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psnet.ahrq.gov/node/46932/psn-pdf
April 22, 2018 - Mary Dixon-Woods discussed the evolving understanding of safety culture and recent insights into
mechanisms
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psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
August 10, 2016 - Patients and clinicians can make medication administration mistakes when new drug delivery mechanisms
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psnet.ahrq.gov/issue/drivers-unprofessional-behaviour-between-staff-acute-care-hospitals-realist-review
July 24, 2024 - The authors present a program theory of contexts, mechanisms, and outcomes.
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psnet.ahrq.gov/issue/learning-accountability-patient-outcomes
July 01, 2017 - discusses efforts to reduce central line blood stream infections and questions why proven improvement mechanisms
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2008
September 30, 2020 - Prior surveys by the ASHP have examined the use of safety mechanisms for preventing prescribing and
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psnet.ahrq.gov/node/45945/psn-pdf
April 24, 2018 - Investigators compared adverse events detected with these
mechanisms to adverse events identified through
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psnet.ahrq.gov/node/46338/psn-pdf
December 21, 2017 - epidemiology of diagnostic error among
hospitalized patients and insights into possible preventive mechanisms
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psnet.ahrq.gov/node/41027/psn-pdf
September 01, 2016 - A recent consensus conference identified the key
issues in developing more effective alert mechanisms
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psnet.ahrq.gov/node/38642/psn-pdf
April 30, 2012 - Prior surveys by the ASHP
have examined the use of safety mechanisms for preventing prescribing and
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psnet.ahrq.gov/node/41866/psn-pdf
November 28, 2012 - in-depth interviews with patients, hospital staff, and primary care
providers to better define the mechanisms
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psnet.ahrq.gov/node/46704/psn-pdf
December 04, 2018 - Researchers identified five deaths that would not have come to light through other hospital
case review mechanisms
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psnet.ahrq.gov/node/46662/psn-pdf
August 20, 2018 - Although this study is not definitive, it does
imply that alternate mechanisms may explain the weekend
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psnet.ahrq.gov/node/43419/psn-pdf
October 20, 2014 - This finding suggests that under-reporting of
medication errors via standard incident reporting mechanisms
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psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident
August 01, 2014 - Communication-and-resolution mechanisms are seen as important approaches to improving transparency and
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psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies
November 01, 2016 - patient and family advisory committees have shown promise as patient engagement and safety improvement mechanisms
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psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors
December 12, 2014 - They found gaps in the perceived need versus the implementation of these improvement mechanisms.
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psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
June 02, 2010 - This assembled volume collectively helped to establish an understanding of the mechanisms by which humans
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psnet.ahrq.gov/node/33754/psn-pdf
September 01, 2013 - 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 … They will likely have mechanisms in place to track where they come from and how they are dealt
with … But this blew me away, they asked, "So what
mechanisms does the hospital have in place to deal with
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psnet.ahrq.gov/issue/identifying-and-measuring-administrative-harms-experienced-hospitalists-and-administrative
April 12, 2023 - Three themes emerged: AH is pervasive and comes from all levels of leadership ; organizations lack mechanisms
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psnet.ahrq.gov/issue/improving-employee-voice-about-transgressive-or-disruptive-behavior-case-study
June 16, 2021 - , an academic hospital implemented a structured effort to address disruptive behavior by developing mechanisms