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Showing results for "mechanisms".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37562/psn-pdf
     June 14, 2011 - This would require greater collaboration among relevant national stakeholders to develop and share mechanisms

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41119/psn-pdf
     July 03, 2016 - Despite this sobering fact, a recent review found virtually no proven mechanisms for detecting or preventing

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38010/psn-pdf
     August 27, 2008 - indicated that this tool successfully identified adverse outcomes that had not been reported through other mechanisms

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35752/psn-pdf
     December 23, 2012 - is used as background for exploration of the concept of errors, defining preventable ones, and the mechanisms

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35229/psn-pdf
     January 02, 2017 - at each institution, descriptions of data collection methods, and graphic illustration of feedback mechanisms

186. Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say. | PSNet
     psnet.ahrq.gov/issue/cyberattack-led-harrowing-lapses-ascension-hospitals-clinicians-say
     March 06, 2024 - the impact of the system shutdowns on access to patient records, communication systems, and safety mechanisms

187. Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | PSNet
     psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
     October 23, 2024 - study method, this commentary describes a tested incident assessment framework that employs charting mechanisms

188. Improved obstetric safety through programmatic collaboration. | PSNet
     psnet.ahrq.gov/issue/improved-obstetric-safety-through-programmatic-collaboration
     September 23, 2020 - online course for electronic fetal monitoring, provided team training , and incorporated feedback mechanisms

189. Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. | PSNet
     psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety-concerns
     December 09, 2020 - report examined the process of monitoring military clinician practice to assure it is safe , reporting mechanisms

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34804/psn-pdf
     January 05, 2017 - The authors conclude that voluntary reporting mechanisms will capture only a small fraction of ADEs

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41942/psn-pdf
     July 24, 2017 - including proactive risk identification, frequent multidisciplinary huddles, and implementation of mechanisms

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38366/psn-pdf
     January 28, 2009 - benchmarking-surgical-incident-reports-using-database-and-triage-system- reduce-adverse The utility of incident reports is limited by lack of standardized mechanisms

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44710/psn-pdf
     May 09, 2017 - vulnerabilities-computerized-physician-order-entry-systems-qualitative-study Electronic health record implementation has improved safety through mechanisms

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35737/psn-pdf
     July 15, 2010 - shepherding-change-how-market-healthcare-providers-and-public-policy-can- deliver-quality-care This commentary discusses broad mechanisms

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41860/psn-pdf
     November 28, 2012 - transitions, including readmissions and adverse events after discharge, understanding of the basic mechanisms

196. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
     February 26, 2025 - I find it fascinating that the enthusiasm for just culture algorithms or mechanisms has grown on the … finding is that those at the top of the hierarchy, doctors typically, find outcomes of the just culture mechanisms … Those are a few indications that the mechanisms that we think are innocent and neutral contributors to … They will likely have mechanisms in place to track where they come from and how they are dealt with operationally … But this blew me away, they asked, "So what mechanisms does the hospital have in place to deal with the

197. Prone to error: earliest steps to find cancer. | PSNet
     psnet.ahrq.gov/issue/prone-error-earliest-steps-find-cancer
     March 09, 2011 - of pathology for early stages of disease and ductal carcinoma in situ has experts debating the best mechanisms

198. SOPS Surveys. | PSNet
     psnet.ahrq.gov/issue/sops-surveys
     December 24, 2008 - Surveys are established mechanisms for organizational assessment of safety culture .

199. Complications: acknowledging, managing, and coping with human error. | PSNet
     psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
     March 13, 2024 - reluctant to disclose error , such as shame , insufficient disclosure skills, and inadequate coping mechanisms

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45207/psn-pdf
     August 17, 2016 - unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital- unit-types Incident reporting systems and root cause analyses remain the main mechanisms