-
psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - If successfully identified, both individual physicians and their institutions should be held accountable
-
psnet.ahrq.gov/node/45214/psn-pdf
July 13, 2016 - The authors
recommend that academic medical centers adopt such criteria across more institutions.
-
psnet.ahrq.gov/node/35220/psn-pdf
May 14, 2015 - This protection helps encourage institutions and individuals to more
freely report incidents, concerns
-
psnet.ahrq.gov/node/33717/psn-pdf
September 01, 2011 - To facilitate efforts to compile and index events across institutions, AHRQ has posted
standardized … information from these and other sources
to improve safety within that hospital or across multiple institutions … vital role in safety.(19) Thus, the safety action feedback loop
is particularly developed at these institutions … safety action feedback loop would be valuable, but leaders wishing to improve
the loop in their own institutions
-
psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - List best practices for individuals and institutions that may reduce the frequency of TSOAC errors. … Individual institutions may have slightly different recommendations. … Institutions should consider implementing interventions that address some of these common errors related … Ideally, institutions should
be proactive about identifying problem areas related to high-risk medications
-
psnet.ahrq.gov/issue/addressing-opioid-epidemic-there-role-physician-education
February 22, 2023 - Analyzing data from 2006–2014, the authors found that lower ranked institutions wrote more opioid prescriptions
-
psnet.ahrq.gov/primer/disclosure-errors
September 15, 2024 - response has been criticized for its lack of patient-centeredness, and in response, a growing number of institutions … approach resulted in fewer malpractice lawsuits and lower litigation costs since implementation, and other institutions
-
psnet.ahrq.gov/issue/virtual-patients-designed-training-against-medical-error-exploring-impact-decision-making
May 15, 2024 - different virtual patient models containing error-based scenarios on medical students at six different institutions
-
psnet.ahrq.gov/web-mm/errors-sepsis-management
November 03, 2015 - In order to maximize timely adherence to the bundle, institutions have created sepsis teams. … I suspect that many institutions that screen for severe sepsis and septic shock have the bedside nurse … Institutions should work to develop systematic ways to screen patients in the ED and inpatient units … In many institutions, pre-established protocols and guidelines provide specific recommendations. … Institutions should create robust patient safety and quality improvement programs to ensure appropriate
-
psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - associated with better performance.(5,7) For example, a Q probes study of critical value reporting
in 623 institutions … For example, a study of wristband errors
from 217 institutions showed that the wristband error rate … in participating institutions decreased from 7% to
3% over the 2 years of study.(9) The most common … College of
American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions … critical values policies and procedures: a College of
American Pathologists Q-Probes study in 623 institutions
-
psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - The sequences
included in fast MRI vary depending on the technology and resources available to institutions … Given the high
stakes involved, some institutions perform independent double-reads of skeletal surveys … When this evaluation occurs overnight, it may not be feasible for many institutions to
have an attending … If an experienced radiologist is not available overnight, institutions should establish
clear discharge
-
psnet.ahrq.gov/node/43287/psn-pdf
July 02, 2014 - effectiveness of root cause analysis (RCA) as a safety improvement tool has been called into question,
as many institutions
-
psnet.ahrq.gov/node/34678/psn-pdf
February 09, 2011 - Despite
these decreases, the authors estimate that for modern U.S. institutions, there is likely a major
-
psnet.ahrq.gov/node/35309/psn-pdf
January 02, 2017 - recommended actions, and that some of the shifting of responsibility for safety from providers and/or
institutions
-
psnet.ahrq.gov/node/38270/psn-pdf
December 01, 2010 - hospitals continues to improve, according to data gathered by the Joint
Commission from nearly 1,500 institutions
-
psnet.ahrq.gov/node/46472/psn-pdf
August 20, 2018 - by sex, body weight, age, and diagnosis, and there were also significant
variations among the three institutions
-
psnet.ahrq.gov/node/36294/psn-pdf
July 14, 2010 - This AHRQ–funded study
investigated whether institutions implementing care management achieved improvements
-
psnet.ahrq.gov/node/42250/psn-pdf
June 03, 2013 - /psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety
Many institutions
-
psnet.ahrq.gov/node/46756/psn-pdf
May 09, 2018 - lean-hospitals-improving-quality-patient-safety-and-employee-engagement-third-edition
https://psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
-
psnet.ahrq.gov/node/45322/psn-pdf
July 20, 2016 - their constant presence at patients' bedsides, and they
may have key insights into safety in their institutions