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Showing results for "institution".

401. Interpreting the Patient Safety Literature | PSNet
     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

402. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
     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

403. Psn-Pdf (pdf file)
     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

404. Psn-Pdf (pdf file)
     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

405. Psn-Pdf (pdf file)
     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

406. Psn-Pdf (pdf file)
     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

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35913/psn-pdf
     February 16, 2011 - Improving Oversight of the Graduate Medical Education Enterprise: One Institution???

408. Psn-Pdf (pdf file)
     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

409. Psn-Pdf (pdf file)
     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

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43243/psn-pdf
     June 11, 2014 - /improved-incident-reporting-following-implementation-standardized- emergency-department-peer The institution

411. Psn-Pdf (pdf file)
     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

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44946/psn-pdf
     February 01, 2017 - This study described the implementation of an institution-wide mortality review process, which identified

413. Psn-Pdf (pdf file)
     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

414. Rosser WW et al. 1992 "Use of reminders to increase compliance with tetanus booster vaccination." | Digital Healthcare Research
     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

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43633/psn-pdf
     November 05, 2014 - The authors suggest implementing institution-wide policies and educating nurses and administrators about

416. Psn-Pdf (pdf file)
     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

417. Psn-Pdf (pdf file)
     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

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43515/psn-pdf
     July 03, 2016 - targeting-improvements-patient-safety-large-academic-center-institutional- handoff-curriculum This commentary describes the development and implementation of an institution-wide

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36505/psn-pdf
     February 16, 2011 - 80-hour- workweek-enhance The authors describe their experiences in implementing changes at their institution

420. Removing Insult from Injury—Disclosing Adverse Events | PSNet
     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,