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Total Results: 5,529 records

Showing results for "institutions".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50665/psn-pdf
    November 13, 2019 - program-generated data will inform site specific toolkits and change implementation support for participating institutions

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50920/psn-pdf
    February 19, 2020 - the legacy of the penalties, the data's ability to be effectively applied across various types of institutions

  3. 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.

  4. 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.

  5. 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?

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45526/psn-pdf
    January 01, 2019 - The authors suggest that this intervention may enhance incident reporting in other institutions.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37767/psn-pdf
    June 01, 2022 - Participating hospitals will be able to measure patient safety culture in their institutions and compare

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47627/psn-pdf
    January 16, 2019 - This retrospective cohort of overlapping orthopedic surgeries across five academic institutions found

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60889/psn-pdf
    January 01, 2021 - A panel of 71 experts from nine institutions identified 218 triggers and measures with high or very

  10. 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

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39632/psn-pdf
    May 20, 2016 - medical-liability-reform-patient-safety-initiative https://psnet.ahrq.gov/issue/malpractice-reform-opportunities-leadership-health-care-institutions-and-liability-insurers

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35937/psn-pdf
    June 19, 2007 - reports on innovations implemented at a Wisconsin hospital to improve patient safety and how other institutions

  13. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
    February 01, 2016 - http://patientsafetyauthority.org/ADVISORIES/AdvisoryLibrary/2014/Sep;11(3)/Pages/93.aspx 19 Role of Institutions … event rates This could allow for identification of key risk factors for errors and complications Then, institutions … could focus on the modifiable risk factors Individual institutions should also submit local reports … patient expectations Less than 70% were appropriately counseled on the specific risks of robotic surgery Institutions … and providers However, the technology itself may place patients at risk National organizations and institutions

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33699/psn-pdf
    August 01, 2010 - Like all health care institutions, they have been challenged by the considerable data indicating large … of medical center deans demonstrated that quality and patient safety are high priorities for their institutions … As the institutions that educate and train future physicians, AMCs have a unique opportunity to establish … with the requisite knowledge and skills in patient safety and quality improvement (PS/QI).(3-6) Some institutions … The major bottleneck in this process is the "acceptance" step—institutions that have https://psnet.ahrq.gov

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60711/psn-pdf
    July 22, 2020 - common and identified latent safety threats (including related to the use of cognitive aids) at several institutions

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38250/psn-pdf
    June 10, 2018 - using-external-errors-signal-clear-and-present-danger This article addresses the biases inherent when hearing reports of errors at other institutions

  17. 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

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47913/psn-pdf
    April 10, 2019 - The authors call for institutions to consider standardizing their paging communication.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852282/psn-pdf
    August 09, 2023 - implementation, including lack of resources and a lack of electronic health record interoperability across institutions

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851067/psn-pdf
    June 28, 2023 - coordinators, designating space for pediatric patients when possible, and collaborating with pediatric institutions
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