Results

Total Results: 1,802 records

Showing results for "mechanism".

141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38761/psn-pdf
     July 15, 2009 - effect-bar-code-assisted-medication-administration-medication-administration- errors-and Bar coding technology is being rapidly adopted as a mechanism

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45190/psn-pdf
     February 15, 2017 - While the mechanism for this effect is unclear, it likely varies for different disease processes.

143. Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations. | PSNet
     psnet.ahrq.gov/issue/speaking-about-patient-perceived-serious-visit-note-errors-patient-and-family-experiences-and
     February 15, 2023 - ambulatory care notes reported it, but identified several barriers to reporting (e.g. no clear reporting mechanism

144. Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet
     psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital
     November 16, 2022 - application of root cause analysis, coupled with implementation of process changes, can serve as a powerful mechanism

145. Real time patient safety audits: improving safety every day. | PSNet
     psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
     April 14, 2021 - advocate for greater application of safety and error prevention methods into routine clinical work as a mechanism

146. Organisational reporting and learning systems: innovating inside and outside of the box. | PSNet
     psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside-box
     July 22, 2020 - reports, an internal organizational approach operated by local teams and an external social media mechanism

147. Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. | PSNet
     psnet.ahrq.gov/issue/perceptions-and-attitudes-pediatricians-and-families-regard-pediatric-medication-errors-home
     August 11, 2021 - knowledge as the main contributor to medication errors, and most pediatricians supported the idea of a mechanism

148. Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. | PSNet
     psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
     March 11, 2020 - RCA) as a safety improvement tool has been called into question , as many institutions lack a formal mechanism

149. Label design affects medication safety in an operating room crisis: a controlled simulation study. | PSNet
     psnet.ahrq.gov/issue/label-design-affects-medication-safety-operating-room-crisis-controlled-simulation-study
     April 24, 2018 - Efforts toward standardization , such as with wristband use and drug labeling , remain an important mechanism

150. The value of library and information services in patient care: results of a multisite study. | PSNet
     psnet.ahrq.gov/issue/value-library-and-information-services-patient-care-results-multisite-study
     April 24, 2018 - Physicians and nurses both found access to library information services to be an important patient safety mechanism

151. A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. | PSNet
     psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary
     January 21, 2015 - This study reports on an effort to develop a mechanism for prospectively identifying latent hazards in

152. The value of inking breast cores to reduce specimen mix-up. | PSNet
     psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
     January 14, 2011 - The authors describe a tissue specimen marking mechanism that helped identify discrepancies that could

153. Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. | PSNet
     psnet.ahrq.gov/issue/guidance-patient-safety-ophthalmology-royal-college-ophthalmologists
     November 12, 2014 - safe delivery of ophthalmology services in the United Kingdom and discusses an effective reporting mechanism

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42482/psn-pdf
     January 15, 2014 - consistently been associated with adverse effects on patient safety and inpatient mortality, but the mechanism

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43712/psn-pdf
     December 03, 2014 - remain in the ordering providers' inbox for at least 14 days, only about 70% of facilities had some mechanism

156. Struggling to invent high-reliability organizations in health care settings: insights from the field. | PSNet
     psnet.ahrq.gov/issue/struggling-invent-high-reliability-organizations-health-care-settings-insights-field
     October 02, 2019 - All organizations reported difficulty in implementing initiatives, primarily due to lack of a mechanism

157. Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet
     psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
     July 26, 2023 - this commentary argues for greater attention toward compensation for victims of medical errors as a mechanism

158. Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas. | PSNet
     psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-administration-errors-and
     October 26, 2022 - Bar coding technology is being rapidly adopted as a mechanism to prevent adverse events, including

159. Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis. | PSNet
     psnet.ahrq.gov/issue/telediagnosis-acute-care-implications-quality-and-safety-diagnosis
     January 11, 2017 - Telehealth is becoming a standard care mechanism due to COVID-19 concerns .

160. Decreasing errors in pediatric continuous intravenous infusions. | PSNet
     psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
     January 06, 2017 - This study demonstrated the effectiveness of a voluntary Web-based calculator as a mechanism to reduce