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psnet.ahrq.gov/node/39852/psn-pdf
February 10, 2015 - national-costs-medical-liability-system
https://psnet.ahrq.gov/issue/malpractice-reform-opportunities-leadership-health-care-institutions-and-liability-insurers
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psnet.ahrq.gov/node/43367/psn-pdf
May 01, 2015 - care
organizations, and this publication outlines experiences and lessons learned from participating institutions
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psnet.ahrq.gov/node/38077/psn-pdf
January 31, 2011 - current research into a practical context and provides eight
priorities that should guide teaching institutions
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psnet.ahrq.gov/node/41283/psn-pdf
April 11, 2012 - this series, 30.3% of patients who died underwent autopsy, a
rate that is much higher than at most US institutions
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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/primer/patient-engagement-and-safety
August 30, 2023 - Many institutions (such as the Dana-Farber Cancer Institute ) have prioritized engaging patient representatives … error prevention therefore risks simply shifting the responsibility for safety from providers and institutions
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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/42067/psn-pdf
March 18, 2013 - administration error rates, with the goal of generating studies that can be used for comparisons
between institutions
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psnet.ahrq.gov/node/43687/psn-pdf
November 12, 2014 - number of handoffs a patient experiences while hospitalized has almost certainly increased at
academic institutions
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psnet.ahrq.gov/node/43803/psn-pdf
January 29, 2015 - Commission's Top Performer award at each of the 5 Johns
Hopkins hospitals (2 academic and 3 community institutions
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psnet.ahrq.gov/node/47307/psn-pdf
December 12, 2018 - They found that teaching institutions and hospitals with higher case-mix index, length of stay,
and
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psnet.ahrq.gov/node/47117/psn-pdf
November 16, 2018 - substantial resources in reducing the HACs on the CMS nonpayment list, raising concern about
whether institutions
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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/45167/psn-pdf
May 25, 2016 - Some pioneering institutions, such as the University of Michigan
Health System, began implementing an
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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/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - That was appropriate when the adverse events just happened and they cost institutions more money to take … to University Healthsystem Consortium (UHC) use these PSIs to rate the quality of care at different institutions … coding has been in place for more than a decade, found that patterns in POA coding differed across institutions … Variation in ICD-9-CM Coding and Limitations of Reporting
Variation is not only evident across institutions … Today, however, the variability of thoroughness of reporting and accuracy of coding across institutions
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - With rare events (such as wrong-site surgery), aggregation and review across many institutions can provide … What this does for the people doing the analysis, and for the institutions where they work, is create … WM : I believe we see the world the same way you do in terms of individual institutions that have not … So we are defining the queries that providers or institutions want to make, we're defining the data that … That will allow local institutions to run their own reports without having to wait to get them back from
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - What this does for the people doing the analysis, and for the institutions where they work, is create … WM : I believe we see the world the same way you do in terms of individual institutions that have not … So we are defining the queries that providers or institutions want to make, we're defining the data that … That will allow local institutions to run their own reports without having to wait to get them back from … With rare events (such as wrong-site surgery), aggregation and review across many institutions can provide
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psnet.ahrq.gov/issue/reducing-adverse-drug-events
August 09, 2017 - The book will be valuable to individuals and institutions attacking the problem of medication errors