-disability-hospital-systematic-review
https://psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational
-
psnet.ahrq.gov/node/50378/psn-pdf
September 25, 2019 - study of nurses
working in both the inpatient and outpatient oncology setting at a single health care institution
-
psnet.ahrq.gov/node/46235/psn-pdf
January 01, 2021 - safety-culture-operating-room-variability-among-perioperative-healthcare-workers
https://psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
-
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
-
psnet.ahrq.gov/node/865873/psn-pdf
May 15, 2024 - The authors also present options for support that individuals can access if their institution does
not
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psnet.ahrq.gov/node/39778/psn-pdf
August 18, 2010 - The institution did not experience any wrong-site surgeries during that time.
-
psnet.ahrq.gov/node/40696/psn-pdf
December 01, 2011 - rapid response system did not reduce the time between the onset of clinical deterioration
and the institution
-
psnet.ahrq.gov/node/39969/psn-pdf
October 27, 2010 - preventable-harm-index-effective-motivator-facilitate-drive-zero
This commentary describes how a tool developed to aggregate preventable events helped one institution
-
psnet.ahrq.gov/node/37247/psn-pdf
December 15, 2011 - perinatal-clinical-decision-support-system-documentation-tool-patient-safety
The authors describe how their institution
-
psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
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 … 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? … We have at our institution, as with many academic medical centers, a residency training program with
-
psnet.ahrq.gov/node/34972/psn-pdf
May 11, 2017 - provides institutions with the capacity to assess use of antithrombotic agents, submit data to the
Institution
-
psnet.ahrq.gov/node/41608/psn-pdf
August 22, 2012 - /psnet.ahrq.gov/issue/reduction-pediatric-identification-band-errors-quality-collaborative
A multi-institution
-
psnet.ahrq.gov/node/34699/psn-pdf
January 04, 2017 - studies as examples, the authors review the financial and organizational costs of
medical error to an institution
-
psnet.ahrq.gov/node/837208/psn-pdf
May 25, 2022 - Interventions to
promote speaking up behaviors should focus on engaging leaders across the institution
-
psnet.ahrq.gov/node/50889/psn-pdf
February 12, 2020 - In this retrospective study at one academic institution, the clinical necessity of 700
unscheduled radiologic