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Showing results for "mechanism".

361. Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. | PSNet
     psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national
     December 18, 2017 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism

362. Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. | PSNet
     psnet.ahrq.gov/issue/unmasking-bias-artificial-intelligence-systematic-review-bias-detection-and-mitigation
     March 24, 2019 - June 19, 2019 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

363. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. | PSNet
     psnet.ahrq.gov/issue/target-focused-medical-emergency-team-training-using-human-patient-simulator-effects
     May 23, 2013 - April 5, 2023 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

364. Rates and types of events reported to established incident reporting systems in two US hospitals. | PSNet
     psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
     January 02, 2017 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism

365. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
     October 01, 2011 - Spotlight Case [MONTH] 2003 Spotlight Case Mobility Lost in the ICU * * Source and Credits This presentation is based on the October 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867022/psn-pdf
     October 30, 2024 - episodes of vomiting; age 65 years or older; amnesia for 30 minutes or more before impact; or a dangerous mechanism … had, the ED team would likely have interpreted sledding head-first into a tree without a helmet as a mechanism … blunt head trauma (with or without neurologic abnormalities at presentation) does not consider the mechanism

367. Anticoagulation: Held Too Long | PSNet
     psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
     April 01, 2008 - Anticoagulation: Held Too Long Citation Text: Dunn AS. Anticoagulation: Held Too Long. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49602/psn-pdf
     April 01, 2010 - Anticoagulation: Held Too Long April 1, 2010 Dunn AS. Anticoagulation: Held Too Long. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/anticoagulation-held-too-long The Case A 68-year-old woman with a history of mitral valve replacement with a mechanical valve was admitted with abdominal pain. Because of the…

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865309/psn-pdf
     May 29, 2024 - A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024 Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post- Tracheostomy Care. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-i…

370. Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. | PSNet
     psnet.ahrq.gov/issue/leaders-and-followers-individual-experiences-during-early-phase-simulation-based-team
     January 18, 2011 - November 13, 2009 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49856/psn-pdf
     March 01, 2019 - Premature Extubation March 1, 2019 Sagana R, Hyzy RC. Premature Extubation. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/premature-extubation The Case A 73-year-old woman with a history of carotid artery stenosis was admitted for an elective carotid endarterectomy. The procedure was initially thought to …

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33754/psn-pdf
     September 01, 2013 - However, currently in the debate, particularly in the US, just culture gets taken as a mechanism typically … , a mechanism for holding employees accountable for their role in adverse events, but not in such a

373. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
     February 26, 2025 - However, currently in the debate, particularly in the US, just culture gets taken as a mechanism typically … , a mechanism for holding employees accountable for their role in adverse events, but not in such a way

374. The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. | PSNet
     psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors
     February 15, 2012 - Study The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. Citation Text: Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates…

375. Acute Care Admission of the Behavioral Health Patient | PSNet
     psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
     July 19, 2023 - antipsychotics were developed, most with greater potency (including haloperidol), each with the presumed mechanism … Antidepressant discontinuation has been associated with higher rates of suicide, presumably via a serotonergic mechanism

376. Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. | PSNet
     psnet.ahrq.gov/issue/increased-catheter-related-bloodstream-infection-rates-after-introduction-new-mechanical
     February 07, 2022 - Study Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. Citation Text: Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanic…

377. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
     psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
     June 28, 2023 - SPOTLIGHT CASE A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care Citation Text: Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research…

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49722/psn-pdf
     December 01, 2014 - markets.(12) In other words, the medical device industry has an inadequate proactive surveillance mechanism … efficient knowledge market is needed in health care, which should include a systematic, organized mechanism

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49683/psn-pdf
     April 01, 2013 - antipsychotics were developed, most with greater potency (including haloperidol), each with the presumed mechanism … Antidepressant discontinuation has been associated with higher rates of suicide, presumably via a serotonergic mechanism

380. Premature Extubation | PSNet
     psnet.ahrq.gov/web-mm/premature-extubation
     May 25, 2011 - Premature Extubation Citation Text: Sagana R, Hyzy RC. Premature Extubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…