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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
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hcup-us.ahrq.gov/reports/methods/2003_05.pdf
January 01, 2003 - AHA as “non-Federal, short-term, general, and other
specialty hospitals, excluding hospital units of institutions … for diabetes with long-term complications† (excluding obstetric admissions
and transfers from other institutions … gastroenteritis admissions (excluding obstetric and neonatal admissions and
transfers from other institutions … PQI 18 Immunization-preventable influenza admissions for elderly (excluding transfers from other
institutions … Pediatric asthma admissions (excluding obstetric and neonatal admissions and transfers from
other institutions
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
February 26, 2025 - about the effectiveness and efficiency of root cause analysis as a tool for helping them improve their institutions … It's clear that individual investigators and institutions have discovered things that cause problems, … What then needs to happen is the institutions need to track what the solutions are, and they need to … ought to do some research on what kinds of solutions might be both effective and doable for individual institutions … and groups of institutions.
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www.ahrq.gov/cpi/about/health-services-research.html
March 01, 2025 - HSR is conducted at many universities, academic hospitals, and other research institutions.
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psnet.ahrq.gov/node/74036/psn-pdf
November 03, 2021 - study
also compared the use of different alert burden metrics to benchmark burden across and within institutions
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digital.ahrq.gov/ahrq-funded-projects/patient-safety-electronic-health-records-meeting
January 01, 2023 - scope of EHR safety, define research needs and benchmarks, and establish what individual health care institutions
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psnet.ahrq.gov/node/837599/psn-pdf
June 29, 2022 - Medication reconciliation can reduce medication errors, but implementation practices can vary across
institutions
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psnet.ahrq.gov/node/50801/psn-pdf
January 15, 2020 - academic fellowships in
Quality Improvement Patient Safety (QIPS) to both graduates and their respective institutions
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psnet.ahrq.gov/node/837059/psn-pdf
May 11, 2022 - This
commentary discusses the relationship between medical ethics and racism in healthcare institutions
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - 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/33714/psn-pdf
July 01, 2011 - What this does for the people doing the analysis, and for the institutions where
they work, is create … WM: I believe we see the world the same way you do in terms of individual institutions that have not … areas in the hospital,
and shed light on where events are occurring, as well as aggregated across institutions … So we are defining the queries that
providers or institutions want to make, we're defining the data … That will allow local institutions to run their own reports
without having to wait to get them back
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psnet.ahrq.gov/node/867691/psn-pdf
March 05, 2025 - Healthcare institutions, therefore, have a moral
imperative to support providers following adverse surgical
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
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, as is … 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?
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
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, as is … 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?
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www.ahrq.gov/teamstepps-program/resources/tools/index.html
January 01, 2024 - TeamSTEPPS Readiness Assessment Form (PDF, 134 KB)
This PDF helps institutions answer the question
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psnet.ahrq.gov/issue/ismp-cheers-awards
January 26, 2023 - Institute for Safe Medication Practices sponsors the annual Cheers Awards to recognize both individuals and institutions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Graham.pdf
April 14, 2004 - The ASIPS staff helped two participating
institutions obtain FWAs that designated the University of … Non-IRB approvals required for affiliated institutions by type of approval
Type of approval Number … of affiliated institutions
Legal only 1
Risk management only 1
Legal and risk management 3
Tribal … However, many institutions will not allow their
practices or clinicians to be affiliated with another … Non-IRB approvals required for affiliated institutions by type of approval
Table 5.
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psnet.ahrq.gov/node/43676/psn-pdf
November 12, 2014 - highlights how the demands of the educational process can actually augment safety, as attendings at these
institutions
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www.ahrq.gov/patient-safety/reports/liability/sands.html
August 01, 2017 - Insufficient evidence that the DA&O approach works : collection and dissemination of data from institutions … in a variety of settings, MACRMI pursued implementing CARe programs through a pilot program at six institutions … administrators, physicians, and patients who are interested in making this model a reality in their institutions … the CARe model is different from the status quo and what elements need to be in place at their own institutions … Malpractice reform--opportunities for leadership by health care institutions and liability insurers.
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www.ahrq.gov/cpi/about/otherwebsites/webmm.ahrq.gov/index.html
October 01, 2015 - Participating Agencies and Institutions
AHRQ WebM&M is produced for AHRQ by a team of editors at the