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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
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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-
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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
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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
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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
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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
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psnet.ahrq.gov/issue/disparities-adverse-event-reporting-hospitalized-children
July 27, 2022 - those identified using the Global Assessment of Pediatric Patient Safety (GAPPS) trigger tool to identify … Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify … October 30, 2010
A trigger tool fails to identify serious errors and adverse events in
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psnet.ahrq.gov/node/837737/psn-pdf
July 27, 2022 - Patients' willingness and ability to identify and respond to
errors in their personal health records … Patients' willingness and ability to identify and respond to errors in their
personal health records … https://psnet.ahrq.gov/issue/patients-willingness-and-ability-identify-and-respond-errors-their-personal … -
health-records
As patients increasingly access their electronic health records, they often identify … of 445 patients in the United Kingdom found that the majority of patients are willing and able
to identify
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psnet.ahrq.gov/node/860380/psn-pdf
January 10, 2024 - Validity of 16 AHRQ Patient Safety Indicators to identify
in-hospital complications: a medical record … Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital
complications: a medical record … https://psnet.ahrq.gov/issue/validity-16-ahrq-patient-safety-indicators-identify-hospital-complications … -
medical-record
The AHRQ Patient Safety Indicators (PSIs) are used to identify patient safety events … https://psnet.ahrq.gov/issue/validity-16-ahrq-patient-safety-indicators-identify-hospital-complications-medical-record
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psnet.ahrq.gov/node/867338/psn-pdf
December 11, 2024 - Using patient experience surveys to identify potential
diagnostic safety breakdowns: a mixed methods … Using patient experience surveys to identify potential diagnostic
safety breakdowns: a mixed methods … https://psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety- … https://psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed … https://psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed
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psnet.ahrq.gov/issue/using-health-information-technology-residential-aged-care-homes-integrative-review-identify
July 06, 2022 - Using health information technology in residential aged care homes: an integrative review to identify … Using health information technology in residential aged care homes: an integrative review to identify … Using health information technology in residential aged care homes: an integrative review to identify … Toward safer health care: a review strategy of FDA medical device adverse event database to identify
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psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse
March 30, 2022 - Study
Reliability and usability of a 7-minute chart review tool to identify pediatric … Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety … Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety … 2021
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Related Resources
Adaption of a trigger tool to identify
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psnet.ahrq.gov/node/48060/psn-pdf
June 19, 2019 - Strategies to identify patient risks of prescription opioid
addiction when initiating opioids for pain … Strategies to Identify Patient Risks of Prescription Opioid Addiction
When Initiating Opioids for Pain … https://psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating … This systematic review sought to
identify factors that confer risk for opioid addiction and thereby … They could not identify any screening instruments or tools that
accurately risk-stratified individuals
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psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine-systematic-review
November 03, 2015 - Review
Using in situ simulation to identify latent safety threats in emergency medicine … 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 … March 20, 2024
In situ simulation as a quality improvement tool to identify and mitigate
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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
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psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improving-safety-iv-drug-administration
March 23, 2012 - The authors used failure mode and effects analysis (FMEA) to identify dosing and administration errors … 2012
Development of an online morbidity, mortality, and near-miss reporting system to identify … April 30, 2014
Using in situ simulation to identify and resolve latent environmental … December 21, 2014
Use of unsolicited patient observations to identify surgeons with increased
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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
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psnet.ahrq.gov/node/837333/psn-pdf
June 08, 2022 - Hospital-wide cardiac arrest in situ simulation to identify
and mitigate latent safety threats. … Hospital-wide cardiac arrest in situ simulation to identify and
mitigate latent safety threats. … https://psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety … -
threats
In situ simulations are an effective method to identify latent safety threats (LST). … https://psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats
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psnet.ahrq.gov/node/844548/psn-pdf
February 15, 2023 - Use of complete medication history to identify and correct
transitions-of-care medication errors at … Use of complete medication history to identify and correct
transitions-of-care medication errors at … https://psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care- … medication-errors
Medication reconciliation can help identify medication discrepancies during transitions … https://psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors
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psnet.ahrq.gov/node/61066/psn-pdf
October 28, 2020 - Using event reports in real-time to identify and mitigate
patient safety concerns during the COVID-19 … Using event reports in real-time to identify and mitigate patient
safety concerns during the COVID-19 … https://psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns … 19
This article describes one academic medical center’s use of the Donabedian framework to rapidly identify … https://psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns-during-covid