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Total Results: 5,153 records

Showing results for "institutions".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44958/psn-pdf
    March 09, 2016 - like a rapid response team) for possible sepsis, and conducting audit and feedback for participating institutions … The authors noted challenges given that participating institutions used different EHRs, but they were

62. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. | PSNet
    psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
    August 28, 2019 - Study Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Citation Text: Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198. Copy …

63. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy … https://psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy … effectiveness of root cause analysis (RCA) as a safety improvement tool has been called into question, as many institutions … Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy … https://psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy

64. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49681/psn-pdf
    April 01, 2013 - Most institutions manage fewer than 10 PN patients daily, and more than 80% manage 5 or fewer pediatric … One major contributing factor is the lack of prescription uniformity between institutions and across … A broad survey of institutions revealed that only 32.7% use a computerized order entry system (CPOE) … Some have argued that institutions should use commercially available pre-made PN formulations (not mixed … Institutions should collect and report all errors associated with PN internally and externally (through

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42868/psn-pdf
    October 31, 2014 - This approach has long been criticized for its lack of patient-centeredness, and in response some institutions … This study reviews six institutions' experiences with two types of communication-and-response strategies

66. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. | PSNet
    psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
    September 29, 2017 - 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

67. A long-term follow-up evaluation of electronic health record prescribing safety. | PSNet
    psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety
    November 26, 2014 - Many institutions are now moving from relatively unsophisticated electronic health records (EHRs) to … 2014 Implementing a patient safety and quality program across two merged pediatric institutions

68. Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. | PSNet
    psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
    November 23, 2014 - 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

69. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. | PSNet
    psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
    March 28, 2012 - Investigators compiled web-based pathologic data from four institutions and created a standardized … College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions

70. Strategies for improving patient safety culture in hospitals: a systematic review. | PSNet
    psnet.ahrq.gov/issue/strategies-improving-patient-safety-culture-hospitals-systematic-review
    February 14, 2017 - 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 need

71. Total Parenteral Nutrition, Multifarious Errors | PSNet
    psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
    January 23, 2017 - Most institutions manage fewer than 10 PN patients daily, and more than 80% manage 5 or fewer pediatric … One major contributing factor is the lack of prescription uniformity between institutions and across … A broad survey of institutions revealed that only 32.7% use a computerized order entry system (CPOE) … Institutions should incorporate all appropriate ASPEN clinical guidelines and best practices documents … Institutions should collect and report all errors associated with PN internally and externally (through

72. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool. | PSNet
    psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
    August 14, 2018 - 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.

73. The Sepsis Early Recognition and Response Initiative (SERRI). | PSNet
    psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
    November 11, 2015 - like a rapid response team ) for possible sepsis, and conducting audit and feedback for participating institutions … The authors noted challenges given that participating institutions used different EHRs, but they were

74. Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. | PSNet
    psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
    November 18, 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

75. Communication-and-resolution programs: the challenges and lessons learned from six early adopters. | PSNet
    psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
    September 29, 2017 - This approach has long been criticized for its lack of patient-centeredness, and in response some institutions … This study reviews six institutions' experiences with two types of communication-and-response strategies

76. In Conversation With… Thomas J. Nasca, MD, MACP | PSNet
    psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
    July 10, 2024 - effort of other agencies—many of which are centered around safety and quality of care rendered in all institutions … or institutional requirements, we chose to provide six major areas of focus and then reflect back to institutions … Our goal is to hold programs and institutions to minimum standards, but to stimulate them to go far beyond … We did see some exemplar institutions early on who volunteered for CLER where those relationships did … , and the GME leadership level, as well as the residents, nurses, and other health providers of our institutions

77. In Conversation With…Kaveh G. Shojania, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
    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.

78. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
    psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
    September 01, 2011 - The plausible part of this hope is that some institutions would have idiosyncratic problems, which is … A lot of institutions make that mistake. … I've been surprised at how often institutions, even ones with their hearts in the right place, put a … 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.

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33837/psn-pdf
    July 01, 2017 - As I alluded to earlier, right now it's very difficult to hold health care institutions accountable … for deviations in care when those institutions don't directly employ the person who made the error, … It is a massive culture shift for institutions to move from a traditional "deny-and-defend" posture to … What do we need to know to avoid outcomes that have been seen in institutions where it hasn't worked … and emulate the outcomes in institutions where it has worked?

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33805/psn-pdf
    April 01, 2016 - effort of other agencies—many of which are centered around safety and quality of care rendered in all institutions … institutional requirements, we chose to provide six major areas of focus and then reflect back to institutions … Our goal is to hold programs and institutions to minimum standards, but to stimulate them to go far … We did see some exemplar institutions early on who volunteered for CLER where those relationships did … and the GME leadership level, as well as the residents, nurses, and other health providers of our institutions