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Showing results for "institutions".

61. Psn-Pdf (pdf file)
    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

62. 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

63. Psn-Pdf (pdf file)
    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.

64. The Case of Mistaken Intubation | PSNet
    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

65. Psn-Pdf (pdf file)
    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

66. Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. | PSNet
    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

67. 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

68. To Err Is Human—But Don't Expect to Get Paid For It. | PSNet
    psnet.ahrq.gov/issue/err-human-dont-expect-get-paid-it
    April 29, 2022 - This report describes strategies for health care institutions to prevent never events , based on results

69. 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

70. 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

71. 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

72. 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

73. 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

74. 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

75. 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

76. 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

77. 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

78. 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.

79. 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

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33888/psn-pdf
    January 06, 2025 - for Safe Medication Practices sponsors the annual Cheers Awards to recognize both individuals and institutions