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Showing results for "mechanisms".

  1. Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes? | PSNet

    psnet.ahrq.gov/issue/critical-incident-monitoring-paediatric-and-adult-critical-care-reporting-improved-patient
    January 22, 2016 - This review discusses critical incident reporting mechanisms and how system changes are implemented

  2. Too Much, Too Fast | PSNet

    psnet.ahrq.gov/web-mm/too-much-too-fast
    June 14, 2019 - Hence, the body has developed numerous mechanisms to prevent hyperkalemia and maintain 90% of total body … The magnitude of each of these mechanisms depends on nephron mass and renal function. … Through different mechanisms, insulin and beta-2 adrenergic stimulants increase Na-K APTase activity,

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49473/psn-pdf
    March 01, 2005 - care delivery represents such a complex and dynamic process that simple but regimented communication mechanisms … Given the dynamic, ever-changing nature of patient care, basic communication mechanisms can keep everyone … Engage in formal mechanisms for communicating changes in patient plans: orders, checklists, and briefings

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49718/psn-pdf
    January 01, 2015 - Hence, the body has developed numerous mechanisms to prevent hyperkalemia and maintain 90% of total … The magnitude of each of these mechanisms depends on nephron mass and renal function. … Through different mechanisms, insulin and beta-2 adrenergic stimulants increase Na-K APTase activity

  5. A National Web Conference on Using Health IT to Improve Care Coordination and Outcomes in Patients with Complex Healthcare Needs | Digital Healthcare Research

    digital.ahrq.gov/events/national-web-conference-using-health-it-improve-care-coordination-and-outcomes-patients-complex-needs
    January 01, 2023 - identified a gap in health care and public health practitioners’ knowledge of health IT using multiple mechanisms

  6. Blame: what does it look like? | PSNet

    psnet.ahrq.gov/issue/blame-what-does-it-look
    February 02, 2022 - December 7, 2011 Learning mechanisms to limit medication administration errors.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44434/psn-pdf
    June 21, 2016 - However, the mechanisms by which hospital management can improve safety and quality remain undefined

  8. A Summary of the First Annual Workshop of AHRQ’s Comparative Health System Performance Initiative (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/coe-workshopissuebrief.pdf
    January 11, 2017 - • Understanding mechanisms health care systems use to adopt and implement evidence and improve … Systems 6 to collect comprehensive information about organizational attributes and internal mechanisms … Organizational attributes include integration, governance, and leadership, and internal mechanisms

  9. Do No Harm: Stories of Life, Death, and Brain Surgery. | PSNet

    psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
    January 07, 2019 - the work of Daniel Kahneman , the Nobel Prize–winning psychologist whose research established the mechanisms

  10. Placing Diagnosis Errors on the Policy Agenda. | PSNet

    psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
    October 31, 2014 - increasing research funding, greater government oversight, instituting formal diagnostic feedback mechanisms

  11. Opioids and Dentistry. | PSNet

    psnet.ahrq.gov/issue/opioids-and-dentistry
    November 12, 2014 - explore prescribing behaviors , disparities present in opioid prescribing , prescription monitoring mechanisms

  12. Opioid abuse in chronic pain—misconceptions and mitigation strategies. | PSNet

    psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconceptions-and-mitigation-strategies
    November 18, 2016 - The authors suggest enhanced use of monitoring mechanisms and alternative therapies to promote safer

  13. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. | PSNet

    psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
    May 08, 2017 - Incident reporting systems have been widely implemented throughout health care, but mechanisms to respond

  14. The influence of bullying on nursing practice errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-systematic-review
    January 30, 2019 - While nurses perceive that bullying influences errors and patient outcomes, the mechanisms are unclear

  15. Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. | PSNet

    psnet.ahrq.gov/issue/mandatory-reporting-impaired-medical-practitioners-protecting-patients-supporting
    September 01, 2016 - suggests that efforts to improve reporting focus on identifying the root causes of impairment to provide mechanisms

  16. Adverse events detected by clinical surveillance on an obstetric service. | PSNet

    psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance-obstetric-service
    September 11, 2009 - The authors advocate for use of their methodology to complement existing mechanisms in collecting information

  17. Waking up the next morning: surgeons' emotional reactions to adverse events. | PSNet

    psnet.ahrq.gov/issue/waking-next-morning-surgeons-emotional-reactions-adverse-events
    July 02, 2014 - surgeons to vividly illustrate the second victim phenomenon and explore the range of emotions and coping mechanisms

  18. Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. | PSNet

    psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
    August 03, 2017 - National Center for Patient Safety and its work to identify barriers to implementing safety improvement mechanisms

  19. Development of a medication safety and quality survey for small rural hospitals. | PSNet

    psnet.ahrq.gov/issue/development-medication-safety-and-quality-survey-small-rural-hospitals
    July 15, 2010 - Improving medication safety requires effective mechanisms for detecting medication errors.

  20. How house officers cope with their mistakes. | PSNet

    psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
    June 26, 2015 - Escape-avoidance coping mechanisms resulted in defensive changes in practice.
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