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Total Results: 1,799 records

Showing results for "mechanisms".

321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49605/psn-pdf
     June 01, 2010 - for development of protocols for surveillance and management of hypertension in pregnancy, including mechanisms … There should also be mechanisms to communicate abnormal clinical and laboratory findings to the obstetric … All facilities providing care for obstetric or postpartum patients should also develop mechanisms that

322. Hospital Survey on Patient Safety Culture: 2018 User Database Report. | PSNet
     psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-report
     May 02, 2018 - Professor Mary Dixon-Woods discussed the evolving understanding of safety culture and recent insights into mechanisms

323. Patient perceptions of mistakes in ambulatory care. | PSNet
     psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
     July 29, 2015 - ambulatory safety and suggests strategies for addressing common sources of error, including improved mechanisms

324. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. | PSNet
     psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety
     December 02, 2014 - including proactive risk identification, frequent multidisciplinary huddles, and implementation of mechanisms

325. Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. | PSNet
     psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
     January 04, 2017 - at each institution, descriptions of data collection methods, and graphic illustration of feedback mechanisms

326. Lost opportunities: how physicians communicate about medical errors. | PSNet
     psnet.ahrq.gov/issue/lost-opportunities-how-physicians-communicate-about-medical-errors
     July 10, 2008 - Most physicians did describe the use of formal reporting systems but felt they were largely inadequate mechanisms

327. Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet
     psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
     February 15, 2011 - indicated that this tool successfully identified adverse outcomes that had not been reported through other mechanisms

328. Medication administration discrepancies persist despite electronic ordering. | PSNet
     psnet.ahrq.gov/issue/medication-administration-discrepancies-persist-despite-electronic-ordering
     May 04, 2012 - interventions to address their findings, including efforts to avoid duplicate medication orders and to create mechanisms

329. Getting the board on board: engaging hospital boards in quality and patient safety. | PSNet
     psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety
     November 23, 2016 - literacy of the board, techniques to frame an agenda for quality in regular discussions, and suggested mechanisms

330. Effectiveness and efficiency of root cause analysis in medicine. | PSNet
     psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
     July 11, 2012 - This would require greater collaboration among relevant national stakeholders to develop and share mechanisms

331. The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. | PSNet
     psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems
     December 29, 2014 - Prior studies have shown that most hospitals do not have robust mechanisms for analyzing and learning

332. Simulation in the executive suite: lessons learned for building patient safety leadership. | PSNet
     psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership
     July 21, 2017 - Participants cited leadership walk rounds and committee participation as possible leadership involvement mechanisms

333. On the prospects for a blame-free medical culture. | PSNet
     psnet.ahrq.gov/issue/prospects-blame-free-medical-culture
     November 16, 2022 - November 26, 2014 Error in intensive care: psychological repercussions and defense mechanisms

334. Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet
     psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
     August 24, 2022 - April 4, 2011 Learning mechanisms to limit medication administration errors.

335. Errors in the administration of intravenous medication in Brazilian hospitals. | PSNet
     psnet.ahrq.gov/issue/errors-administration-intravenous-medication-brazilian-hospitals
     October 05, 2022 - April 4, 2011 Learning mechanisms to limit medication administration errors.

336. Drug-induced hypoglycaemia--new insight into an old problem. | PSNet
     psnet.ahrq.gov/issue/drug-induced-hypoglycaemia-new-insight-old-problem
     October 19, 2022 - March 2, 2011 Learning mechanisms to limit medication administration errors.

337. Physicians' practice of dispensing medicines: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/physicians-practice-dispensing-medicines-qualitative-study
     November 16, 2022 - Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms

338. Chronology of medication errors by nurses: accumulation of stresses and PTSD symptoms. | PSNet
     psnet.ahrq.gov/issue/chronology-medication-errors-nurses-accumulation-stresses-and-ptsd-symptoms
     September 23, 2020 - June 16, 2010 Learning mechanisms to limit medication administration errors.

339. Physicians and cognitive decline: a challenge for state medical boards. | PSNet
     psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-state-medical-boards
     July 29, 2020 - October 14, 2011 Market-based control mechanisms for patient safety.

340. Improving team performance during the preprocedure time-out in pediatric interventional radiology. | PSNet
     psnet.ahrq.gov/issue/improving-team-performance-during-preprocedure-time-out-pediatric-interventional-radiology
     August 04, 2021 - January 18, 2023 Longitudinal study of the manifestations and mechanisms of technology-related