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Total Results: 5,153 records

Showing results for "institutional".

1601. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34746/psn-pdf
      July 08, 2016 - To Err Is Human: Building a Safer Health System. July 8, 2016 Kohn KT, Corrigan JM, Donaldson MS, eds. Washington, DC: Committee on Quality Health Care in America, Institute of Medicine: National Academy Press; 1999. https://psnet.ahrq.gov/issue/err-human-building-safer-health-system One measure of the impact of t…

1602. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45950/psn-pdf
      July 18, 2017 - Developing and evaluating an automated all-cause harm trigger system. July 18, 2017 Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. https://psnet.ahrq.gov/issue/developing-and-e…

1603. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42051/psn-pdf
      October 08, 2013 - A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study. October 8, 2013 Schwendimann R, Milne J, Frush K, et al. A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a…

1604. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39985/psn-pdf
      November 10, 2010 - Establishing a global learning community for incident- reporting systems. November 10, 2010 Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739. https://psnet.ahrq.gov/issue/establishing-…

1605. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38175/psn-pdf
      April 11, 2011 - An intervention to decrease narcotic-related adverse drug events in children's hospitals. April 11, 2011 Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1542/peds.2008-1011. https://psnet.a…

1606. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841149/psn-pdf
      December 07, 2022 - A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts. December 7, 2022 Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of t…

1607. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38759/psn-pdf
      April 05, 2010 - Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. April 5, 2010 Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. J Eval Cl…

1608. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37386/psn-pdf
      January 06, 2017 - Medication reconciliation in ambulatory oncology. January 6, 2017 Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7. https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology The Joint Commission mandates systems…

1609. In Conversation With… Susan Haas, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
      March 01, 2019 - The net results are more shared learning and institutional growth of a successful safety program.

1610. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/865308
      January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Organizational Learning Curated Library Foundations Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Bohmer RM, Edmondson AC. Health Forum J. 2001;44:32-35. This comment…

1611. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
      July 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case July 2007 Resuscitation Errors: A Shocking Problem Source and Credits This presentation is based on the July 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: Benjamin Abella, MD, MPhil, …

1612. Organizational Learning | PSNet
      psnet.ahrq.gov/curated-library/organizational-learning
      August 11, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Organizational Learning  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team…

1613. Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet
      psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
      August 04, 2021 - Study Classic Reducing adverse drug events: lessons from a breakthrough series collaborative. Citation Text: Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…

1614. Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. | PSNet
      psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event-identification
      July 03, 2016 - Study Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. Citation Text: Stockwell DC, Kirkendall E, Muething S, et al. Automated adverse event detection collaborative: e…

1615. Closing the loop: follow-up and feedback in a patient safety program. | PSNet
      psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-patient-safety-program
      January 04, 2017 - Study Closing the loop: follow-up and feedback in a patient safety program. Citation Text: Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21. Copy Citation Format: …

1616. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, | PSNet
      psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
      February 01, 2023 - Study The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, Citation Text: Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, f…

1617. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. | PSNet
      psnet.ahrq.gov/issue/patient-safety-education-20-years-after-institute-medicine-report-results-cross-sectional
      October 19, 2022 - Study Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. Citation Text: Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional natio…

1618. Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. | PSNet
      psnet.ahrq.gov/issue/technical-evaluation-testing-and-validation-usability-electronic-health-records-empirically
      March 01, 2017 - Book/Report Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. Citation Text: Technical Evaluation, Testing, and Validation of the Usability …

1619. The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. | PSNet
      psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national
      March 04, 2011 - Review The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. Citation Text: Chou R, Turner JA, Devine EB, et al. The effectiveness and risks of long-term opioid therapy for chroni…

1620. Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. | PSNet
      psnet.ahrq.gov/issue/pediatric-patient-safety-events-during-hospitalization-approaches-accounting-institution
      December 23, 2012 - Study Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. Citation Text: Slonim A, Marcin JP, Turenne W, et al. Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. He…