-
digital.ahrq.gov/funding-mechanism/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional
January 01, 2023 - are met and how decisions are made and communicated to other individuals internal and external to the institution
-
psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - RW: What factors do you think helped your institution go in the right direction? … The first was that our institution had several adverse events—one involving a healthy research subject … The institution was both forthcoming and shaken by those events, and that created a readiness to change … That humility led the institution to be receptive to ideas about some ways we could try to fix this problem … That plan needs to be structured enough to provide a roadmap for the institution, but loose enough to
-
psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
June 01, 2005 - RW: What factors do you think helped your institution go in the right direction? … The first was that our institution had several adverse events—one involving a healthy research subject … The institution was both forthcoming and shaken by those events, and that created a readiness to change … That humility led the institution to be receptive to ideas about some ways we could try to fix this problem … That plan needs to be structured enough to provide a roadmap for the institution, but loose enough to
-
psnet.ahrq.gov/node/34789/psn-pdf
December 23, 2008 - For more than
123,000 medication orders at a single university teaching institution, the overall error
-
psnet.ahrq.gov/node/38211/psn-pdf
May 21, 2009 - Implementing a bar coding system reduced adverse drug events by approximately 50% in this single-
institution
-
psnet.ahrq.gov/node/39450/psn-pdf
February 17, 2011 - malpractice-reform-opportunities-leadership-health-care-institutions-and-
liability-insurers
This commentary discusses emerging, institution-led
-
psnet.ahrq.gov/node/37847/psn-pdf
June 18, 2008 - However, this institution found that residents participated in similar numbers of cases before and
after
-
psnet.ahrq.gov/node/36419/psn-pdf
July 14, 2010 - time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-
real-world-knowledge
The authors analyzed secondary (piggyback) infusions at their institution
-
psnet.ahrq.gov/node/35913/psn-pdf
February 16, 2011 - Improving Oversight of the Graduate Medical Education Enterprise:
One Institution???
-
psnet.ahrq.gov/node/44946/psn-pdf
February 01, 2017 - This study
described the implementation of an institution-wide mortality review process, which identified
-
psnet.ahrq.gov/node/42625/psn-pdf
November 08, 2013 - items, according to this prospective cohort study of nearly 24,000 procedures at a single
academic institution
-
psnet.ahrq.gov/node/43243/psn-pdf
June 11, 2014 - /improved-incident-reporting-following-implementation-standardized-
emergency-department-peer
The institution
-
psnet.ahrq.gov/node/46286/psn-pdf
September 13, 2017 - The authors describe the use of
FMEA at a single institution to improve the safety of the blood transfusion
-
psnet.ahrq.gov/node/866078/psn-pdf
June 05, 2024 - demonstrated that blame and lack of support after patient safety incidents were still present at the
institution
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rosser-ww-et-al-1992
January 01, 1992 - Participants: Of 8069 patients 20 years of age or more who were not in a hospital or institution 5589 … Participants
The authors "included 8069 patients 20 years of age or more who were not in a hospital or an institution
-
psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
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 … 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,
-
psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
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, … 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
-
psnet.ahrq.gov/node/43633/psn-pdf
November 05, 2014 - The
authors suggest implementing institution-wide policies and educating nurses and administrators about
-
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/38907/psn-pdf
January 03, 2017 - process of testing and evaluation, to improving
patient safety and continuity of care at a psychiatric institution