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Total Results: 5,529 records

Showing results for "institutions".

241. Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. | PSNet
     psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients
     April 13, 2011 - Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions

242. Emergency Error | PSNet
     psnet.ahrq.gov/web-mm/emergency-error
     January 18, 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.

243. The Inside of a Time Out | PSNet
     psnet.ahrq.gov/web-mm/inside-time-out
     March 01, 2004 - 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

244. The Result Stopped Here | PSNet
     psnet.ahrq.gov/web-mm/result-stopped-here
     December 01, 2006 - 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 … Laboratory critical values policies and procedures: a College of American Pathologists Q-Probes study in 623 institutions

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49732/psn-pdf
     May 01, 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

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33670/psn-pdf
     July 01, 2008 - about the effectiveness and efficiency of root cause analysis as a tool for helping them improve their institutions … It's clear that individual investigators and institutions have discovered things that cause problems … What then needs to happen is the institutions need to track what the solutions are, and they need to … ought to do some research on what kinds of solutions might be both effective and doable for individual institutions … and groups of institutions.

247. Implementation of Patient Safety Projects | PSNet
     psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
     April 28, 2025 - Read More Barriers to implementation of patient safety systems in healthcare institutions … effectiveness of root cause analysis (RCA) as a safety improvement tool has been called into question, as many institutions … Overall, the authors provide a practical, step-by-step experiential guide for institutions and individuals … implementation of safety practices and increase the generalizability of successful strategies for other institutions … outlines a number of critical steps for implementation, including committing resources, organizing within institutions

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41405/psn-pdf
     December 30, 2014 - The authors make detailed recommendations to guide institutions in addressing these problems.

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39985/psn-pdf
     November 10, 2010 - characterized the limitations of such systems, but they remain a cornerstone of safety efforts at many institutions

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42178/psn-pdf
     April 10, 2013 - These high stakes have led many institutions to routinely require outside case review prior to treatment

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43258/psn-pdf
     May 01, 2015 - The Joint Commission and the Accreditation Council for Graduate Medical Education have called for institutions

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34112/psn-pdf
     February 09, 2011 - Building on past work reflecting data from individual institutions (Classen et al and Bates et al),

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41497/psn-pdf
     April 05, 2013 - avoiding-handover-fumbles-controlled-trial-structured-handover-tool-versus- traditional Handoffs at academic institutions

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36907/psn-pdf
     September 14, 2012 - When such an event occurs, many institutions mandate performance of a root cause analysis.

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42789/psn-pdf
     December 04, 2013 - development-just-culture-assessment-tool-measuring-perceptions-health-care- professionals The importance of safety culture in medicine is well recognized and health care institutions

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35611/psn-pdf
     June 23, 2010 - While the study represents a small sample size from two tertiary institutions, it does emphasize the

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45894/psn-pdf
     June 23, 2017 - Although prior research has shown that clean hands are essential for reducing HAIs, health care institutions

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45715/psn-pdf
     November 01, 2017 - In this mixed methods analysis, executive walk rounds were implemented across six long-term care institutions

259. First, Do No Harm Part 1: A Case Study of Systems Failure. | PSNet
     psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure
     September 07, 2022 - on actual facts drawn from the experience of the Risk Management Foundation of the Harvard Medical Institutions

260. Spotlight-Slides-Wright-Schiff (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
     January 01, 2020 - They wondered what other important information was not transmitted and what individuals and institutions … been aware of it) to use the starter pack, which would have been a good solution for this patient • Institutions