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Total Results: 1,799 records

Showing results for "mechanisms".

301. Drug-related problems in medical wards with a computerized physician order entry system. | PSNet
     psnet.ahrq.gov/issue/drug-related-problems-medical-wards-computerized-physician-order-entry-system
     December 01, 2010 - The article explores the types of errors and possible preventive mechanisms.

302. Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. | PSNet
     psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting
     January 19, 2016 - , and system issues is necessary to design interventions that enhance practitioner use of reporting mechanisms

303. Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement. | PSNet
     psnet.ahrq.gov/issue/who-pays-medical-errors-analysis-adverse-event-costs-medical-liability-system-and-incentives
     April 13, 2011 - Legal reforms or market interventions are also suggested as mechanisms to deal with the externalization

304. How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. | PSNet
     psnet.ahrq.gov/issue/how-improve-delivery-medication-alerts-within-computerized-physician-order-entry-systems
     October 30, 2013 - consensus-building conference that identified key issues to guide development of effective alert mechanisms

305. Gaps in the continuity of care and progress on patient safety. | PSNet
     psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety
     January 16, 2017 - Shifting attention to this model for patient safety interventions may offer new research opportunities and mechanisms

306. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. | PSNet
     psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
     January 02, 2017 - A prior study reported on preventive mechanisms that have been implemented at VA hospitals to reduce

307. Adverse respiratory events in anesthesia: a closed claims analysis. | PSNet
     psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
     February 10, 2011 - The authors report that three mechanisms of injury (inadequate ventilation, esophageal intubation, and

308. Sensemaking, safety, and cooperative work in the intensive care unit. | PSNet
     psnet.ahrq.gov/issue/sensemaking-safety-and-cooperative-work-intensive-care-unit
     September 29, 2010 - Clinicians used a variety of mechanisms to establish "cooperative conditioning," a shared understanding

309. The practice of respect in the ICU. | PSNet
     psnet.ahrq.gov/issue/practice-respect-icu
     August 09, 2018 - intensive care unit and the value of responding to failures of respect as safety incidents to design mechanisms

310. Do hospitals support second victims? Collective insights from patient safety leaders in Maryland. | PSNet
     psnet.ahrq.gov/issue/do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
     May 11, 2016 - The authors suggest that hospitals consider additional peer support mechanisms.

311. Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. | PSNet
     psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-safety-stakeholder-analysis-exploring-role-trust-and
     April 21, 2015 - This qualitative study examined mechanisms by which hospital boards could provide more effective oversight

312. Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. | PSNet
     psnet.ahrq.gov/issue/development-leapfrog-methodology-evaluating-hospital-implemented-inpatient-computerized
     May 27, 2011 - The strategies presented stem from The Leapfrog Group , who established CPOE as one of their primary mechanisms

313. Operating room organization and surgical performance: a systematic review. | PSNet
     psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review
     March 05, 2025 - November 29, 2023 Error in intensive care: psychological repercussions and defense mechanisms

314. Language discordance and patient care-Babel. | PSNet
     psnet.ahrq.gov/issue/language-discordance-and-patient-care-babel
     October 30, 2024 - Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms

315. Crisis resource management in emergency medicine. | PSNet
     psnet.ahrq.gov/issue/crisis-resource-management-emergency-medicine
     October 23, 2024 - Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms

316. Mortality among patients with acute myocardial infarction: the influences of patient-centered care and evidence-based medicine. | PSNet
     psnet.ahrq.gov/issue/mortality-among-patients-acute-myocardial-infarction-influences-patient-centered-care-and
     April 10, 2024 - Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms

317. A simulation-based approach to training in heuristic clinical decision-making. | PSNet
     psnet.ahrq.gov/issue/simulation-based-approach-training-heuristic-clinical-decision-making
     January 31, 2024 - June 7, 2016 Levels of reflective thinking and patient safety: an investigation of the mechanisms

318. Trend analysis of radiation therapy incidents over seven years. | PSNet
     psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
     December 20, 2023 - June 1, 2022 Error in intensive care: psychological repercussions and defense mechanisms

319. Drug errors, qualitative research and some reflections on ethics. | PSNet
     psnet.ahrq.gov/issue/drug-errors-qualitative-research-and-some-reflections-ethics
     January 31, 2024 - An exploratory pilot study of three mechanisms.

320. Medication errors involving patient-controlled analgesia.   | PSNet
     psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia
     May 24, 2015 - An AHRQ WebM&M commentary discusses a case of a PCA overdose and the mechanisms to promote its safe