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Total Results: 1,802 records

Showing results for "mechanism".

161. Using a bar-coded medication administration system to prevent medication errors in a community hospital network. | PSNet
     psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital
     October 01, 2008 -  six hospitals and found that point-of-care bar-coding was an effective medication error prevention mechanism

162. Sensemaking of patient safety risks and hazards. | PSNet
     psnet.ahrq.gov/issue/sensemaking-patient-safety-risks-and-hazards
     March 03, 2011 - This commentary discusses the concept of " sensemaking " as a mechanism to better understand and mitigate

163. A prospective study of patient safety in the operating room. | PSNet
     psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
     July 25, 2012 - The authors suggest this methodology may provide an effective mechanism to identify patient safety issues

164. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. | PSNet
     psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
     March 11, 2013 - Rapid response systems function within a variety of structures, but they ultimately remain a mechanism

165. Using morbidity and mortality conferences to drive quality improvement and reduce errors. | PSNet
     psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-reduce-errors
     February 04, 2015 - Morbidity and mortality (M&M) conferences are an established mechanism used to facilitate discussion

166. Drug selection errors in relation to medication labels: a simulation study. | PSNet
     psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-labels-simulation-study
     January 14, 2009 - Efforts toward standardization remain an important mechanism to address safety issues, such as with

167. The underappreciated role of habit in highly reliable healthcare. | PSNet
     psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-healthcare
     April 25, 2016 - This commentary examines habit as a mechanism to ensure that high performance practices are applied routinely

168. Ambulatory care visits for treating adverse drug effects in the United States, 1995-2001. | PSNet
     psnet.ahrq.gov/issue/ambulatory-care-visits-treating-adverse-drug-effects-united-states-1995-2001
     April 03, 2005 - were not statistically significant, the authors conclude that their findings and methods may offer a mechanism

169. Tips for Safer Surgery. | PSNet
     psnet.ahrq.gov/issue/tips-safer-surgery
     December 22, 2021 - February 6, 2025 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

170. Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme. | PSNet
     psnet.ahrq.gov/issue/electronic-prescribing-systems-hospitals-improve-medication-safety-multi-methods-research
     November 09, 2022 - Electronic prescribing (e-prescribing) is an established medication error reduction mechanism.

171. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. | PSNet
     psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review
     August 10, 2022 - Examining the proposed use of hospital-acquired harm as a ranking mechanism in the United Kingdom

172. Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. | PSNet
     psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods
     December 07, 2022 - Barcode medication administration (BCMA) is a mechanism to prevent adverse medication events, but unintended

173. Investigation of mental and physical health of nurses associated with errors in clinical practice. | PSNet
     psnet.ahrq.gov/issue/investigation-mental-and-physical-health-nurses-associated-errors-clinical-practice
     September 21, 2022 - Resilience was associated with all aspects of general health and can be a helpful coping mechanism to

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42745/psn-pdf
     October 31, 2014 - The mechanism for this finding is unknown and could be due to health care system factors (i.e., lower

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38825/psn-pdf
     October 12, 2009 - implementation-mandatory-checklist-protocols-and-objectives-improves-compliance-wide-range https://psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33787/psn-pdf
     January 01, 2018 - Context + Mechanism = Outcome. … In other words, the culture and context matter, the leaders matter, and the mechanism is the change … 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

177. Causes of adverse events in home mechanical ventilation: a nursing perspective. | PSNet
     psnet.ahrq.gov/issue/causes-adverse-events-home-mechanical-ventilation-nursing-perspective
     November 10, 2021 - Study Causes of adverse events in home mechanical ventilation: a nursing perspective. Citation Text: Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2. Copy…

178. Patient-reported safety and quality of care in outpatient oncology. | PSNet
     psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpatient-oncology
     January 23, 2012 - This study assessed the ability of patients to detect medical errors through an innovative mechanism

179. Interception of potential adverse drug events in long-term psychiatric care units. | PSNet
     psnet.ahrq.gov/issue/interception-potential-adverse-drug-events-long-term-psychiatric-care-units
     May 31, 2023 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism

180. Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital. | PSNet
     psnet.ahrq.gov/issue/patient-deaths-arbour-health-systems-westwood-lodge-hospital-and-pembroke-hospital
     May 24, 2023 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism