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psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
July 13, 2016 - a series of shared lessons learned from the experience and a number of suggestions offered to other institutions
-
psnet.ahrq.gov/node/49798/psn-pdf
July 01, 2017 - Outline steps providers and institutions can take to decrease the risk of complications with
colonoscopy … Institutions can also encourage development of
protocols to aid clinicians in managing complicated conditions … Institutions face significant challenges in ensuring that their providers are
competent to perform the … Institutions should, whenever possible, use objective criteria and direct observation to assess
competence
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - 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 … .( 6 ) Studying the impact of different organizational models of care is notoriously difficult, and institutions
-
psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
March 23, 2012 - When such an event occurs, many institutions mandate performance of a root cause analysis .
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psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention
May 20, 2015 - postulate that such a system would encourage error reporting and could be linked to reforms that make institutions
-
psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
January 11, 2013 - safety problems (such as medication errors) were not reliable enough to be used for comparison across institutions
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psnet.ahrq.gov/training-education
October 01, 2025 - Opportunities are national in scope and identified from not for profit organizations, academic
institutions
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psnet.ahrq.gov/issue/development-patient-safety-web-based-education-curriculum-physicians-nurses-and-patients
March 29, 2023 - July 14, 2010
Barriers to implementation of patient safety systems in healthcare institutions
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psnet.ahrq.gov/issue/solving-puzzle-improving-safety-outcomes
September 07, 2022 - December 19, 2012
Barriers to implementation of patient safety systems in healthcare institutions
-
psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - They're reported by institutions. … Like all health care institutions, they have been challenged by the considerable data indicating large … of medical center deans demonstrated that quality and patient safety are high priorities for their institutions … As the institutions that educate and train future physicians, AMCs have a unique opportunity to establish … The major bottleneck in this process is the "acceptance" step—institutions that have created widespread
-
psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - practices are more likely to have more limited EHR
capabilities than large dental groups or academic institutions … disease progression after misdiagnosis.5 Similarly, a chart review of nearly 1000
charts from academic 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
-
psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Focus on single
incidents and
institutions
Incidents tend to be investigated in isolation—single events … within single
institutions. … analytical methods, and relevant theories; patients and
families be meaningfully engaged in the process; institutions
-
psnet.ahrq.gov/node/49614/psn-pdf
November 01, 2010 - reconciliation, a process
emphasized by the Joint Commission National Patient Safety Goals.(2) However, institutions … information available from the EHR or other sources such as
pharmacy data, other providers, and health care institutions … patients, family
members, caregivers, and other health care team members from their own or external institutions
-
psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - 1% of base hospital DRG payments
are withheld, with value-based incentive payments awarded later to institutions … In addition to Value-
Based Purchasing, the Readmission Reductions Program penalizes institutions with … about
the adequacy of risk-adjustment and the limited statistical power to detect differences between institutions
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
May 01, 2015 - time pressure to implement the bundle elements is real
Achieving all of them quickly is difficult
Many institutions … perfect, UCSF internal data analysis shows that alerts have a positive predictive value of around 70%
Institutions … associated mortality
However, supportive care is the mainstay of treatment
29
29
Take-Home Points (3)
Institutions
-
psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - The Risk Management Foundation of the Harvard Medical Institutions has been a pioneer in this activity … patients as their care touches physicians' offices, free-standing laboratories, and other medical
institutions … McCarthy President, Risk Management Foundation of the Harvard Medical Institutions, the
administrative
-
psnet.ahrq.gov/node/44434/psn-pdf
June 21, 2016 - Hospitals with high management scores were also more likely to be teaching institutions.
-
psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
May 14, 2018 - of adverse events associated with information technology and gives detailed recommendations for how institutions
-
psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-hospitals-and-operating-room-personnel
February 10, 2015 - also provide benchmark data for others who are interested in assessing teamwork climate in their own institutions