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psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
March 22, 2017 - June 23, 2010
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
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psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident
September 11, 2024 - August 3, 2017
Healthcare professional and patient codesign and validation of a mechanism
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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
…
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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - It is essential to
explore the mechanism involved before concluding that it is a cause–effect relationship … According to this theory, missed care is a key mechanism
https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
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psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
July 17, 2024 - August 3, 2017
Healthcare professional and patient codesign and validation of a mechanism
-
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…
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - communication (between medical/surgical
services as well as with ancillary services) is an important
mechanism … Mechanism of hypokalemia in magnesium deficiency. J Am Soc Nephrol. 2007;18(10):2649-2652.
7.
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psnet.ahrq.gov/issue/changes-unprofessional-behaviour-teamwork-and-co-operation-among-hospital-staff-during-covid
January 31, 2024 - August 19, 2020
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
-
psnet.ahrq.gov/issue/how-context-affects-electronic-health-record-based-test-result-follow-mixed-methods
April 04, 2011 - remain in the ordering providers' inbox for at least 14 days, only about 70% of facilities had some mechanism
-
psnet.ahrq.gov/node/43620/psn-pdf
October 29, 2014 - Error in intensive care: psychological repercussions and
defense mechanisms among health professionals.
October 29, 2014
Laurent A, Aubert L, Chahraoui K, et al. Error in intensive care: psychological repercussions and defense
mechanisms among health professionals. Crit Care Med. 2014;42(11):2370-8.
doi:10.1097/CC…
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psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation
June 18, 2013 - testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism
-
psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic
March 09, 2009 - April 12, 2019
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
-
psnet.ahrq.gov/issue/social-capital-and-knowledge-sharing-effects-patient-safety
September 15, 2011 - October 20, 2010
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
-
psnet.ahrq.gov/issue/paediatric-dosing-errors-and-after-electronic-prescribing
February 13, 2008 - August 30, 2023
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
-
psnet.ahrq.gov/issue/designing-and-implementing-comprehensive-quality-and-patient-safety-management-model-paradigm
March 01, 2011 - testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism
-
psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors
September 27, 2017 - July 23, 2012
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
-
psnet.ahrq.gov/issue/tipping-point-relationship-between-volume-and-patient-harm
September 10, 2014 - Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism
-
psnet.ahrq.gov/issue/methicillin-resistant-staphylococcus-aureus-disease-three-communities
July 03, 2014 - February 10, 2021
Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism
-
psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse
September 04, 2016 - April 8, 2020
Healthcare professional and patient codesign and validation of a mechanism
-
psnet.ahrq.gov/issue/review-medication-administration-errors-reported-large-psychiatric-hospital-united-kingdom
September 27, 2017 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism