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Showing results for "institutional".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36045/psn-pdf
    November 10, 2011 - IHI announces that hospitals participating in 100,000 Lives Campaign have saved an estimated 122,300 lives. November 10, 2011 https://psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved- estimated-122300-lives In December 2004, the Institute for Healthcare Improvement (IHI) …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866254/psn-pdf
    July 10, 2024 - Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. July 10, 2024 Massey W, Keith C. Spotlight PA: June 20, 2024. https://psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems- months-shutdown-then Whistleblowers…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35762/psn-pdf
    January 02, 2017 - Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. January 2, 2017 Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. Jt Comm J Qual Patient Saf. 20…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73316/psn-pdf
    May 26, 2021 - Racial bias among emergency providers: strategies to mitigate its adverse effects. May 26, 2021 Brockett-Walker C, Lall M, Evans DD, et al. Racial bias among emergency providers: strategies to mitigate its adverse effects. Adv Emerg Nurs J. 2021;43(2):89-101. doi:10.1097/tme.0000000000000352. https://psnet.ahrq.go…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47257/psn-pdf
    September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. September 26, 2018 Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in Reporting Adverse Events. J Pa…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45464/psn-pdf
    September 07, 2016 - Measuring adverse events in hospitalized patients: an administrative method for measuring harm. September 7, 2016 Martin J, Benjamin EM, Craver C, et al. Measuring Adverse Events in Hospitalized Patients: An Administrative Method for Measuring Harm. J Patient Saf. 2016;12(3):125-31. doi:10.1097/PTS.000000000000007…

  7. Galarraga, Jessica E. | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/galarraga-jessica-e
    January 01, 2023 - Galarraga, Jessica E. An Electronic Health Record-Based Screening Tool to Support Safe Discharges of COVID-19 Patients in the Emergency Department – Final Report Citation Galarraga J. An Electronic Health Record-Based Screening Tool to Support Safe Discharges of COVID-19 Patie…

  8. An Electronic Health Record-Based Screening Tool to Support Safe Discharges of COVID-19 Patients in the Emergency Department – Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/ehr-based-screening-tool-support-safe-discharges-covid-19-patients-emergency-department/final-report
    January 01, 2023 - An Electronic Health Record-Based Screening Tool to Support Safe Discharges of COVID-19 Patients in the Emergency Department – Final Report Citation Galarraga J. An Electronic Health Record-Based Screening Tool to Support Safe Discharges of COVID-19 Patients in the Emergency Department – Final Report.…

  9. SNAC Member: Mark D. Smith, M.D., M.B.A. | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/nac/snac-smith.html
    December 01, 2021 - SNAC Member: Mark D. Smith, M.D., M.B.A. Professor of Clinical Medicine University of California, San Francisco Mark D. Smith, M.D., M.B.A., is a professor of clinical medicine at the University of California, San Francisco. From 2015 to 2019, he served as co-chair of the Guiding Committee of the Health Care…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852282/psn-pdf
    August 09, 2023 - Implementation of medication reconciliation in outpatient cancer care. August 9, 2023 Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care. BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211. https://psnet.ahrq.gov/issue/implementation-medication-…

  11. Toolkit Sections | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections.html
    May 01, 2017 - Toolkit Sections Implementation Implementation Guide : It may be helpful to review this guide before starting a project to reduce infections and other complications in your ambulatory surgery center. The guide takes users step by step through the execution of technical and cultural interventions surroundi…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837666/psn-pdf
    July 13, 2022 - Developing and aligning a safety event taxonomy for inpatient psychiatry. July 13, 2022 Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935. https://psnet.ahrq.gov/issue/developing-a…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60152/psn-pdf
    March 25, 2020 - Errors during resuscitation: the impact of perceived authority on delivery of care. March 25, 2020 Delaloye NJ, Tobler K, O?Neill T, et al. Errors during resuscitation: the impact of perceived authority on delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000359. https://psnet.ahrq.gov/issue/e…

  14. Making Effective Behavior Changes Around Antibiotic Prescribing (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
    November 01, 2019 - SAY: Rogue prescribers are the hardest for a stewardship team to manage as they often feel that institutional

  15. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
    May 01, 2016 - Standardize VTE prevention and codify in an institutional protocol.

  16. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
    May 01, 2016 - Standardize VTE prevention and codify in an institutional protocol.

  17. Walking Patient, Missing Drain | PSNet

    psnet.ahrq.gov/web-mm/walking-patient-missing-drain
    April 01, 2006 - Walking Patient, Missing Drain Citation Text: Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote …

  18. Rethinking Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
    August 21, 2016 - Annual Perspective Rethinking Root Cause Analysis Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016  View more articles from the same authors. Citation Text: Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867849/psn-pdf
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety February 26, 2025 Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety In To Err I…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49769/psn-pdf
    September 01, 2016 - Complaints as Safety Surveillance September 1, 2016 Morris JL, Bismark M. Complaints as Safety Surveillance. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/complaints-safety-surveillance The Case A 42-year-old woman presented to the emergency department with abdominal pain. She said the pain came on sudden…
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