Results

Total Results: 1,802 records

Showing results for "mechanisms".

341. 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

342. 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

343. 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

344. 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

345. 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

346. 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

347. 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

348. 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

349. Moving beyond the weekend effect: how can we best target interventions to improve patient care? | PSNet
     psnet.ahrq.gov/issue/moving-beyond-weekend-effect-how-can-we-best-target-interventions-improve-patient-care
     September 09, 2015 - This editorial highlights the challenges to empirically evaluate the underlying mechanisms contributing

350. Qualitative study about the experiences of colleagues of health professionals involved in an adverse event. | PSNet
     psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event
     September 19, 2016 - Participants acknowledged the emotional impact of adverse events on clinicians and the need for formal mechanisms

351. Iatrogenic illness on a general medical service at a university hospital. | PSNet
     psnet.ahrq.gov/issue/iatrogenic-illness-general-medical-service-university-hospital
     August 17, 2017 - The authors conclude that, while benefits of hospitalization will continue to exist, mechanisms to study

352. Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). | PSNet
     psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication
     August 28, 2024 - January 18, 2023 Longitudinal study of the manifestations and mechanisms of technology-related

353. Child age and risk of medication error: a multisite children's hospital study. | PSNet
     psnet.ahrq.gov/issue/child-age-and-risk-medication-error-multisite-childrens-hospital-study
     August 28, 2024 - January 18, 2023 Longitudinal study of the manifestations and mechanisms of technology-related

354. Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. | PSNet
     psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications
     September 25, 2024 - Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms

355. Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture? | PSNet
     psnet.ahrq.gov/issue/systematic-review-morbidity-and-mortality-meeting-standardization-does-it-lead-improved
     October 23, 2024 - The impact of surgical complications on obstetricians' and gynecologists' wellbeing and coping mechanisms

356. Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. | PSNet
     psnet.ahrq.gov/issue/short-and-long-term-effects-electronic-medication-management-system-paediatric-prescribing
     August 28, 2024 - August 26, 2020 Longitudinal study of the manifestations and mechanisms of technology-related

357. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. | PSNet
     psnet.ahrq.gov/issue/are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade
     February 24, 2011 - is used as background for exploration of the concept of errors, defining preventable ones, and the mechanisms

358. The relationship between patient safety culture and the implementation of organizational patient safety defences at emergency departments. | PSNet
     psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-implementation-organizational-patient-safety
     April 23, 2014 - This finding raises the concern that, in some cases, important safety mechanisms may not be implemented

359. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. | PSNet
     psnet.ahrq.gov/issue/error-disclosure-neonatal-intensive-care-multicentre-prospective-observational-study
     November 29, 2023 - November 7, 2018 Error in intensive care: psychological repercussions and defense mechanisms

360. Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic review. | PSNet
     psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate
     January 17, 2024 - September 15, 2021 Error in intensive care: psychological repercussions and defense mechanisms