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psnet.ahrq.gov/node/39679/psn-pdf
January 19, 2011 - Some studies report that discussion of errors with
colleagues is generally beneficial, and institutions
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psnet.ahrq.gov/node/42938/psn-pdf
February 12, 2014 - Despite the widespread success of these interventions, some institutions
continue to experience CLABSI
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psnet.ahrq.gov/node/38455/psn-pdf
January 02, 2017 - While their model may apply only to similar
teaching institutions, it does provide a unique prototype
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psnet.ahrq.gov/node/46343/psn-pdf
March 21, 2018 - to be a useful
way of identifying vulnerabilities within CPOE systems, and the authors suggest that institutions
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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
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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
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psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health
March 10, 2021 - This report suggests institutions apply design thinking and systems thinking methods to develop
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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
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psnet.ahrq.gov/issue/ahrq-presses-no-rule-yet-agency-taps-10-safety-organizations
February 08, 2010 - AHRQ's progress in naming and supporting patient safety organizations and describes the role of these institutions
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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/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
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psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
August 13, 2010 - The discussants share stories of initiatives implemented at their institutions to help reduce medical
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psnet.ahrq.gov/node/33811/psn-pdf
June 01, 2016 - who prioritize
patient safety in their work and operations motivates attendees to go back to their institutions … problems, and they will receive copies of the tools and materials
utilized by the presenters and their institutions
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psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
December 06, 2011 - appropriate; b) create a national patient safety database, comprised of confidential reports from health care institutions
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psnet.ahrq.gov/issue/medication-errors-2nd-ed
March 29, 2007 - and other practitioners trying to reduce medication errors, in both their practices and that of their institutions
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psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measures-harm
January 25, 2023 - A panel of 71 experts from nine institutions identified 218 triggers and measures with high or very high
-
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
-
psnet.ahrq.gov/issue/radonda-vaught-medication-safety-and-profession-pharmacy-steps-improve-safety-and-ensure
May 25, 2022 - of the criminal conviction of a nurse involved in a medical error, numerous organizations and institutions
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psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
August 04, 2021 - outlines a number of critical steps for implementation, including committing resources, organizing within institutions
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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.