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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
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psnet.ahrq.gov/issue/measuring-adverse-events-hospitalized-patients-administrative-method-measuring-harm
December 17, 2014 - enough for internal quality improvement purposes, but the tool is insufficient to compare harm across institutions
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psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
July 14, 2010 - This AHRQ–funded study investigated whether institutions implementing care management achieved improvements
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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/issue/aging-physician-and-medical-profession-review
May 27, 2010 - Exploring how to approach assessments of the aging physician , this review suggests that health care institutions
-
psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
May 25, 2016 - Some pioneering institutions, such as the University of Michigan Health System, began implementing an
-
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
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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
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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/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/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/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/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/issue/front-line-ownership-generating-cure-mindset-patient-safety
November 10, 2010 - Organizational culture and its implications for infection prevention and control in healthcare institutions
-
psnet.ahrq.gov/issue/giving-back-pen-disclosure-apology-and-early-compensation-discussions-after-harm-healthcare
April 26, 2012 - Disclosing medical errors to patients: a challenge for health care professionals and institutions
-
psnet.ahrq.gov/issue/canadian-disclosure-guidelines-being-open-and-honest-patients-and-families
September 08, 2010 - Disclosing medical errors to patients: a challenge for health care professionals and institutions
-
psnet.ahrq.gov/issue/variations-hospital-worker-perceptions-safety-culture
November 14, 2018 - Paper- and computer-based workarounds to electronic health record use at three benchmark institutions
-
psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation
September 11, 2019 - Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions