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psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - Remle Crowe: So, there's a lot of challenges, and one of them might be that not everything would get captured … One of the things that doesn't get captured in the record is, what was the intention of the medication … There are many other instances where the data might not get captured. … And so, perhaps if we're giving you a low dose ketamine for analgesia, etcetera, end-tidal CO2 is not captured
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psnet.ahrq.gov/issue/using-data-enhance-performance-and-improve-quality-and-safety-surgery
March 15, 2023 - Commentary
Using data to enhance performance and improve quality and safety in surgery.
Citation Text:
Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888.
Co…
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - making a system in which the providers initiate all the reports not necessary, because they might get captured … Consequently, efforts to modernize reporting practices should focus more on ensuring that priority events are captured
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - Consequently, efforts to modernize reporting practices should focus more on ensuring that priority events are captured … making a system in which the providers initiate all the reports not necessary, because they might get captured
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psnet.ahrq.gov/node/33802/psn-pdf
February 01, 2016 - Some of these frustrations, which are
poorly captured by overall satisfaction measures, may have direct
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - After all data components are captured reliably, the electronic health records team can design refreshable … across the various primary care settings was essential to test their theory of change and to ensure they captured
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psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care
September 02, 2009 - Review
Interventions to increase clinical incident reporting in health care.
Citation Text:
Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2…
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psnet.ahrq.gov/node/33786/psn-pdf
May 01, 2015 - Video to Improve Patient Safety: Clinical and Educational
Uses
May 1, 2015
Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient Safety: Clinical and Educational Uses. PSNet
[internet]. 2015.
https://psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
Perspective
Reports of…
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psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
May 16, 2022 - Remle Crowe: So, there's a lot of challenges, and one of them might be that not everything would get captured … One of the things that doesn't get captured in the record is, what was the intention of the medication … There are many other instances where the data might not get captured. … And so, perhaps if we're giving you a low dose ketamine for analgesia, etcetera, end-tidal CO2 is not captured
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - After all data
components are captured reliably, the electronic health records team can design refreshable … the various primary care settings was essential to test their theory of change and to ensure they
captured
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psnet.ahrq.gov/issue/interprofessional-staff-perspectives-adoption-or-black-box-technology-and-simulations-improve
May 21, 2009 - Study
Interprofessional staff perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods survey.
Citation Text:
Campbell K, Gardner A, Scott DJ, et al. Interprofessional staff perspectives on the adoption of or black box technology …
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psnet.ahrq.gov/issue/adverse-events-hospitals-national-incidence-among-medicare-beneficiaries
October 16, 2012 - Book/Report
Classic
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.
Citation Text:
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Serv…
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - Video to Improve Patient Safety: Clinical and Educational Uses
Yan Xiao, PhD; Colin F. Mackenzie, MB, ChB; and F. Jacob Seagull, PhD | May 1, 2015
View more articles from the same authors.
Citation Text:
Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient S…
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psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - manual review of the data, it is best suited
for organizations that have large amounts of data that are captured
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psnet.ahrq.gov/node/47847/psn-pdf
July 10, 2024 - CHPSO Annual Reports.
July 10, 2024
California Hospital Patient Safety Organization: Sacramento, CA; 2024.
https://psnet.ahrq.gov/issue/chpso-2019-annual-report
Patient Safety Organizations (PSOs) capture and analyze local data to inform learning among their 490
members. This report highlights 2023 trends, activit…
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psnet.ahrq.gov/node/853629/psn-pdf
September 20, 2023 - Global Knowledge Sharing Platform for Patient Safety.
September 20, 2023
World Health Organization.
https://psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
The sharing of best practices is a key component of enabling successful strategy implementation in support
of patient safety plans and go…
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psnet.ahrq.gov/node/858173/psn-pdf
December 13, 2023 - Measurement of ambulatory medication errors in
children: a scoping review.
December 13, 2023
Rickey L, Auger K, Britto MT, et al. Measurement of ambulatory medication errors in children: a scoping
review. Pediatrics. 2023;152(6):e2023061281. doi:10.1542/peds.2023-061281.
https://psnet.ahrq.gov/issue/measurement-am…
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psnet.ahrq.gov/node/33606/psn-pdf
December 15, 2024 - of emergency department visits and
hospitalizations due to adverse drug events, but these data only captured
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psnet.ahrq.gov/node/38389/psn-pdf
February 04, 2009 - ADEs and automation.
February 4, 2009
Kloppenborg E, Wheeler A, Luria J. ADEs and automation. Nurs Manage. 2009;40(1):43-7.
doi:10.1097/01.NUMA.0000343983.46376.31.
https://psnet.ahrq.gov/issue/ades-and-automation
This article illustrates how one hospital used automated triggers to collect adverse drug event (ADE)…
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psnet.ahrq.gov/node/863221/psn-pdf
February 28, 2024 - Using artificial intelligence to improve primary care for
patients and clinicians.
February 28, 2024
Sarkar U, Bates DW. Using artificial intelligence to improve primary care for patients and clinicians. JAMA
Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965.
https://psnet.ahrq.gov/issue/using-a…