Results

Total Results: 1,802 records

Showing results for "mechanism".

261. 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

262. 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

263. Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. | PSNet
     psnet.ahrq.gov/issue/scoping-review-second-victim-syndrome-among-surgeons-understanding-impact-responses-and
     March 24, 2019 - May 5, 2021 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

264. 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

265. 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

266. 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

267. 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

268. 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

269. 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

270. 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

271. 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

272. 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

273. Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience. | PSNet
     psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization
     March 24, 2019 - July 6, 2022 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

274. 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

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39409/psn-pdf
     March 31, 2010 - Learning mechanisms to limit medication administration errors. March 31, 2010 Drach-Zahavy A, Pud D. Learning mechanisms to limit medication administration errors. J Adv Nurs. 2010;66(4). doi:10.1111/j.1365-2648.2010.05294.x. https://psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors …

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35660/psn-pdf
     June 25, 2010 - Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. June 25, 2010 Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. In…

277. 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

278. 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

279. 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

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.