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Total Results: 6,407 records

Showing results for "mechanisms".

  1. Exploring strategies for reducing hospital errors. | PSNet

    psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors
    December 12, 2014 - They found gaps in the perceived need versus the implementation of these improvement mechanisms.

  2. Judgment under Uncertainty: Heuristics and Biases. | PSNet

    psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
    June 02, 2010 - This assembled volume collectively helped to establish an understanding of the mechanisms by which humans

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33754/psn-pdf
    September 01, 2013 - I find it fascinating that the enthusiasm for just culture algorithms or mechanisms has grown on the … finding is that those at the top of the hierarchy, doctors typically, find outcomes of the just culture mechanisms … Those are a few indications that the mechanisms that we think are innocent and neutral contributors … They will likely have mechanisms in place to track where they come from and how they are dealt with … But this blew me away, they asked, "So what mechanisms does the hospital have in place to deal with

  4. Step 4: Convene and Disseminate | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step4.html
    March 01, 2019 - Three steps are involved: Establish mechanisms and schedules for convening and communicating with … What communication mechanisms do the stakeholders prefer?

  5. Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. | PSNet

    psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008
    November 23, 2016 - abbreviations), many hospitals do not systematically perform time outs prior to procedures, or have reliable mechanisms

  6. 3 Tk1 T3-Readiness Assessment Final (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T3-Readiness_Assessment_final.pdf
    October 01, 2016 - Are there resources for implementing mechanisms to sustain the effort (e.g., staff who can train new

  7. 3 Tk1 T3-Readiness Assessment Final (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T3-Readiness_Assessment_final.docx
    October 01, 2016 - Are there resources for implementing mechanisms to sustain the effort (e.g., staff who can train new

  8. Overview | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-summary/overview
    January 01, 2018 - The program accomplishes this through a variety of grant and contract mechanisms that support different

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39620/psn-pdf
    September 20, 2011 - in quality and safety improvement efforts has focused on tips recommended to keep patients safe and mechanisms

  10. Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-3.html
    September 01, 2023 - In fact, most physicians do not participate in reporting mechanisms, perhaps out of unwillingness to

  11. Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. | PSNet

    psnet.ahrq.gov/issue/trends-potentially-preventable-inpatient-hospital-admissions-and-emergency-department-visits
    January 11, 2017 - preventability has become increasingly important due to its use as a measure for cost and reimbursement mechanisms

  12. Bar-code verification: reducing but not eliminating medication errors. | PSNet

    psnet.ahrq.gov/issue/bar-code-verification-reducing-not-eliminating-medication-errors
    September 27, 2016 - This simulation study identified several mechanisms by which medication errors could occur even when

  13. Improving care by using patient feedback. | PSNet

    psnet.ahrq.gov/issue/improving-care-using-patient-feedback
    April 19, 2017 - Gaps found in the mechanisms reviewed include lack of effective application of data collected and sharing

  14. Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. | PSNet

    psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improving-clinician-well-being
    July 19, 2017 - focus to improve clinician well-being and resiliency including assessment, leadership, and support mechanisms

  15. 2014 Guide to State Adverse Event Reporting Systems. | PSNet

    psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
    November 29, 2009 - An AHRQ WebM&M perspective spotlights state reporting programs as mechanisms to augment patient safety

  16. Pediatric Readiness in the Emergency Department. | PSNet

    psnet.ahrq.gov/issue/pediatric-readiness-emergency-department
    March 14, 2018 - Key recommendations focus on pediatric emergency care coordinators and implementing quality control mechanisms

  17. Detecting adverse events in dermatologic surgery. | PSNet

    psnet.ahrq.gov/issue/detecting-adverse-events-dermatologic-surgery
    June 10, 2013 - This review identifies existing dermatologic surgery adverse event (AE) reporting mechanisms, found

  18. Supporting structures for team situation awareness and decision making: insights from four delivery suites. | PSNet

    psnet.ahrq.gov/issue/supporting-structures-team-situation-awareness-and-decision-making-insights-four-delivery
    October 13, 2010 - This study used direct observation of labor and delivery suites to establish the mechanisms by which

  19. Rapid response systems: from implementation to evidence base. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-implementation-evidence-base
    September 24, 2010 - This commentary reviews a 2010 conference and discusses the history, training mechanisms, education,

  20. Use of an electronic information system to identify adverse events resulting in an emergency department visit. | PSNet

    psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department
    March 13, 2015 - collected electronic data to uncover information about adverse events not easily captured through other mechanisms
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