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Showing results for "mechanisms".

141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35251/psn-pdf
     April 06, 2011 - Finally, the authors provide mechanisms by which health care teams can achieve high-reliability status

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45691/psn-pdf
     January 11, 2017 - Participants acknowledged the emotional impact of adverse events on clinicians and the need for formal mechanisms

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46761/psn-pdf
     February 14, 2018 - and system issues is necessary to design interventions that enhance practitioner use of reporting mechanisms

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47618/psn-pdf
     January 30, 2019 - culture of safety affects pediatric critical care delivery and highlights collaboratives as effective mechanisms

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37077/psn-pdf
     October 03, 2011 - Clinicians used a variety of mechanisms to establish "cooperative conditioning," a shared understanding

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43769/psn-pdf
     December 17, 2014 - incident reporting, as expected given the known under-reporting in all voluntary safety reporting mechanisms

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44276/psn-pdf
     July 08, 2015 - An AHRQ WebM&M perspective spotlights state reporting programs as mechanisms to augment patient safety

148. One doctor. 25 deaths. How could it have happened? | PSNet
     psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
     November 06, 2019 - protections such as automated medicine cabinet overrides, practice audits and reporting and feedback mechanisms

149. Pump up the volume—tips for increasing error reporting. | PSNet
     psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
     March 14, 2023 - the success of incident reporting programs: trustworthiness, confidentiality, ease of use, reward mechanisms

150. AHA Patient Safety Initiative. | PSNet
     psnet.ahrq.gov/issue/aha-patient-safety-initiative
     April 15, 2021 - Educational mechanisms include collaboratives, videos and "Safety Speaks" podcasts.  

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46060/psn-pdf
     October 31, 2017 - The authors suggest that hospitals consider additional peer support mechanisms.

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45159/psn-pdf
     June 15, 2016 - The authors suggest enhanced use of monitoring mechanisms and alternative therapies to promote safer

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39856/psn-pdf
     December 21, 2014 - ambulatory safety and suggests strategies for addressing common sources of error, including improved mechanisms

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37995/psn-pdf
     September 19, 2016 - A prior study reported on preventive mechanisms that have been implemented at VA hospitals to reduce

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37585/psn-pdf
     April 29, 2010 - An AHRQ WebM&M commentary discusses a case of a PCA overdose and the mechanisms to promote its safe

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35805/psn-pdf
     January 02, 2017 - literacy of the board, techniques to frame an agenda for quality in regular discussions, and suggested mechanisms

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44225/psn-pdf
     June 17, 2015 - reading the work of Daniel Kahneman, the Nobel Prize–winning psychologist whose research established the mechanisms

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43878/psn-pdf
     February 04, 2015 - suggests that efforts to improve reporting focus on identifying the root causes of impairment to provide mechanisms

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45256/psn-pdf
     July 01, 2017 - study method, this commentary describes a tested incident assessment framework that employs charting mechanisms

160. Disconnected. | PSNet
     psnet.ahrq.gov/issue/disconnected
     February 03, 2011 - narrative illustrates potential dangers and delays that may result from inadequate confirmation of contact mechanisms