-
psnet.ahrq.gov/node/44864/psn-pdf
March 23, 2016 - , this commentary explores factors that contribute to
perception of mistreatment and suggests that institutions … unmet-needs-teaching-physicians-provide-safe-patient-care
https://psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
-
psnet.ahrq.gov/node/43550/psn-pdf
October 15, 2014 - /issue/contingency-planning-electronic-health-record-based-care-continuity-survey-
recommended
As institutions … This survey of 50 institutions with fully integrated
EMRs found that nearly all had experienced unexpected
-
psnet.ahrq.gov/node/34700/psn-pdf
January 04, 2017 - Participating institutions
were educated in the “Model for Improvement,” a structured set of change … The successful experiences of participating institutions are
reviewed, as well as cases and causes of
-
psnet.ahrq.gov/node/45439/psn-pdf
October 15, 2016 - experts, researchers determined that patient participation in maintaining their own safety varied across
institutions … They suggest that institutions should focus on
creating a safety culture that promotes an equal partnership
-
psnet.ahrq.gov/node/45900/psn-pdf
June 07, 2017 - mislabeling: a College of American
Pathologists Q-Probes study of 41,333 blood bank
specimens in 30 institutions … Mislabeling: A College of American
Pathologists Q-Probes Study of 41 333 Blood Bank Specimens in 30 Institutions
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
April 01, 2013 - *
Making PN Use Safer
Ideally the processes should be standardized and experts should be involved
Institutions … error with PN during transitions in care
One major factor is lack of prescription uniformity between institutions … a CPOE system for PN
Available electronic health record systems do not perform well with PN; most institutions … Suppl 2):32S-35S. http://www.ncbi.nlm.nih.gov/pubmed/22301325
*
Handwritten Orders and PN
If institutions … enhance safety and reduce PN-related errors, providers should be involved in oversight of PN therapy
Institutions
-
psnet.ahrq.gov/node/41586/psn-pdf
January 01, 2013 - Although
safety culture can be measured and compared across institutions, the methods organizations … As many institutions are embarking on efforts to develop safety culture, this
review highlights the
-
psnet.ahrq.gov/node/45205/psn-pdf
July 11, 2017 - The authors state that the tool can be used for
measurement purposes, allowing institutions to track … their performance over time and compare rates of
safety events across institutions.
-
psnet.ahrq.gov/node/34641/psn-pdf
March 03, 2011 - the deaths associated with anesthesia and
surgery: based on a study of 599, 548 anesthesias in ten
institutions … the deaths associated with anesthesia and surgery: based on a study
of 599, 548 anesthesias in ten institutions
-
psnet.ahrq.gov/node/49762/psn-pdf
June 01, 2016 - List the steps institutions can take to ensure effective use of POLST forms or advance directives. … The biggest barrier to
exchanging information across institutions is not so much technology as it is … All institutions, in turn, must accept that they are the de facto "home" for
advance directives and … Because of the ubiquity and unique properties of EHRs, institutions
are well advised to make their EHR … Additionally,
institutions should use cases like the one described to illustrate why participation in
-
psnet.ahrq.gov/issue/results-effort-integrate-quality-and-safety-medical-and-nursing-school-curricula-and-foster
September 08, 2021 - interprofessional curricula in patient safety, involving both nursing and medical students, at six institutions … Although the institutions encountered many challenges—including a lack of faculty expertise in patient
-
psnet.ahrq.gov/node/41924/psn-pdf
April 05, 2013 - /disclosure-and-resolution-programs-include-generous-compensation-offers-
may-prompt-complex
Some institutions … The authors conclude that institutions should consider separating error disclosure
and offers of compensation
-
psnet.ahrq.gov/node/42154/psn-pdf
January 07, 2015 - Paper- and computer-based workarounds to electronic
health record use at three benchmark institutions … Paper- and computer-based workarounds to electronic health
record use at three benchmark institutions
-
psnet.ahrq.gov/node/41935/psn-pdf
December 19, 2012 - interprofessional curricula in patient safety,
involving both nursing and medical students, at six institutions … Although the institutions
encountered many challenges—including a lack of faculty expertise in patient
-
psnet.ahrq.gov/node/45395/psn-pdf
August 10, 2016 - This large-scale study across
multiple institutions demonstrates that patients' care remains safe during … The authors
suggest that these results should allay safety concerns for institutions planning to implement
-
psnet.ahrq.gov/node/44372/psn-pdf
June 21, 2016 - Teaching institutions, hospitals whose case mix included more complex patients, and safety-net hospitals … were all more likely to face penalties than nonteaching, nonsafety institutions with healthier patients
-
psnet.ahrq.gov/node/42023/psn-pdf
May 25, 2013 - Cases flagged by triggers also
require more detailed chart reviews, which may not be feasible for institutions … adapted and implemented within existing resource constraints, information that may be
helpful to other institutions
-
psnet.ahrq.gov/node/33716/psn-pdf
September 01, 2011 - The plausible part of this hope is that some institutions would have idiosyncratic problems,
which is … In most of the institutions
I've ever worked, both in the United States and Canada, probably the single … A lot of institutions
make that mistake. … Sometimes institutions make the mistake of not closing the loop with the incident reporter. … It's tempting to
want to pool across these incidents and then across institutions.
-
psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - List the steps institutions can take to ensure effective use of POLST forms or advance directives. … The biggest barrier to exchanging information across institutions is not so much technology as it is … All institutions, in turn, must accept that they are the de facto "home" for advance directives and … Because of the ubiquity and unique properties of EHRs, institutions are well advised to make their EHR … Additionally, institutions should use cases like the one described to illustrate why participation in
-
psnet.ahrq.gov/node/33678/psn-pdf
January 01, 2009 - Now, if disclosure is ultimately an
institutional responsibility, institutions will need to have some … When I've been involved in helping institutions sort through some of these complicated cases,
what's … so striking is how difficult it is for the institutions to put their self-interests aside and really … It will be interesting over
the next few years to see how institutions, as they shoulder this burden … Many institutions are taking innovative approaches to training those coaches and making that
resource