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psnet.ahrq.gov/issue/blame-what-does-it-look
February 02, 2022 - December 7, 2011
Learning mechanisms to limit medication administration errors.
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psnet.ahrq.gov/node/44434/psn-pdf
June 21, 2016 - However, the
mechanisms by which hospital management can improve safety and quality remain undefined
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psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
January 07, 2019 - the work of Daniel Kahneman , the Nobel Prize–winning psychologist whose research established the mechanisms
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psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
October 31, 2014 - increasing research funding, greater government oversight, instituting formal diagnostic feedback mechanisms
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psnet.ahrq.gov/issue/opioids-and-dentistry
November 12, 2014 - explore prescribing behaviors , disparities present in opioid prescribing , prescription monitoring mechanisms
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psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconceptions-and-mitigation-strategies
November 18, 2016 - The authors suggest enhanced use of monitoring mechanisms and alternative therapies to promote safer
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psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
May 08, 2017 - Incident reporting systems have been widely implemented throughout health care, but mechanisms to respond
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psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-systematic-review
January 30, 2019 - While nurses perceive that bullying influences errors and patient outcomes, the mechanisms are unclear
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psnet.ahrq.gov/issue/mandatory-reporting-impaired-medical-practitioners-protecting-patients-supporting
September 01, 2016 - suggests that efforts to improve reporting focus on identifying the root causes of impairment to provide mechanisms
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psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance-obstetric-service
September 11, 2009 - The authors advocate for use of their methodology to complement existing mechanisms in collecting information
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psnet.ahrq.gov/issue/waking-next-morning-surgeons-emotional-reactions-adverse-events
July 02, 2014 - surgeons to vividly illustrate the second victim phenomenon and explore the range of emotions and coping mechanisms
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psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
August 03, 2017 - National Center for Patient Safety and its work to identify barriers to implementing safety improvement mechanisms
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psnet.ahrq.gov/issue/development-medication-safety-and-quality-survey-small-rural-hospitals
July 15, 2010 - Improving medication safety requires effective mechanisms for detecting medication errors.
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psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
June 26, 2015 - Escape-avoidance coping mechanisms resulted in defensive changes in practice.
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psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety
August 26, 2009 - other high-risk industries with structured interviews to develop a framework for high-yield feedback mechanisms
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psnet.ahrq.gov/issue/complexity-diversity-and-science-primary-care-teams
November 18, 2016 - competencies, providing team training opportunities specific to ambulatory care, and adjusting care payment mechanisms
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psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care-paediatric
June 27, 2011 - incident reporting , as expected given the known under-reporting in all voluntary safety reporting mechanisms
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psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
March 13, 2013 - The authors call for improvements in reporting and investigation mechanisms, and greater transparency
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psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england
March 02, 2011 - The authors identify a number of policy mechanisms for supporting the implementation of a national safety
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psnet.ahrq.gov/issue/using-modified-a3-lean-framework-identify-ways-increase-students-reporting-mistreatment
May 25, 2010 - The authors found that reporting was hindered by lack of student awareness regarding reporting mechanisms