Results

Total Results: 1,802 records

Showing results for "mechanism".

201. 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

202. Video capture of clinical care to enhance patient safety. | PSNet
     psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety
     March 28, 2012 - This video technique may provide a necessary mechanism to study the complex interplay of systems, individuals

203. 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

204. Drug administration errors in an institution for individuals with intellectual disability: an observational study. | PSNet
     psnet.ahrq.gov/issue/drug-administration-errors-institution-individuals-intellectual-disability-observational
     October 18, 2023 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism

205. 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

206. 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

207. 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

208. 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

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. 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

211. 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

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. 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

214. 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

215. '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

216. 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.

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. 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 .

219. The role of failure mode and effects analysis in health care. | PSNet
     psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
     December 22, 2021 - March 17, 2021 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

220. 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals lure patients back in COVID-19 era. | PSNet
     psnet.ahrq.gov/issue/im-smiling-under-here-masks-plexiglass-and-questions-norm-hospitals-lure-patients-back-covid
     June 24, 2020 - June 24, 2020 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism