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psnet.ahrq.gov/issue/duke-surgery-patient-safety-open-source-application-anonymous-reporting-adverse-and-near-miss
February 15, 2011 - their hospital's surgical department that can be modified and adapted for use in other departments or institutions
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psnet.ahrq.gov/issue/apology-errors-whose-responsibility
September 27, 2016 - Lucian Leape calls for institutions to establish full disclosure, apology , and compensation policies
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psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
July 08, 2016 - It is a call to action for providers and institutions as well as a strategic guide for clinicians, administrators
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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
-
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
-
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
-
psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - ,
further tightened in 2011, markedly increased the number of handoffs among trainees in training
institutions … tried diverse approaches tailored to the culture, workforce, and patient population of particular institutions … rates, important data emerged
supporting the premise that such penalties may unfairly penalize certain institutions
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
December 01, 2013 - use
Describe potential errors associated with use of TSOACs
List best practices for individuals and institutions … to order TSOAC-specific tests when such tests are indicated
20
20
Institutional Responsibility
Institutions … appeared when the clinician tried to order an anticoagulant in a patient with an epidural catheter
Institutions
-
psnet.ahrq.gov/node/49744/psn-pdf
October 01, 2015 - List two key barriers to incorporation and reconciliation of information transmitted between
institutions … are the main barriers to achieving interoperability across
information technology systems and across institutions … to facilitate the transmission of patient information instantly and
seamlessly between health care institutions … The HITECH Act requires current health IT systems and health care institutions to be able to rapidly … to rapid and seamless transmission of patient care data include financial incentives that
prevent institutions
-
psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - OR to
ICU) and inconsistencies in dosing strategies within the same units, patient populations, and institutions … However, it is imperative that institutions choose
one dosing strategy for the adult population and … Dosing strategies for norepinephrine can be weight-based (mcg/kg/min) or non-weight-based
(mcg/min) – institutions
-
psnet.ahrq.gov/node/60330/psn-pdf
May 05, 2020 - Alleviating Patient Safety Concerns
Rapidly accelerating telehealth capabilities may be necessary for many institutions … https://nnlm.gov/all-of-us/resources/digitalhealthliteracy
Establishing Escalation Protocols
Institutions … It is important for institutions to maintain good patient safety culture and ensure that providers
have
-
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
-
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/issue/preventable-anesthesia-mishaps-study-human-factors
June 23, 2015 - suggest that their method of examining incidents may be effective to help pool similar data from other institutions
-
psnet.ahrq.gov/issue/effectiveness-interventions-improve-patient-handover-surgery-systematic-review
June 25, 2018 - The Joint Commission and the Accreditation Council for Graduate Medical Education have called for institutions
-
psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states
March 03, 2011 - The program, which currently includes 19 participating institutions, focuses on identifying adverse events
-
psnet.ahrq.gov/issue/parental-involvement-preoperative-surgical-safety-checklist-welcomed-both-parents-and-staff
April 12, 2011 - Many institutions are attempting to increase patient and family engagement in safety efforts.
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psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees
October 08, 2016 - The authors suggest that this intervention may enhance incident reporting in other institutions.
-
psnet.ahrq.gov/issue/building-capacity-and-capability-patient-safety-education-train-trainers-programme-senior
January 15, 2014 - completed the program went on to conduct well-received teaching sessions for trainees at their local institutions
-
psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety
February 04, 2009 - a consultation program offered by the American College of Obstetricians and Gynecologists in which institutions