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Total Results: 1,802 records

Showing results for "mechanisms".

41. Safe patient outcomes occur with timely, standardized communication of critical values. | PSNet
    psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
    January 15, 2020 - 16, 2018 This article reports on failures surrounding critical test results  and describes mechanisms

42. An analysis of incident reports related to electronic medication management: how they change over time. | PSNet
    psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
    March 10, 2021 - April 7, 2021 The safety of electronic prescribing: manifestations, mechanisms, and rates … May 17, 2023 Longitudinal study of the manifestations and mechanisms of technology-related

43. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. | PSNet
    psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design
    January 18, 2023 - August 26, 2020 Longitudinal study of the manifestations and mechanisms of technology-related … View More Related Resources Longitudinal study of the manifestations and mechanisms

44. Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences. | PSNet
    psnet.ahrq.gov/issue/impact-organizational-culture-preventability-assessment-selected-adverse-events-icu
    August 15, 2016 - January 23, 2019 Room for resilience: a qualitative study about accountability mechanisms … January 22, 2016 Error in intensive care: psychological repercussions and defense mechanisms

45. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50902/psn-pdf
    February 12, 2020 - Gaps found in the mechanisms reviewed include lack of effective application of data collected and sharing

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47675/psn-pdf
    November 28, 2023 - https://psnet.ahrq.gov/issue/sops-surveys Surveys are established mechanisms for organizational assessment

47. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45495/psn-pdf
    January 01, 2021 - The authors suggest that support for students and clear mechanisms to report safety concerns are needed

48. Drug-drug interactions and actual harm to hospitalized patients: a multicentre study examining the prevalence pre- and post-electronic medication system implementation. | PSNet
    psnet.ahrq.gov/issue/drug-drug-interactions-and-actual-harm-hospitalized-patients-multicentre-study-examining
    August 26, 2020 - August 28, 2024 The safety of electronic prescribing: manifestations, mechanisms, and … January 18, 2023 Longitudinal study of the manifestations and mechanisms of technology-related

49. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/860400/psn-pdf
    January 10, 2024 - Educational mechanisms include collaboratives, videos and "Safety Speaks" podcasts.  

50. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50606/psn-pdf
    October 30, 2019 - protections such as automated medicine cabinet overrides, practice audits and reporting and feedback mechanisms

51. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/855104/psn-pdf
    November 08, 2023 - This article examines how well aviation safety mechanisms map to medical care safety efforts such as

52. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837339/psn-pdf
    June 08, 2022 - workflows support error prevention and how to identify workarounds that negate these error prevention mechanisms

53. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. | PSNet
    psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
    August 21, 2005 - Mechanical Prosthetic Valve Thrombosis with Thromboembolism. Citation Text: Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation …

54. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/845079/psn-pdf
    February 22, 2023 - This article explores weaknesses in siloed error reporting mechanisms and recommends analysis efforts

55. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866255/psn-pdf
    July 10, 2024 - the impact of the system shutdowns on access to patient records, communication systems, and safety mechanisms

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39540/psn-pdf
    February 17, 2011 - narrative illustrates potential dangers and delays that may result from inadequate confirmation of contact mechanisms

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47851/psn-pdf
    May 22, 2019 - issue/communication-and-resolution-after-adverse-health-care-incident Communication-and-resolution mechanisms

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60065/psn-pdf
    March 18, 2020 - and found approximately half to be deficient in fully adhering to the standards while implementing mechanisms

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72511/psn-pdf
    November 25, 2020 - support structures, monitoring, infection control, supply and space capabilities, and staff support mechanisms

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73970/psn-pdf
    October 21, 2021 - This webinar discussed how patients and families feel about support mechanisms after they have experienced