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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Transitions in care across institutions and within hospitals may lead to errors and put patient safety
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psnet.ahrq.gov/web-mm/two-pills-same-drug
May 27, 2011 - This risk also intensifies during transitional periods when institutions are replacing one ordering system
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psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - Institutions should have policies and procedures in place to identify, communicate, and document critical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
September 04, 2012 - term “Just Culture” refers to a safety-supportive system of shared accountability in which health care institutions
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psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
April 24, 2018 - It also fulfills the ACGME requirement "that Programs, in partnership with their Sponsoring Institutions
-
www.ahrq.gov/ncepcr/reports/grants-impact/model-state.html
February 01, 2017 - Translational Science Institute at University of Oklahoma, comprised of representatives from academic institutions
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psnet.ahrq.gov/web-mm/dropped-lung
February 06, 2012 - do one, teach one” describes a decades-old and ongoing patient safety vulnerability in our teaching institutions
-
digital.ahrq.gov/sites/default/files/docs/page/0_Overview_1.pdf
July 13, 2007 - exchange refers to the sharing of clinical and administrative data across
the boundaries of health care institutions
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psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - simple follow-up call by a pharmacist can prevent some post-
discharge adverse events.(11) However, few institutions
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
May 01, 2017 - ii40-ii51. https://www.ncbi.nlm.nih.gov/pubmed/23852973
27
Organizational Interventions
Providers and institutions
-
psnet.ahrq.gov/node/49726/psn-pdf
March 01, 2015 - The Universal Protocol was designed to engage institutions in implementing a standardized
approach to
-
psnet.ahrq.gov/node/33619/psn-pdf
September 01, 2005 - What has impressed me is that other institutions are contacting Peter Pronovost [who has done
much of
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptx
November 01, 2019 - trust)
Attend their meetings
Show that your recommendations are similar to those from other similar institutions
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
October 01, 2015 - established by the Accreditation Council for Graduate Medical Education and is designed to provide institutions
-
psnet.ahrq.gov/node/49620/psn-pdf
February 01, 2011 - Monitoring
Specific protocols for monitoring patients after neck surgery vary across institutions.
-
psnet.ahrq.gov/node/61079/psn-pdf
October 28, 2020 - medical errors
Medication errors are more likely occur with look-alike sound-alike medications
Institutions
-
psnet.ahrq.gov/node/49794/psn-pdf
May 01, 2017 - Although
these difficult questions may vary across institutions, addressing such issues is critical
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
August 01, 2014 - streaking along skin) is rarely seen in NF
Use of clinical pathways may also help aid in diagnoses
Institutions
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-facilitator-guide.pdf
November 01, 2019 - Many institutions routinely obtain MRSA nasal
surveillance swabs.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - term “Just Culture” refers to a safety-supportive system of shared accountability in which health care institutions