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psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care
January 05, 2017 - Study
Standardization as a mechanism to improve safety in health care. … Standardization as a mechanism to improve safety in health care. … Standardization as a mechanism to improve safety in health care.
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psnet.ahrq.gov/issue/near-miss-transcription-errors-comparison-reporting-rates-between-novel-error-reporting
January 31, 2018 - Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism … Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism … transcription errors between a hospital's formal reporting system and a passive error identification mechanism … As with prior studies of incident reporting systems, the formal reporting mechanism identified fewer … Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism
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psnet.ahrq.gov/node/72682/psn-pdf
January 27, 2021 - Healthcare failure mode and effect analysis (HFMEA) as
an effective mechanism in preventing infection … Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effective
Mechanism in Preventing Infection … https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-hfmea-effective-mechanism- … https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-hfmea-effective-mechanism-preventing-infection … https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-hfmea-effective-mechanism-preventing-infection
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psnet.ahrq.gov/node/45451/psn-pdf
October 05, 2016 - Healthcare professional and patient codesign and
validation of a mechanism for service users to feedback … Healthcare professional and patient codesign and validation of a
mechanism for service users to feedback … https://psnet.ahrq.gov/issue/healthcare-professional-and-patient-codesign-and-validation-mechanism- … https://psnet.ahrq.gov/issue/healthcare-professional-and-patient-codesign-and-validation-mechanism-service-users-feedback … https://psnet.ahrq.gov/issue/healthcare-professional-and-patient-codesign-and-validation-mechanism-service-users-feedback
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psnet.ahrq.gov/node/43983/psn-pdf
February 05, 2016 - Near-miss transcription errors: a comparison of reporting
rates between a novel error-reporting mechanism … Near-miss transcription errors: a comparison of reporting rates
between a novel error-reporting mechanism … transcription errors between a
hospital's formal reporting system and a passive error identification mechanism … As with prior studies of incident reporting systems, the formal reporting mechanism identified
fewer
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psnet.ahrq.gov/issue/market-based-control-mechanisms-patient-safety
June 30, 2010 - Pay for performance (P4P) initiatives have also captured national attention as a mechanism to tie financial
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psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients
October 01, 2024 - Toolkit
Toolkit To Improve Safety for Mechanically Ventilated Patients.
Citation Text:
Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated Patients. August 2017.
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psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide
June 22, 2022 - Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism … Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism … Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism
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psnet.ahrq.gov/issue/healthcare-professional-and-patient-codesign-and-validation-mechanism-service-users-feedback
January 08, 2020 - Study
Healthcare professional and patient codesign and validation of a mechanism … Healthcare professional and patient codesign and validation of a mechanism for service users to feedback … Healthcare professional and patient codesign and validation of a mechanism for service users to feedback
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psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-hfmea-effective-mechanism-preventing-infection
April 05, 2023 - Study
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism … Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effective Mechanism in Preventing Infection … Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effective Mechanism in Preventing Infection
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psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool-cpert
May 25, 2016 - testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism … Testing of the Coordination Process Error Reporting Tool (CPERT), a Prospective Clinical Surveillance Mechanism … Testing of the Coordination Process Error Reporting Tool (CPERT), a Prospective Clinical Surveillance Mechanism
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psnet.ahrq.gov/issue/identifying-and-reducing-medication-errors-psychiatry-creating-culture-safety-through-use
September 27, 2017 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism … medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism … medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism
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psnet.ahrq.gov/node/866111/psn-pdf
June 12, 2024 - nurse use of a standardized flowsheet to document
communication with advanced providers provide a
mechanism … nurse use of a standardized flowsheet to document
communication with advanced providers provide a mechanism
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psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
November 16, 2022 - Rapid teamwork has been highlighted as a mechanism to enhance response to patient deterioration, assess … This commentary discusses the development and implementation of the SWARM tool—a unit-based mechanism
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psnet.ahrq.gov/issue/utah-doh-patient-safety-initiatives
November 21, 2016 - adverse drug event (ADE) reporting tool, state administrative rules related to safety, and a complaints mechanism … March 20, 2017
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
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psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-management-and-prevention
August 04, 2021 - Review
Failed spinal anaesthesia: mechanisms, management, and prevention.
Citation Text:
Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096.
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psnet.ahrq.gov/node/37277/psn-pdf
July 28, 2010 - drug-selection-errors-relation-medication-labels-simulation-study
Efforts toward standardization remain an important mechanism … drug-selection-errors-relation-medication-labels-simulation-study
https://psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care
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psnet.ahrq.gov/node/45708/psn-pdf
October 31, 2017 - testing of the Coordination
Process Error Reporting Tool (CPERT), a prospective
clinical surveillance mechanism … Testing of the Coordination Process Error
Reporting Tool (CPERT), a Prospective Clinical Surveillance Mechanism
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psnet.ahrq.gov/node/44616/psn-pdf
November 04, 2015 - development-swarm-model-high-reliability-rapid-problem-solving-and-
institutional-learning
Rapid teamwork has been highlighted as a mechanism … This commentary discusses the
development and implementation of the SWARM tool—a unit-based mechanism
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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - Mechanical Prosthetic Valve Thrombosis with Thromboembolism.
Citation Text:
Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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