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Showing results for "institutions".

441. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
     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?

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49451/psn-pdf
     June 01, 2004 - the results.(7) In practice, a core group of tests (Table) appear on the panic value list of most institutions … Nearly all institutions will have alert values for glucose, sodium, potassium, hemoglobin, hematocrit … laboratory values and reduced delays in delivering appropriate treatment.( 13) For microbiology, most institutions … The fraction of institutions that include a positive test for C. difficile toxin on its list of panic … critical values policies and procedures: a College of American Pathologists Q-Probes study in 623 institutions

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49687/psn-pdf
     August 21, 2013 - undergoing emergency laparotomy, there is increasing evidence of variability in patient outcomes between institutions … administrative data also suggests wide variation in outcomes for emergency general surgical admissions between institutions … hospitals with low mortality in elective operations may have high mortality in emergency surgeries.(8) Institutions … Institutions that perform greater numbers of imaging investigations (e.g., ultrasound and computed tomography … There is significant variability in the quality of care and outcomes between institutions.

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49562/psn-pdf
     May 01, 2008 - Therefore, even an optimal time out will not prevent all wrong site surgeries, forcing physicians and institutions … mode," so that the planned procedure is not started if a member of the team has concerns.(2) In some institutions … that the time out take place immediately prior to the incision, a practice performed in many other institutions … require the presence and review of relevant radiologic images (if applicable).(6) Furthermore, many institutions … without it, the ability of people lower on the totem pole to speak up may be lost.(12) At selected institutions

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34730/psn-pdf
     October 29, 2013 - other practitioners trying to reduce medication errors, in both their practices and that of their institutions

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43425/psn-pdf
     July 03, 2016 - Clinical Learning Environment Review (CLER) program was developed to evaluate the performance of teaching institutions

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34890/psn-pdf
     February 17, 2011 - The authors conclude that use of electronic alerts in institutions with available information technology

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34715/psn-pdf
     February 18, 2011 - outlines a number of critical steps for implementation, including committing resources, organizing within institutions

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35418/psn-pdf
     June 14, 2011 - only from self-reported institutional errors, the opportunity to expand the process to additional institutions

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37026/psn-pdf
     September 15, 2011 - teaching-hospitals Housestaff traditionally lead cardiac arrest resuscitation ("code blue") teams at academic institutions

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46353/psn-pdf
     August 23, 2017 - Analyzing data from 2006–2014, the authors found that lower ranked institutions wrote more opioid prescriptions

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47121/psn-pdf
     August 08, 2018 - just-culture-restoring-trust-and-accountability-your-organization-third-edition https://psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35899/psn-pdf
     January 02, 2017 - series of shared lessons learned from the experience and a number of suggestions offered to other institutions

454. Implementing and Improving the Integration of Decision Support into Outpatient Clinical Workflow - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/implementing-and-improving-integration-decision-support-outpatient-clinical/annual-summary/2010
     January 01, 2010 - Department of Veterans Affairs (VA), and Partners Healthcare System—use different EMRs but are all institutions … titled, “ Investigating Integration of Computerized Decision Support into Workflow at Three Benchmark Institutions

455. Disclosure of Medical Error | PSNet
     psnet.ahrq.gov/perspective/disclosure-medical-error
     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

456. In Conversation with…Thomas H. Gallagher, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
     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

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46546/psn-pdf
     January 10, 2018 - using-online-quiz-based-reinforcement-system-teach-healthcare-quality-and- patient-safety-and Health care institutions

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39795/psn-pdf
     June 06, 2018 - https://psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look Health care institutions

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35220/psn-pdf
     May 14, 2015 - This protection helps encourage institutions and individuals to more freely report incidents, concerns

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35023/psn-pdf
     March 04, 2011 - If successfully identified, both individual physicians and their institutions should be held accountable