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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
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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
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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
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psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients
April 13, 2011 - Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions
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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
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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
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psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - https://psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program
evaluate teaching institutions … Improving the culture of safety at teaching institutions will also require that efforts are taken to … The culture of disrespect that pervades many
institutions poses a major barrier to improving safety … Regulatory efforts such as the CLER program are now highlighting these deficiencies, and
teaching institutions
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psnet.ahrq.gov/issue/improving-oversight-graduate-medical-education-enterprise-one-institutions-strategies-and
September 21, 2009 - Study
Improving oversight of the graduate medical education enterprise: one institution's strategies and tools.
Citation Text:
Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise: One Institution???s Strategies and Tools. Academic Medic…
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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
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psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - List interventions that health care institutions can use to reduce the risk of error associated with … In most institutions, the PACS and EHR are
separate software systems. … Institutions should consider having scheduled radiology rounds during which ordering providers and
radiologists … Institutions should explore what interventions are available through their vendors. … Institutions should implement protocols and tools to track unexpected and urgent findings made by
radiologists
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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
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psnet.ahrq.gov/node/33675/psn-pdf
October 01, 2008 - to University Healthsystem Consortium (UHC) use these PSIs to rate the quality of care at
different institutions … the hospital, and an overall kappa of 0.4.(7)
There also appears to be significant variation between institutions … coding has been in place for more than a
decade, found that patterns in POA coding differed across institutions … Variation in ICD-9-CM Coding and Limitations of Reporting
Variation is not only evident across institutions … Today, however, the variability of thoroughness of reporting and accuracy of coding
across institutions
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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
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psnet.ahrq.gov/node/47913/psn-pdf
April 10, 2019 - The authors call for institutions to
consider standardizing their paging communication.
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psnet.ahrq.gov/node/60880/psn-pdf
September 02, 2020 - the use of “cold” debriefings performed more than one day after in-hospital cardiac
arrest events at institutions
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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
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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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psnet.ahrq.gov/node/47808/psn-pdf
May 15, 2019 - different virtual patient models containing error-based scenarios
on medical students at six different institutions
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psnet.ahrq.gov/node/73316/psn-pdf
May 26, 2021 - The
authors propose strategies for educators and institutions to combat implicit bias including self-awareness
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psnet.ahrq.gov/issue/interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
February 10, 2012 - Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions … College of American Pathologists Q-Probes study of patient and specimen identification errors at 120 institutions