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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - The value of multiple cultures largely flows from probability considerations: Most institutions have … Reducing Contamination
We cannot eliminate blood culture contamination entirely, but it is possible for institutions … Because approximately half of all positive blood cultures in most institutions represent contamination … Blood culture contamination is common, constituting up to half of all positive blood cultures at some institutions … Institutions can reduce blood culture contamination by using the most effective antiseptic agents and
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psnet.ahrq.gov/node/39392/psn-pdf
September 20, 2011 - of specific system and reminder design features, and
perhaps cultural or contextual features of the institutions
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psnet.ahrq.gov/node/40309/psn-pdf
April 22, 2011 - implementation of safety practices and increase
the generalizability of successful strategies for other institutions
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psnet.ahrq.gov/node/39210/psn-pdf
January 12, 2010 - can-aviation-based-team-training-elicit-sustainable-behavioral-change
As a means of improving safety, many institutions
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psnet.ahrq.gov/node/35424/psn-pdf
April 09, 2013 - Investigators compiled web-based pathologic data from four
institutions and created a standardized system
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psnet.ahrq.gov/node/43697/psn-pdf
March 26, 2015 - For example,
many institutions have still not followed best practices for the administration of vincristine
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psnet.ahrq.gov/node/46112/psn-pdf
December 21, 2017 - standardized the assessment of 10 distinct inpatient
and ambulatory CPOE systems across 6 health care institutions
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psnet.ahrq.gov/node/43007/psn-pdf
December 12, 2014 - Investigators interviewed senior
leaders and frontline staff at two institutions with such walkrounds
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psnet.ahrq.gov/node/43969/psn-pdf
November 17, 2017 - when things go wrong: physician attitudes
about reporting medical errors to patients, peers, and
institutions
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psnet.ahrq.gov/node/37808/psn-pdf
February 22, 2011 - This study surveyed inpatients from three different types of institutions to highlight the knowledge,
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psnet.ahrq.gov/node/38628/psn-pdf
May 13, 2009 - In teaching institutions, there is
growing emphasis on implementing systems-based practice curricula
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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
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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
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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
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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
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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
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psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
November 16, 2022 - He concludes that, because adverse events occur infrequently in individual institutions, large-scale
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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/node/37484/psn-pdf
April 01, 2010 - Both studies mentioned above followed data
published from individual institutions (Classen et al and
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psnet.ahrq.gov/node/40619/psn-pdf
October 06, 2016 - This performance-improvement collaborative implemented a multifaceted change strategy in 13
institutions