Results

Total Results: 1,799 records

Showing results for "mechanism".

201. Impact of a comprehensive patient safety strategy on obstetric adverse events. | PSNet
     psnet.ahrq.gov/issue/impact-comprehensive-patient-safety-strategy-obstetric-adverse-events
     October 20, 2014 - teamwork training , standardization of care protocols, and establishment of a robust quality assurance mechanism

202. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. | PSNet
     psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
     June 15, 2011 - Incident reporting (IR) systems serve as an important mechanism to understand, analyze, and potentially

203. How event reporting by US hospitals has changed from 2005 to 2009. | PSNet
     psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
     April 21, 2010 - reporting system rests on four key components , including a supportive safety culture and an effective mechanism

204. Systems errors versus physicians' errors: finding the balance in medical education. | PSNet
     psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-balance-medical-education
     October 12, 2012 - The movement to systems thinking as a mechanism to reduce errors poses unique challenges in academic

205. Autopsy as a quality control measure for radiology, and vice versa. | PSNet
     psnet.ahrq.gov/issue/autopsy-quality-control-measure-radiology-and-vice-versa
     April 24, 2018 - advocate for routinely comparing pathologic and radiologic diagnoses as a mutual quality assurance mechanism

206. Anatomic pathology databases and patient safety. | PSNet
     psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
     April 08, 2008 - The process outlined resembles in many ways the efforts of reporting systems in general as a mechanism

207. A new safety event reporting system improves physician reporting in the surgical intensive care unit. | PSNet
     psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit
     August 02, 2011 - Given the emphasis on reporting systems, the authors suggest this as an alternative mechanism to encourage

208. Improving the bar-coded medication administration system at the Department of Veterans Affairs. | PSNet
     psnet.ahrq.gov/issue/improving-bar-coded-medication-administration-system-department-veterans-affairs
     November 18, 2009 - study is part of a series that describes approaches to true management problems in health systems as a mechanism

209. Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging. | PSNet
     psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians
     February 03, 2011 - authors discuss the lack of standardization in this process, the current views on recertification as a mechanism

210. Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety. | PSNet
     psnet.ahrq.gov/issue/using-patient-safety-morbidity-and-mortality-conferences-promote-transparency-and-culture
     March 28, 2011 - Even when errors are discussed, learning opportunities may be limited due to lack of a formal mechanism

211. Are verbal orders a threat to patient safety? | PSNet
     psnet.ahrq.gov/issue/are-verbal-orders-threat-patient-safety
     July 31, 2008 - However, VOs also provide a seemingly necessary mechanism to care for patients when providers are in

212. A comprehensive obstetric patient safety program reduces liability claims and payments. | PSNet
     psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and-payments
     June 22, 2017 - involved teamwork training , standardizing care protocols, and establishing a robust quality assurance mechanism

213. Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England. | PSNet
     psnet.ahrq.gov/issue/are-more-experienced-clinicians-better-able-tolerate-uncertainty-and-manage-risks-vignette
     March 08, 2023 - An accompanying editorial suggests that feedback is an important mechanism for improving confidence in

214. 'Care left undone' during nursing shifts: associations with workload and perceived quality of care. | PSNet
     psnet.ahrq.gov/issue/care-left-undone-during-nursing-shifts-associations-workload-and-perceived-quality-care
     July 19, 2019 - consistently been associated with adverse effects on patient safety and inpatient mortality , but the mechanism

215. Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. | PSNet
     psnet.ahrq.gov/issue/biases-detection-apparent-weekend-effect-outcome-administrative-coding-data-population-based
     September 23, 2020 - While the mechanism for this effect is unclear, it likely varies for different disease processes.

216. The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals. | PSNet
     psnet.ahrq.gov/issue/quality-hospital-work-environments-and-missed-nursing-care-linked-heart-failure-readmissions
     September 09, 2020 - One proposed mechanism to explain this relationship is missed nursing care .

217. Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. | PSNet
     psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical
     March 29, 2023 - complications did not decrease, but postoperative mortality improved, raising questions about what mechanism

218. Bedside computer vision—moving artificial intelligence from driver assistance to patient safety. | PSNet
     psnet.ahrq.gov/issue/bedside-computer-vision-moving-artificial-intelligence-driver-assistance-patient-safety
     December 01, 2021 - September 23, 2020 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

219. Diagnostic errors and temporal stability in bipolar disorder. | PSNet
     psnet.ahrq.gov/issue/diagnostic-errors-and-temporal-stability-bipolar-disorder
     March 09, 2022 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism

220. Adaptive regulation or governmentality: patient safety and the changing regulation of medicine. | PSNet
     psnet.ahrq.gov/issue/adaptive-regulation-or-governmentality-patient-safety-and-changing-regulation-medicine
     December 09, 2020 - August 3, 2017 Healthcare professional and patient codesign and validation of a mechanism