Results

Total Results: 1,802 records

Showing results for "mechanism".

121. Using the medication error prioritization system to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety
     May 01, 2020 - The use of incident reports as a mechanism for organizational safety efforts has had mixed results

122. The trainee's voice: recognising the importance of preoperative briefings for surgical trainees. | PSNet
     psnet.ahrq.gov/issue/trainees-voice-recognising-importance-preoperative-briefings-surgical-trainees
     October 09, 2019 - This commentary describes an initiative to improve the use of preoperative briefings as a training mechanism

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37757/psn-pdf
     March 10, 2011 - workarounds-barcode-medication-administration-systems-their-occurrences- causes-and-threats Bar code technology is being rapidly adopted as a mechanism

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45380/psn-pdf
     November 11, 2016 - Incorporating interactive learning platforms may provide an effective mechanism for engaging students

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36163/psn-pdf
     September 29, 2010 - study is part of a series that describes approaches to true management problems in health systems as a mechanism

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35748/psn-pdf
     February 02, 2011 - authors discuss the lack of standardization in this process, the current views on recertification as a mechanism

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36013/psn-pdf
     September 22, 2010 - Given the emphasis on reporting systems, the authors suggest this as an alternative mechanism to encourage

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43447/psn-pdf
     November 20, 2015 - evaluating-effect-safety-culture-error-reporting-comparison-managerial-and- staff-perspectives Voluntary error reporting is a critical mechanism

129. Rating hospitals by the stars: the feds' latest plan to measure quality is the most controversial. | PSNet
     psnet.ahrq.gov/issue/rating-hospitals-stars-feds-latest-plan-measure-quality-most-controversial
     May 11, 2016 - This news article discusses problems with the Centers for Medicare and Medicaid Services rating mechanism

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43915/psn-pdf
     September 27, 2017 - One proposed mechanism to explain this relationship is missed nursing care.

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39213/psn-pdf
     October 03, 2017 - Even when errors are discussed, learning opportunities may be limited due to lack of a formal mechanism

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42023/psn-pdf
     May 25, 2013 - to address these limitations of the Global Trigger Tool, with the goal of developing a sustainable mechanism

133. In Conversation With… Maureen Bisognano | PSNet
     psnet.ahrq.gov/perspective/conversation-maureen-bisognano
     February 26, 2025 - Context + Mechanism = Outcome. … In other words, the culture and context matter, the leaders matter, and the mechanism is the change concept—it's … Hence, the theory was that if you understood your culture and you had a mechanism that you could try … For me quality improvement is about leaders understanding their local context, it's taking the mechanism … attention to that outcome so that you're watching every day or every week—in this particular ICU is this mechanism

134. Physicians' responses to clinical decision support on an intensive care unit—comparison of four different alerting methods. | PSNet
     psnet.ahrq.gov/issue/physicians-responses-clinical-decision-support-intensive-care-unit-comparison-four-different
     February 14, 2024 - This study found that pop-up alerts appeared to be the most effective mechanism for presenting clinical

135. WebAIRS Anesthesia Incident Reporting System. | PSNet
     psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
     November 10, 2011 - This website serves as a secure mechanism for submitting  incident reports  to a centralized system for

136. Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
     November 21, 2016 - Lessons learned include the value of engaging leadership , utilizing debriefing as a learning mechanism

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39790/psn-pdf
     March 21, 2017 - important safety problems, there was little overlap in the types of events identified with each reporting mechanism

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38585/psn-pdf
     April 30, 2014 - Incident reporting systems are a different mechanism to learn about adverse events (AEs) and potentially

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45116/psn-pdf
     February 15, 2017 - complications did not decrease, but postoperative mortality improved, raising questions about what mechanism

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43279/psn-pdf
     October 20, 2014 - involved teamwork training, standardizing care protocols, and establishing a robust quality assurance mechanism