Results

Total Results: 1,799 records

Showing results for "mechanism".

241. 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

242. 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

243. 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

244. 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

245. 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

246. 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.

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. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867087/psn-pdf
     January 01, 2025 - The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms as second victims. November 6, 2024 Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechanisms as second victims. Am J Obs…

249. Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics. | PSNet
     psnet.ahrq.gov/issue/longitudinal-study-manifestations-and-mechanisms-technology-related-prescribing-errors
     January 18, 2023 - Study Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics. Citation Text: Raban MZ, Fitzpatrick E, Merchant A, et al. Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics.…

250. Parent willingness to remind health care workers to perform hand hygiene. | PSNet
     psnet.ahrq.gov/issue/parent-willingness-remind-health-care-workers-perform-hand-hygiene
     October 19, 2022 - testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism

251. 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

252. 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

253. Analysis of patient safety risk management call data during the COVID‐19 pandemic. | PSNet
     psnet.ahrq.gov/issue/analysis-patient-safety-risk-management-call-data-during-covid-19-pandemic
     February 16, 2022 - March 10, 2021 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

254. 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

255. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. | PSNet
     psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital
     April 26, 2023 - August 30, 2023 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

256. Comparing NICU teamwork and safety climate across two commonly used survey instruments. | PSNet
     psnet.ahrq.gov/issue/comparing-nicu-teamwork-and-safety-climate-across-two-commonly-used-survey-instruments
     November 20, 2019 - testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism

257. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? | PSNet
     psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infections-patients-inevitable-conditions-or-medical-malpractice
     June 23, 2021 - January 27, 2021 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

258. Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service | PSNet
     psnet.ahrq.gov/issue/uncovering-creating-or-constructing-problems-enacting-new-role-support-staff-who-raise
     September 29, 2021 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism

259. The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet
     psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
     March 10, 2021 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism

260. The Harvard Medical Practice Study trigger system performance in deceased patients. | PSNet
     psnet.ahrq.gov/issue/harvard-medical-practice-study-trigger-system-performance-deceased-patients
     March 02, 2022 - April 16, 2018 Healthcare professional and patient codesign and validation of a mechanism