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Total Results: 5,153 records

Showing results for "institutional".

1641. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45395/psn-pdf
      August 10, 2016 - Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. August 10, 2016 Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;354:i3835. doi:10.1136/bmj.i3835.…

1642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44372/psn-pdf
      June 21, 2016 - Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital- Acquired Condition Reduction Program. June 21, 2016 Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & Medicaid Services Hospital-Acquire…

1643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38077/psn-pdf
      January 31, 2011 - Building physician work hour regulations from first principles and best evidence. January 31, 2011 Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence. JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197. https://psnet.ahrq.gov/issue/building-physician-work-…

1644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47735/psn-pdf
      June 24, 2019 - The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. June 24, 2019 Boston, MA: Betsy Lehman Center for Patient Safety; June 2019. https://psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead- way-patient-safety The Betsy L…

1645. The Unfinished Patient Safety Agenda | PSNet
      psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
      August 01, 2005 - hospital-based registered nurses spent searching for pillows is one of hundreds of examples of inadequate institutional

1646. Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture in a surgical inpatient unit. | PSNet
      psnet.ahrq.gov/issue/impact-comprehensive-unit-based-safety-program-cusp-safety-culture-surgical-inpatient-unit
      January 03, 2017 - Study Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture in a surgical inpatient unit. Citation Text: Timmel J, Kent P, Holzmueller CG, et al. Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient unit. Jt Comm …

1647. The new recommendations on duty hours from the ACGME Task Force. | PSNet
      psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
      July 14, 2021 - Commentary Classic The new recommendations on duty hours from the ACGME Task Force. Citation Text: Nasca TJ, Day SH, Amis S, et al. The new recommendations on duty hours from the ACGME Task Force. N Engl J Med. 2010;363(2):e3. doi:10.1056/NEJMsb1005800. Copy…

1648. A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts. | PSNet
      psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two
      October 16, 2024 - Study A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts. Citation Text: Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic error in acute car…

1649. Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-through-involvement-patients-development-and-evaluation-novel
      October 12, 2016 - Book/Report Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. Citation Text: Wright J, Lawton R, O’Hara J, et al. Improving…

1650. Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. | PSNet
      psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
      November 23, 2014 - Study Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. Citation Text: Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger tool to enhance value to adverse eve…

1651. The Sepsis Early Recognition and Response Initiative (SERRI). | PSNet
      psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
      November 11, 2015 - Commentary The Sepsis Early Recognition and Response Initiative (SERRI). Citation Text: Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt Comm J Qual Patient Saf. 2016;42(3):122-138. Copy Citation Format: Google Scholar P…

1652. Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program. | PSNet
      psnet.ahrq.gov/issue/preventing-catheter-associated-bloodstream-infections-survey-policies-insertion-and-care
      June 14, 2023 - Study Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program. Citation Text: Warren DK, Yokoe D, Climo MW, et al. Preventing catheter-associated bloodstream infect…

1653. Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. | PSNet
      psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
      December 16, 2015 - Book/Report Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. Citation Text: Carson-Stevens A, Hibbert P, Williams H, et al. Characterising …

1654. Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. | PSNet
      psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
      February 23, 2022 - Study Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. Citation Text: Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty t…

1655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33790/psn-pdf
      August 01, 2015 - New Insights on Safety and Health IT August 1, 2015 Hettinger ZA, Ratwani RM, Fairbanks RJ. New Insights on Safety and Health IT. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/new-insights-safety-and-health-it Perspective Despite the widespread adoption of electronic health records (EHRs) over the las…

1656. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33627/psn-pdf
      February 01, 2006 - Removing Insult from Injury—Disclosing Adverse Events February 1, 2006 Wu AW. Removing Insult from Injury—Disclosing Adverse Events. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events Perspective You pull into a parking space, swing open the car door, and ar…

1657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33753/psn-pdf
      August 22, 2013 - Update on Safety Culture August 22, 2013 Frankel A, Leonard M. Update on Safety Culture. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/update-safety-culture Perspective Safe and reliable care requires a culture of safety: a collaborative environment in which skilled clinicians treat each other with r…

1658. Life-Threatening Infant Overdose of Sodium Chloride | PSNet
      psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
      December 23, 2020 - Life-Threatening Infant Overdose of Sodium Chloride Citation Text: Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Form…

1659. What Do We Know About Emergency Department Safety? | PSNet
      psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
      June 01, 2010 - Sklar, MD Associate Dean, Graduate Medical Education Designated Institutional OfficerProfessor of Emergency … January 23, 2017 A resident-led institutional patient safety and quality improvement

1660. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
      psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
      August 01, 2012 - family, others in the building, and then you almost have very little option but to go to a so-called institutional … pendulum swing whereby now they are trying to emphasize the home part of the nursing home: getting rid of institutional