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Total Results: 1,799 records

Showing results for "mechanism".

261. An examination of Leapfrog safety measures and Magnet designation. | PSNet
     psnet.ahrq.gov/issue/examination-leapfrog-safety-measures-and-magnet-designation
     January 27, 2021 - the Same Author(s) Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

262. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. | PSNet
     psnet.ahrq.gov/issue/policy-and-practice-use-root-cause-analysis-investigate-clinical-adverse-events-mind-gap
     December 09, 2020 - August 3, 2017 Healthcare professional and patient codesign and validation of a mechanism

263. 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

264. 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

265. Race differences in reported "near miss" patient safety events in health care system high reliability organizations. | PSNet
     psnet.ahrq.gov/issue/race-differences-reported-near-miss-patient-safety-events-health-care-system-high-reliability
     March 01, 2023 - Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism

266. 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

267. Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals. | PSNet
     psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
     May 19, 2021 - November 17, 2021 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

268. 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

269. 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

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838312/psn-pdf
     October 12, 2022 - Causes of adverse events in home mechanical ventilation: a nursing perspective. October 12, 2022 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. https://psnet.ahrq.gov/issue/causes-a…

271. 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 …

272. 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…

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855433/psn-pdf
     November 15, 2023 - Room for resilience: a qualitative study about accountability mechanisms in the relation between work- as-done (WAD) and work-as-imagined (WAI) in hospitals. November 15, 2023 Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability mechanisms in the relation bet…

274. An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. | PSNet
     psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
     September 27, 2017 - September 27, 2017 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

275. Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. | PSNet
     psnet.ahrq.gov/issue/electronic-prescribing-reduced-prescribing-errors-pediatric-renal-outpatient-clinic
     July 08, 2008 - June 3, 2020 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

276. Annals Clinical Decision Making: avoiding cognitive errors in clinical decision making. | PSNet
     psnet.ahrq.gov/issue/annals-clinical-decision-making-avoiding-cognitive-errors-clinical-decision-making
     May 25, 2016 - testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism

277. Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety. | PSNet
     psnet.ahrq.gov/issue/tapping-front-line-knowledge-identifying-problems-they-occur-helps-enhance-patient-safety
     July 21, 2009 - Citation Related Resources From the Same Author(s) Standardization as a mechanism

278. One intensive care nursery's experience with enhancing patient safety. | PSNet
     psnet.ahrq.gov/issue/one-intensive-care-nurserys-experience-enhancing-patient-safety
     June 21, 2006 - testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism

279. Applying the Toyota Production System: using a patient safety alert system to reduce error. | PSNet
     psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
     June 21, 2015 - testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism

280. How to avoid the 'seven deadly sins of surgery.' | PSNet
     psnet.ahrq.gov/issue/how-avoid-seven-deadly-sins-surgery
     June 17, 2014 - June 27, 2018 Standardization as a mechanism to improve safety in health care.