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Total Results: 5,529 records

Showing results for "institutions".

441. Reconciling Records | PSNet
     psnet.ahrq.gov/web-mm/reconciling-records
     September 01, 2017 - 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

442. Rethinking Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
     August 21, 2016 - 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

443. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
     August 01, 2006 - Photograph reprinted with permission of The Alan Mason Chesney Medical Archives of The Johns Hopkins Medical Institutions … Photograph reprinted with permission of The Alan Mason Chesney Medical Archives of The Johns Hopkins Medical Institutions

444. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
     June 01, 2004 - Recognize the emotional impact that errors have on health care workers List specific steps that institutions … Take-Home Points The link between error disclosure and quality improvement should be emphasized Institutions

445. In Conversation With… Ashish K. Jha, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
     May 01, 2013 - The second is why haven't even those very leading institutions been able to solve all of the problems … And the small number of leading institutions ultimately represent a small amount of care and what I want … Institutions located in communities with a high proportion of minority and poor patients are much more … 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

446. Strengthening the Business Case for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
     May 01, 2013 - 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 … The second is why haven't even those very leading institutions been able to solve all of the problems … And the small number of leading institutions ultimately represent a small amount of care and what I want … Institutions located in communities with a high proportion of minority and poor patients are much more

447. Patient Safety During Hospital Discharge | PSNet
     psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
     April 01, 2018 - Many institutions have developed multipronged approaches to enhancing postdischarge care. … HK : We are at the point where we need to find some institutions willing to test this—I firmly believe … that it will pay dividends for the patients and the institutions. … For the future, we need to create the means by which consortia of institutions can come together and … If 10 institutions are willing to work together and could collectively achieve a gain, then they could

448. Reducing hospital errors: interventions that build safety culture. | PSNet
     psnet.ahrq.gov/issue/reducing-hospital-errors-interventions-build-safety-culture
     September 27, 2017 - Organizational culture and its implications for infection prevention and control in healthcare institutions

449. Barriers and facilitators to nursing handoffs: recommendations for redesign. | PSNet
     psnet.ahrq.gov/issue/barriers-and-facilitators-nursing-handoffs-recommendations-redesign
     January 22, 2016 - Paper- and computer-based workarounds to electronic health record use at three benchmark institutions

450. Responding to large-scale testing errors. | PSNet
     psnet.ahrq.gov/issue/responding-large-scale-testing-errors
     December 18, 2008 - College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions

451. Breaking the rules: understanding non-compliance with policies and guidelines. | PSNet
     psnet.ahrq.gov/issue/breaking-rules-understanding-non-compliance-policies-and-guidelines
     September 24, 2018 - Disclosing medical errors to patients: a challenge for health care professionals and institutions

452. Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations. | PSNet
     psnet.ahrq.gov/issue/disclosure-coaching-ask-tell-ask-model-support-clinicians-disclosure-conversations
     December 18, 2014 - Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions

453. Exploring barriers and facilitators to the use of computerized clinical reminders. | PSNet
     psnet.ahrq.gov/issue/exploring-barriers-and-facilitators-use-computerized-clinical-reminders
     November 05, 2015 - Paper- and computer-based workarounds to electronic health record use at three benchmark institutions

454. ADEs and automation. | PSNet
     psnet.ahrq.gov/issue/ades-and-automation
     January 15, 2014 - electronic adverse event identification, classification, and corrective actions across academic pediatric institutions

455. Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure. | PSNet
     psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient-expectations
     May 29, 2013 - Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions

456. A practical approach to measure the quality of handwritten medication orders: a tool for improvement. | PSNet
     psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
     September 24, 2010 - 2010 Implementing a patient safety and quality program across two merged pediatric institutions

457. A medical error leads to tragedy: how do we inform the patient? | PSNet
     psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
     April 08, 2018 - Disclosing medical errors to patients: a challenge for health care professionals and institutions

458. Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. | PSNet
     psnet.ahrq.gov/issue/patient-safety-anatomic-pathology-measuring-discrepancy-frequencies-and-causes
     January 08, 2016 - Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions

459. Error disclosure: a new domain for safety culture assessment. | PSNet
     psnet.ahrq.gov/issue/error-disclosure-new-domain-safety-culture-assessment
     September 01, 2018 - Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions

460. Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. | PSNet
     psnet.ahrq.gov/issue/patient-safety-intensive-care-results-multinational-sentinel-events-evaluation-see-study
     March 03, 2011 - Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions