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Total Results: 5,150 records

Showing results for "institutions".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40392/psn-pdf
    February 10, 2015 - 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. February 10, 2015 Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood). 2011;30(4):…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33820/psn-pdf
    December 01, 2016 - Very few institutions ever look at close calls or near misses. … When many institutions go to do this, the people involved don't understand that you really have to do … But we had a whole host of different people involved in this from different institutions like Kaiser

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49665/psn-pdf
    September 01, 2012 - greater than 20 million procedures.(8) Because many RSI cases are kept confidential by providers, institutions … These events can have significant financial impact on providers and institutions, both in legal costs … and nonpayment from the federal government.(16,20) Additionally, institutions suffer a cost to their

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33652/psn-pdf
    June 01, 2007 - health care industry from public outrage, reformed reimbursement policies, and regulation.(3) Although institutions … system change, external reporting requirements can increase the priority of patient safety within institutions … medical errors: although transparency can drive improvements, care must be taken to avoid penalizing institutions

  5. Discharge Fumbles | PSNet

    psnet.ahrq.gov/web-mm/discharge-fumbles
    September 09, 2009 - provider's role in reducing adverse events at discharge Create an action plan for patient, provider and institutions

  6. Check Twice, Transport Once | PSNet

    psnet.ahrq.gov/web-mm/check-twice-transport-once
    March 15, 2023 - Dedicated Transport Team and Standardized Transport Workflows Institutions can utilize a centralized

  7. Clostridium Difficile Relapse Secondary to Medication Access Issue | PSNet

    psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
    October 01, 2015 - The process for transplantation varies among institutions and a consultation with a specialist performing

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49639/psn-pdf
    November 01, 2011 - Patients and families can report near miss incidents.(6) Importantly for institutions, it is not necessary

  9. Communication Error in a Closed ICU | PSNet

    psnet.ahrq.gov/web-mm/communication-error-closed-icu
    July 01, 2016 - Although these difficult questions may vary across institutions, addressing such issues is critical to

  10. Treatment Challenges After Discharge | PSNet

    psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
    January 03, 2017 - Risk Management Foundation of the Harvard Medical Institutions. Reducing office practice risks.

  11. Diagnostic Error | PSNet

    psnet.ahrq.gov/curated-library/diagnostic-error
    September 01, 2025 - Despite these decreases, the authors estimate that for modern U.S. institutions, there is likely a major

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836892/psn-pdf
    April 07, 2022 - discussions about their care model with 29 different health systems and agencies representing 29 unique institutions

  13. Medication Overdose | PSNet

    psnet.ahrq.gov/web-mm/medication-overdose
    September 01, 2011 - Medication Overdose Citation Text: Kaushal R. Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49709/psn-pdf
    May 01, 2014 - Raise the Bar May 1, 2014 Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/raise-bar The Case A 57-year-old man presented to an ambulatory surgery center for excision of a right groin lipoma. The patient was seen and evaluated by an anesthesiologist who was new to the cente…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49396/psn-pdf
    April 01, 2003 - The 2-Week Itch April 1, 2003 Cohen MR. The 2-Week Itch. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/2-week-itch The Case A 40-year-old woman with bipolar disorder (on trazodone) came to her primary care physician with new urticaria. She received a handwritten prescription for Zyrtec and Atarax. The ha…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865418/psn-pdf
    March 27, 2024 - Cybersecurity and How to Maintain Patient Safety March 27, 2024 Pelletreau B, Riggi J, Gale B, et al. Cybersecurity and How to Maintain Patient Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety Introduction The integration of information technology (I…

  17. Flying Object Hits MRI | PSNet

    psnet.ahrq.gov/web-mm/flying-object-hits-mri
    September 01, 2005 - Flying Object Hits MRI Citation Text: Gosbee JW, Gosbee LL. Flying Object Hits MRI. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33694/psn-pdf
    April 01, 2010 - In Conversation with…Janet Corrigan, PhD, MBA April 1, 2010 In Conversation with…Janet Corrigan, PhD, MBA. PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba Editor's note: Janet M. Corrigan, PhD, MBA, is president and CEO of the National Quality Forum (NQF), a priva…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49836/psn-pdf
    July 01, 2018 - Primary Workaround, Secondary Complication July 1, 2018 Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication The Case A young adult with a progressive neurological disorder presented to a hospital emerg…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49761/psn-pdf
    May 01, 2016 - The Fluidity of Diagnostic "Wet Reads" May 1, 2016 Lee CS, Hess CP. The Fluidity of Diagnostic "Wet Reads". PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads The Case A 64-year-old man with heavy tobacco use presented to the emergency department (ED) with chest pain. His electroc…
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