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psnet.ahrq.gov/node/74229/psn-pdf
January 12, 2022 - A simulation systems testing program using HFMEA
methodology can effectively identify and mitigate latent … A simulation systems testing program using HFMEA methodology
can effectively identify and mitigate latent … //psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-
identify-and … study, researchers used simulation training
and healthcare failure mode and effect analysis (HFMEA) to identify … https://psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and
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psnet.ahrq.gov/node/50836/psn-pdf
January 29, 2020 - Developing a cancer-specific trigger tool to identify
treatment-related adverse events using administrative … specific trigger tool to identify treatment?
related adverse events using administrative data. … https://psnet.ahrq.gov/issue/developing-cancer-specific-trigger-tool-identify-treatment-related-adverse … or prostate cancer investigated the feasibility of a
cancer-specific claims-based trigger tool to identify … https://psnet.ahrq.gov/issue/developing-cancer-specific-trigger-tool-identify-treatment-related-adverse-events-using
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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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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/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/74001/psn-pdf
January 01, 2022 - Filling a gap in safety metrics: development of a patient-
centred framework to identify and categorise … Filling a gap in safety metrics: development of a patient-
centred framework to identify and categorise … https://psnet.ahrq.gov/issue/filling-gap-safety-metrics-development-patient-centred-framework-identify-and … This study
brought patients, families, clinicians and experts together to identify patient-reported … https://psnet.ahrq.gov/issue/filling-gap-safety-metrics-development-patient-centred-framework-identify-and-categorise
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psnet.ahrq.gov/node/47474/psn-pdf
April 07, 2019 - Toward safer health care: a review strategy of FDA
medical device adverse event database to identify … Toward safer health care: a review strategy of FDA medical device adverse
event database to identify … psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-
database-identify … and Drug Administration Manufacturer and User Facility Device Experience database as a source to
identify … psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-identify
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psnet.ahrq.gov/node/50751/psn-pdf
December 18, 2019 - Using a machine learning system to identify and prevent
medication prescribing errors: a clinical and … Using a machine learning system to identify and
prevent medication prescribing errors: A clinical and … https://psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing … -
errors-clinical-and
Clinical decision support (CDS) tools help identify and reduce medication errors … https://psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
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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/854376/psn-pdf
October 11, 2023 - community-validation-approach-detect-delayed-diagnosis-appendicitis-big-
databases
Trigger tools are commonly used to detect adverse events and identify … This
study found that trigger tools using electronic health record-based data can accurately identify … community-validation-approach-detect-delayed-diagnosis-appendicitis-big-databases
https://psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety … https://psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety … https://psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
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psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
February 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. … How harnessing patient voice can identify drift towards boundaries of acceptable performance.
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psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis-common-infections
April 10, 2024 - Study
Development of patient safety measures to identify inappropriate diagnosis … Development of patient safety measures to identify inappropriate diagnosis of common infections. … Development of patient safety measures to identify inappropriate diagnosis of common infections.
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psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory-setting
January 31, 2024 - The team used an electronic health record–based automated trigger to identify patients at risk for … October 31, 2017
Accuracy of the Safer Dx Instrument to identify diagnostic errors in … May 21, 2016
Root cause analysis reports help identify common factors in delayed diagnosis
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psnet.ahrq.gov/node/72819/psn-pdf
March 10, 2021 - Time-ordered comorbidity correlations identify patients at
risk of mis- and overdiagnosis. … https://psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-
overdiagnosis … compare similarities between these disease trajectories and individual patient
disease histories to identify … https://psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis … https://psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
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psnet.ahrq.gov/node/46258/psn-pdf
January 01, 2021 - Development of a trigger tool to identify adverse drug
events in elderly patients with multimorbidity … Development of a Trigger Tool to Identify Adverse Drug
Events in Elderly Patients With Multimorbidity … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients- … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients-multimorbidity … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients-multimorbidity
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psnet.ahrq.gov/node/47731/psn-pdf
April 27, 2019 - Implementing strategies to identify and mitigate adverse
safety events: a case study with unplanned … Implementing Strategies to Identify and Mitigate Adverse Safety Events:
A Case Study with Unplanned … https://psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case … https://psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned … https://psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
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psnet.ahrq.gov/node/837675/psn-pdf
July 13, 2022 - Dashboard design to identify and balance competing risk
of multiple hospital-acquired conditions. … Dashboard design to identify and balance competing risk of
multiple hospital-acquired conditions. … https://psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital- … https://psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions … https://psnet.ahrq.gov/issue/dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions
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psnet.ahrq.gov/node/73462/psn-pdf
July 07, 2021 - Root cause analysis to identify contributing factors for
the development of hospital acquired pressure … Root cause analysis to identify contributing factors for the development of hospital acquired
pressure … https://psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital- … https://psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure … https://psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
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psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
December 22, 2021 - higher-than-average HAPI rates, conducted a root cause analysis to determine contributing factors and identify … A root cause analysis was completed for each HAPI to identify trends and implement improvements. … July 20, 2022
Root cause analysis to identify contributing factors for the development
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psnet.ahrq.gov/issue/opportunities-mine-ehrs-malpractice-risk-management-and-patient-safety
October 28, 2020 - This commentary suggests that EHRs have yet to be fully embraced as a tool to proactively identify areas … Related Resources From the Same Author(s)
Using event reports in real-time to identify … 2020
Filling a gap in safety metrics: development of a patient-centred framework to identify