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psnet.ahrq.gov/issue/selective-attention-task
August 11, 2010 - A review of educational philosophies as applied to radiation safety training at medical institutions
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psnet.ahrq.gov/issue/arv-medication-errors-experience-community-based-hiv-specialty-clinic-and-review-literature
March 29, 2010 - Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions
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psnet.ahrq.gov/issue/consent-required-publication-medical-errors
March 18, 2011 - Disclosing medical errors to patients: a challenge for health care professionals and institutions
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psnet.ahrq.gov/issue/interview-peter-pronovost
July 01, 2017 - Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions
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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
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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
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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
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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/issue/ades-and-automation
January 15, 2014 - electronic adverse event identification, classification, and corrective actions across academic pediatric institutions
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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
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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
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psnet.ahrq.gov/node/33732/psn-pdf
July 01, 2012 - you would have found that there was more good than harm but it
was occurring in a small subset of institutions … 2 years ago, you would
overwhelmingly find more good than harm; it's a more representative set of institutions … basically said the literature is mostly positive, but we cannot generalize
from it because it's four institutions … It was not possible given our size, political culture, and political
institutions.
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psnet.ahrq.gov/node/33820/psn-pdf
December 01, 2016 - Very few institutions ever look at close calls or
near misses. … When many institutions go to do this, the people involved don't understand that
you really have to do … But we had a whole host of different people involved in this from
different institutions like Kaiser
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psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - greater
than 20 million procedures.(8) Because many RSI cases are kept confidential by providers, institutions … These events can have significant financial impact on
providers and institutions, both in legal costs … and nonpayment from the federal government.(16,20)
Additionally, institutions suffer a cost to their
-
psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - health care industry from public outrage, reformed reimbursement policies, and
regulation.(3)
Although institutions … system change, external reporting requirements can increase the priority of patient safety within
institutions … medical errors: although transparency can drive improvements, care must be taken to avoid penalizing
institutions