-
psnet.ahrq.gov/node/47690/psn-pdf
March 13, 2019 - by participants as instrumental in the success of leading
staff to adopt I-PASS techniques at the institutions
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psnet.ahrq.gov/node/837853/psn-pdf
August 17, 2022 - wake of the criminal conviction of a nurse involved in a medical error, numerous organizations and
institutions
-
psnet.ahrq.gov/node/60271/psn-pdf
April 29, 2020 - The proposed framework includes guidance for pain practitioners and institutions to
balance risk mitigation
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psnet.ahrq.gov/node/60898/psn-pdf
September 09, 2020 - authors
discuss lessons learned and provide insight which can inform implementation strategies at other
institutions
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - criteria
List two key barriers to incorporation and reconciliation of information transmitted between institutions … to facilitate the transmission of patient information instantly and seamlessly between health care institutions … The HITECH Act requires that health IT systems and health care institutions be able to rapidly and accurately … Barriers to rapid and seamless transmission of patient data include financial incentives that prevent institutions
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psnet.ahrq.gov/node/33615/psn-pdf
June 01, 2005 - Are there lessons there for
other institutions?
PP: There were a number of important factors. … RW: You have worked with different kinds of institutions, big and small, academic and not. … I've certainly seen institutions where the
patient safety officer described wonderful programs, and … terms of big buckets—informatics, culture change, hiring more nurses, standard procedures—how
should institutions
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psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
July 23, 2014 - Commentary
Creating a fair and just culture: one institution's path toward organizational change.
Citation Text:
Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24.
…
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - undergoing
emergency laparotomy, there is increasing evidence of variability in patient outcomes between institutions … administrative data also suggests wide
variation in outcomes for emergency general surgical admissions between institutions … hospitals with low mortality in elective operations may have high mortality in emergency
surgeries.(8) Institutions … Institutions that perform greater numbers of imaging investigations (e.g.,
ultrasound and computed tomography … There is significant variability in the quality of care and outcomes between
institutions.
-
psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - the results.(7)
In practice, a core group of tests (Table) appear on the panic value list of most institutions … Nearly all institutions will have alert values for glucose, sodium, potassium,
hemoglobin, hematocrit … laboratory values and reduced delays in delivering appropriate treatment.(
13)
For microbiology, most institutions … The fraction of institutions that include a positive test
for C. difficile toxin on its list of panic … critical values policies and procedures: a College of
American Pathologists Q-Probes study in 623 institutions
-
psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - Therefore, even an optimal time out will not
prevent all wrong site surgeries, forcing physicians and institutions … mode," so that the planned procedure is not started if a member of the team has concerns.(2) In some
institutions … that the time out take
place immediately prior to the incision, a practice performed in many other institutions … require the
presence and review of relevant radiologic images (if applicable).(6) Furthermore, many institutions … without it, the ability
of people lower on the totem pole to speak up may be lost.(12) At selected institutions
-
psnet.ahrq.gov/node/34972/psn-pdf
May 11, 2017 - 2017-ismp-medication-safety-self-assessmentr-antithrombotic-therapy-
hospitals
This tool provides institutions
-
psnet.ahrq.gov/node/38248/psn-pdf
December 27, 2008 - AHRQ's progress in naming and supporting patient safety organizations and
describes the role of these institutions
-
psnet.ahrq.gov/node/38208/psn-pdf
November 12, 2008 - with ongoing quality monitoring programs had a lower incidence of specimen labeling errors,
as did institutions
-
psnet.ahrq.gov/node/35933/psn-pdf
July 26, 2010 - He concludes that, because adverse events occur infrequently in
individual institutions, large-scale
-
psnet.ahrq.gov/node/34718/psn-pdf
August 05, 2008 - tells the stories of several victims of tragic
medical errors, including steps that providers and institutions
-
psnet.ahrq.gov/node/36883/psn-pdf
August 31, 2011 - a consultation program offered by the American College of Obstetricians and
Gynecologists in which institutions
-
psnet.ahrq.gov/node/33560/psn-pdf
June 15, 2024 - response has
been criticized for its lack of patient-centeredness, and in response, a growing number of institutions … resulted in fewer malpractice lawsuits
and lower litigation costs since implementation, and other institutions
-
psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - Now, if disclosure is ultimately an institutional responsibility, institutions will need to have some … When I've been involved in helping institutions sort through some of these complicated cases, what's … so striking is how difficult it is for the institutions to put their self-interests aside and really … It will be interesting over the next few years to see how institutions, as they shoulder this burden … Many institutions are taking innovative approaches to training those coaches and making that resource
-
psnet.ahrq.gov/perspective/disclosure-medical-error
January 01, 2009 - Now, if disclosure is ultimately an institutional responsibility, institutions will need to have some … When I've been involved in helping institutions sort through some of these complicated cases, what's … so striking is how difficult it is for the institutions to put their self-interests aside and really … It will be interesting over the next few years to see how institutions, as they shoulder this burden … Many institutions are taking innovative approaches to training those coaches and making that resource
-
psnet.ahrq.gov/node/47856/psn-pdf
June 02, 2019 - elicited reports of adverse events, unanticipated procedures, and sense of betrayal in health care
institutions