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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
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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
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psnet.ahrq.gov/issue/anti-black-racism-chronic-condition
December 17, 2020 - This commentary discusses the relationship between medical ethics and racism in healthcare institutions
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psnet.ahrq.gov/issue/graduate-medical-educations-new-focus-resident-engagement-quality-and-safety-will-it
July 14, 2021 - Clinical Learning Environment Review (CLER) program was developed to evaluate the performance of teaching institutions
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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
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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
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psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-champion-training-materials
November 16, 2022 - by participants as instrumental in the success of leading staff to adopt I-PASS techniques at the institutions
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psnet.ahrq.gov/issue/development-high-value-care-culture-survey-modified-delphi-process-and-psychometric
December 22, 2018 - Health care institutions are increasingly focused on providing high-value care and preventing overuse
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psnet.ahrq.gov/issue/disclosing-adverse-events-patients-international-norms-and-trends
July 29, 2020 - safety culture , and establishment of standard metrics to document and benchmark disclosure across institutions
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psnet.ahrq.gov/issue/using-external-errors-signal-clear-and-present-danger
May 02, 2018 - This article addresses the biases inherent when hearing reports of errors at other institutions and explains
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psnet.ahrq.gov/node/39714/psn-pdf
April 14, 2011 - New recommendations have kept the debate front and center
among educational leaders and in training institutions
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psnet.ahrq.gov/node/41461/psn-pdf
April 05, 2013 - regulations extended the work hour limits further and added a significant
cost burden to teaching institutions
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psnet.ahrq.gov/web-mm/new-oral-anticoagulants
July 01, 2011 - 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/node/49432/psn-pdf
February 09, 2004 - Additionally, most institutions do not require overnight faculty presence. … If institutions are going to
care for patients this way, then standards must be set for quality of care … They are present in the hospital
more often (around the clock in some institutions), enabling the timely … stay.(6) Studying the impact of different organizational models of care is notoriously
difficult, and institutions
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psnet.ahrq.gov/node/49553/psn-pdf
January 01, 2008 - 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/web-mm/right-patient-wrong-sample
June 01, 2004 - associated with better performance.( 5,7 ) For example, a Q probes study of critical value reporting in 623 institutions … For example, a study of wristband errors from 217 institutions showed that the wristband error rate in … participating institutions decreased from 7% to 3% over the 2 years of study.( 9 ) The most common error … College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions … Laboratory critical values policies and procedures: a College of American Pathologists Q-Probes study in 623 institutions
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psnet.ahrq.gov/node/33766/psn-pdf
May 01, 2014 - In most institutions, it is best to begin with an
aggregated approach. … http://www.ncbi.nlm.nih.gov/pubmed/24581011
http://www.ncbi.nlm.nih.gov/pubmed/23453174
In most institutions … practices, to their
own language, but also to the culture and to the way people are working in their own institutions … DP: As you may understand, I've been confronted with this discussion before and have visited some
institutions … I have visited too many institutions
where the institution is not providing the tools for people to
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psnet.ahrq.gov/glossary/swiss-cheese-model
September 13, 2021 - schedules, lack of teamwork, variations in the design of important equipment between and even within institutions—are
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psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
November 19, 2014 - with patients and families, the report discusses support for caregivers and a detailed strategy for institutions
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008
November 23, 2016 - hospitals continues to improve, according to data gathered by the Joint Commission from nearly 1,500 institutions