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Total Results: 5,150 records

Showing results for "institutions".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40702/psn-pdf
     October 16, 2012 - a diagnostic error, the authors discuss how collective accountability would require clinicians and institutions

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42980/psn-pdf
     February 17, 2017 - safety culture, and establishment of standard metrics to document and benchmark disclosure across institutions

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45451/psn-pdf
     October 05, 2016 - a survey for patients to provide feedback on safety issues about care transfers between different institutions

244. Psn-Pdf (pdf file)
     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

245. Psn-Pdf (pdf file)
     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

246. 2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy in Hospitals. | PSNet
     psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessmentr-antithrombotic-therapy-hospitals
     June 07, 2017 - This tool provides institutions with the capacity to assess use of antithrombotic agents, submit data

247. Ounce of prevention: to reduce errors, hospitals prescribe innovative designs. | PSNet
     psnet.ahrq.gov/issue/ounce-prevention-reduce-errors-hospitals-prescribe-innovative-designs
     December 13, 2006 - reports on innovations implemented at a Wisconsin hospital to improve patient safety and how other institutions

248. How can we save the next victim? | PSNet
     psnet.ahrq.gov/issue/how-can-we-save-next-victim
     January 23, 2008 - and tells the stories of several victims of tragic medical errors, including steps that providers and institutions

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33855/psn-pdf
     April 01, 2018 - HK: We are at the point where we need to find some institutions willing to test this—I firmly believe … that it will pay dividends for the patients and the institutions. … For the future, we need to create the means by which consortia of institutions can come together and … If 10 institutions are willing to work together and could collectively achieve a gain, then they could … We need to find ways for more rapid-cycle learning that can be tried in a group of institutions and

250. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. | PSNet
     psnet.ahrq.gov/issue/prevalence-errors-anaphylaxis-kids-peak-multicenter-simulation-based-study
     June 15, 2022 - and identified latent safety threats (including related to the use of cognitive aids) at several institutions

251. Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. | PSNet
     psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-errors-role-pharmacovigilance-centres
     May 18, 2022 - information about incident reporting of medication errors and learning from these events to support these institutions

252. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. | PSNet
     psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia
     February 03, 2021 - these principles to enhance understanding of serious adverse events reported among collaborating institutions

253. Improving standardization of paging communication using quality improvement methodology. | PSNet
     psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
     September 23, 2020 - The authors call for institutions to consider standardizing their paging communication.

254. Diffusing aviation innovations in a hospital in the Netherlands. | PSNet
     psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
     August 12, 2020 - The authors provide an analysis framework for the diffusion efforts and provide recommendations for institutions

255. Electronic health record use and the quality of ambulatory care in the United States. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-use-and-quality-ambulatory-care-united-states
     May 31, 2023 - for this finding, including the possibility that EHRs were not implemented as fully as at benchmark institutions

256. Patient Safety and Quality Improvement Act of 2005. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005
     March 29, 2023 - This protection helps encourage institutions and individuals to more freely report incidents, concerns

257. Assessing medication safety in settings not designated solely for pediatric patients. | PSNet
     psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
     February 01, 2023 - coordinators , designating space for pediatric patients when possible, and collaborating with pediatric institutions

258. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/taxonomy/term/3460
     September 15, 2025 - schedules, lack of teamwork, variations in the design of important equipment between and even within institutions—are

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44461/psn-pdf
     June 21, 2016 - This study included many institutions, physicians, and procedure types, suggesting that short-term sleep

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40441/psn-pdf
     July 02, 2014 - Physicians traditionally underutilize incident reporting systems, and in teaching institutions, the