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Showing results for "identify".

101. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853961/psn-pdf
     September 27, 2023 - Making a move: using simulation to identify latent safety threats before the care of injured patients … Making a move: Using simulation to identify latent safety threats before the care of injured patients … https://psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured … - patients-new Simulation can be used to identify latent safety threats (LSTs) when implementing new … In this study, simulation scenarios were used to identify LSTs associated with the opening of a new

102. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851053/psn-pdf
     June 28, 2023 - In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for … In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for … https://psnet.ahrq.gov/issue/situ-simulation-quality-improvement-tool-identify-and-mitigate-latent-safety … - threats Simulation training is commonly used by hospitals to identify threats to safety and improve … The simulation protocol helped identify latent safety threats involving equipment, infection control

103. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. | PSNet
     psnet.ahrq.gov/issue/medication-based-trigger-tool-identify-adverse-events-pediatric-anesthesiology
     April 22, 2020 - Commentary A medication-based trigger tool to identify adverse events in pediatric … A medication-based trigger tool to identify adverse events in pediatric anesthesiology. … A medication-based trigger tool to identify adverse events in pediatric anesthesiology. … Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify

104. Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? | PSNet
     psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
     July 01, 2016 - physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify … physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify … Related Resources From the Same Author(s) Can medical record reviewers reliably identify … September 4, 2024 In situ simulation as a quality improvement tool to identify and mitigate … May 31, 2023 In situ simulation as a tool to longitudinally identify and track latent

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867379/psn-pdf
     January 01, 2025 - Implementation of electronic triggers to identify diagnostic errors in emergency departments. … Implementation of electronic triggers to identify diagnostic errors in emergency departments. … https://psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency- … Researchers in this study developed and implemented electronic triggers (e-triggers) to identify missed … https://psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments

106. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853236/psn-pdf
     September 06, 2023 - Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed … Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed … https://psnet.ahrq.gov/issue/video-review-simulated-pediatric-cardiac-arrest-identify-errorslatent-safety … - threats-mixed Simulation trainings are widely used to identify safety threats and improve processes … By analyzing video recordings of pediatric cardiac arrest simulations, researchers were able to identify

107. The application of the Global Trigger Tool: a systematic review. | PSNet
     psnet.ahrq.gov/issue/application-global-trigger-tool-systematic-review
     December 06, 2023 - The Institute for Healthcare Improvement's Global Trigger Tool is widely used to identify adverse … June 14, 2019 Application of electronic trigger tools to identify targets for improving … January 7, 2015 Using statistical text classification to identify health information

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851651/psn-pdf
     July 26, 2023 - Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency … Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency … https://psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric … - hospital Failure mode and effect analysis (FMEA) is a common way to identify error risk. … In this study, FMEA was used in a psychiatric hospital emergency department (ED) to identify potential

109. Triggers and Trigger Tools | PSNet
     psnet.ahrq.gov/primer/triggers-and-trigger-tools
     September 15, 2024 - Triggers have become a widely used way to retrospectively analyze medical records in order to identify … effect of opioid medications) to a hospitalized patient would be a reasonable trigger that could help identify … Therefore, pharmacists and patient safety personnel could use that trigger to identify cases that may … Controversies The IHI cautions that the GTT (or any trigger tool method) cannot identify all sources … Finally, most existing trigger tools have been used to identify adverse events in the inpatient setting

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866591/psn-pdf
     August 28, 2024 - How harnessing patient voice can identify drift towards boundaries of acceptable performance. … How harnessing patient voice can identify drift towards boundaries of acceptable performance. … https://psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards … https://psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries … https://psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries

111. Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis. | PSNet
     psnet.ahrq.gov/issue/going-covid-19-gemba-using-observation-and-high-reliability-strategies-achieve-safety-time
     May 12, 2021 - Actions taken by the hospital included the use of an interprofessional ED quality council to identify … May 12, 2021 Using event reports in real-time to identify and mitigate patient safety … January 24, 2024 In situ simulation as a quality improvement tool to identify and mitigate … June 28, 2023 In situ simulation as a tool to longitudinally identify and track latent

112. High fidelity simulation as a research tool. | PSNet
     psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool
     February 19, 2020 - This review explores simulation as a method to identify safety issues related to team, equipment , and … During Dialysis Catheter Placement May 29, 2024 Using in situ simulation to identify … June 21, 2023 Hospital-wide cardiac arrest in situ simulation to identify and mitigate

113. Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. | PSNet
     psnet.ahrq.gov/issue/community-validation-approach-detect-delayed-diagnosis-appendicitis-big-databases
     October 26, 2022 - Trigger tools are commonly used to detect adverse events and identify areas for safety improvement . … This study found that trigger tools using electronic health record-based data can accurately identify … August 24, 2022 Use of e-triggers to identify diagnostic errors in the paediatric ED.

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61039/psn-pdf
     October 21, 2020 - A machine learning-based clinical decision support system to identify prescriptions with a high risk … A machine learning–based clinical decision support system to identify prescriptions with a high risk … https://psnet.ahrq.gov/issue/machine-learning-based-clinical-decision-support-system-identify- prescriptions-high-risk … health record (EHR) and clinical pharmacist review to test the accuracy of a hybrid CDS system to identify … https://psnet.ahrq.gov/issue/machine-learning-based-clinical-decision-support-system-identify-prescriptions-high-risk

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72795/psn-pdf
     March 03, 2021 - Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. … Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. … https://psnet.ahrq.gov/issue/use-patient-complaints-identify-diagnosis-related-safety-concerns-mixed- … method-evaluation Patient complaints are increasingly used to identify opportunities for patient safety … analyzed patient complaint and medical record data and found that manual reviews by clinicians can identify

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74177/psn-pdf
     January 01, 2022 - Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. … Harnessing event report data to identify diagnostic error during the COVID- 19 pandemic. … https://psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19- … This innovative approach may be useful for organizations wanting to identify emerging risks, including … https://psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72719/psn-pdf
     February 10, 2021 - The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors … The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors … https://psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure … This article describes one large pediatric hospital's experience using a systematic methodology to identify … morbidity & mortality conference, and abdominal pain  trigger tool) and adjudication by a QI team to identify

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855092/psn-pdf
     November 08, 2023 - Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review … Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review … https://psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine- … https://psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine-systematic-review … https://psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine-systematic-review

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841484/psn-pdf
     December 14, 2022 - Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify … Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify … psnet.ahrq.gov/issue/performance-3-sets-criteria-potentially-inappropriate-prescribing-older-people- identify … STOPP)/Screening Tool to Alert to Right Treatment (START) criteria, are tools used by clinicians to identify … psnet.ahrq.gov/issue/performance-3-sets-criteria-potentially-inappropriate-prescribing-older-people-identify

120. U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument | PSNet
     psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
     February 26, 2025 - Revised Safer Dx Instrument provides a standardized list of questions to help users retrospectively identify … Innovation Patient Safety Focus The Revised Safer Dx Instrument is designed to help identify potential … A culture focused on patient safety helps to identify underlying factors that lead to missed diagnoses … Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care.  … Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care.