Results

Total Results: 1,802 records

Showing results for "mechanism".

241. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. | PSNet
     psnet.ahrq.gov/issue/error-disclosure-neonatal-intensive-care-multicentre-prospective-observational-study
     November 29, 2023 - testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism

242. Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. | PSNet
     psnet.ahrq.gov/issue/investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic
     October 18, 2023 - August 30, 2023 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840175/psn-pdf
     November 16, 2022 - Mechanical Prosthetic Valve Thrombosis with Thromboembolism. November 16, 2022 Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism The Case A 61-year-old woman presented to …

244. The role of communication in paediatric drug safety. | PSNet
     psnet.ahrq.gov/issue/role-communication-paediatric-drug-safety
     July 08, 2008 - November 26, 2014 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867701/psn-pdf
     August 01, 2017 - Toolkit To Improve Safety for Mechanically Ventilated Patients. August 1, 2017 Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated Patients. August 2017. https://psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients Patients requiring mechanica…

246. Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. | PSNet
     psnet.ahrq.gov/issue/description-and-evaluation-adaptations-global-trigger-tool-enhance-value-adverse-event
     November 23, 2014 - to address these limitations of the Global Trigger Tool, with the goal of developing a sustainable mechanism

247. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. | PSNet
     psnet.ahrq.gov/issue/evaluating-effect-safety-culture-error-reporting-comparison-managerial-and-staff-perspectives
     January 20, 2016 - Voluntary error reporting is a critical mechanism for identifying patient safety issues in an organization

248. Barcoded medication administration: a last line of defense. | PSNet
     psnet.ahrq.gov/issue/barcoded-medication-administration-last-line-defense
     November 06, 2015 - Barcoding technology is recognized as a mechanism to prevent adverse drug events , but unintended

249. Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients. | PSNet
     psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
     August 20, 2018 - Incident reporting systems are a different mechanism to learn about adverse events (AEs) and potentially

250. Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. | PSNet
     psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant
     November 25, 2009 - important safety problems, there was little overlap in the types of events identified with each reporting mechanism

251. Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. | PSNet
     psnet.ahrq.gov/issue/workarounds-barcode-medication-administration-systems-their-occurrences-causes-and-threats
     November 30, 2011 - Bar code technology is being rapidly adopted as a mechanism to prevent adverse drug events , but warnings

252. Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. | PSNet
     psnet.ahrq.gov/issue/effects-nurse-staffing-and-nurse-education-patient-deaths-hospitals-different-nurse-work
     November 21, 2018 - This study explores the mechanism by which reducing patient-to-nurse ratios improves outcomes.

253. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. | PSNet
     psnet.ahrq.gov/issue/nature-and-timing-incidents-intercepted-surpass-checklist-surgical-patients
     September 20, 2011 - However, the mechanism by which checklists improve outcomes is not entirely clear.

254. Healthcare failure mode and effect analysis in the chemotherapy preparation process. | PSNet
     psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
     March 09, 2022 - August 19, 2020 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

255. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. | PSNet
     psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
     March 30, 2022 - November 13, 2019 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

256. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. | PSNet
     psnet.ahrq.gov/issue/assessment-use-patient-vital-sign-data-preventing-misidentification-and-medical-errors
     February 16, 2022 - March 16, 2022 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

257. Patient safety culture in care homes for older people: a scoping review. | PSNet
     psnet.ahrq.gov/issue/patient-safety-culture-care-homes-older-people-scoping-review
     January 08, 2020 - August 3, 2017 Healthcare professional and patient codesign and validation of a mechanism

258. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. | PSNet
     psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
     August 09, 2023 - August 28, 2024 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

259. Advancing health equity in patient safety: a reckoning, challenge and opportunity. | PSNet
     psnet.ahrq.gov/issue/advancing-health-equity-patient-safety-reckoning-challenge-and-opportunity
     February 23, 2022 - July 24, 2017 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

260. Antidepressant and antipsychotic medication errors reported to United States poison control centers. | PSNet
     psnet.ahrq.gov/issue/antidepressant-and-antipsychotic-medication-errors-reported-united-states-poison-control
     March 24, 2021 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism