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psnet.ahrq.gov/node/38942/psn-pdf
November 25, 2009 - Using in situ simulation to identify and resolve latent
environmental threats to patient safety: case … Using in situ simulation to identify and resolve latent
environmental threats to patient safety: case … https://psnet.ahrq.gov/issue/using-situ-simulation-identify-and-resolve-latent-environmental-threats-patient … safety-case
This case analysis explains how crew resource management training provides an opportunity to identify … https://psnet.ahrq.gov/issue/using-situ-simulation-identify-and-resolve-latent-environmental-threats-patient-safety-case
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psnet.ahrq.gov/node/44315/psn-pdf
November 20, 2015 - Expanding the scope of Critical Care Rapid Response
Teams: a feasible approach to identify adverse events … Expanding the scope of Critical Care Rapid Response
Teams: a feasible approach to identify adverse events … https://psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-
identify-adverse-events … methods of detecting errors
and adverse events, as individual approaches vary in their ability to identify … hospitalized patients, and this study investigated whether analysis of RRS activations could be used to
identify
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psnet.ahrq.gov/node/44431/psn-pdf
October 21, 2015 - Use of a human factors classification framework to
identify causal factors for medication and medical … Use of a human factors classification framework to identify causal
factors for medication and medical … https://psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication … and 200 medical device-related clinical
incidents in Australia using a human factors framework to identify … https://psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
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psnet.ahrq.gov/node/40084/psn-pdf
December 15, 2010 - Patterns in nursing home medication errors:
disproportionality analysis as a novel method to identify … Patterns in nursing home medication errors: disproportionality
analysis as a novel method to identify … psnet.ahrq.gov/issue/patterns-nursing-home-medication-errors-disproportionality-analysis-novel-
method-identify … This study applied a novel analytic tool to identify rates and patterns of medication error reporting … psnet.ahrq.gov/issue/patterns-nursing-home-medication-errors-disproportionality-analysis-novel-method-identify
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psnet.ahrq.gov/node/42740/psn-pdf
December 31, 2014 - ICD-10 codes used to identify adverse drug events in
administrative data: a systematic review. … ICD-10 codes used to identify adverse drug events in
administrative data: a systematic review. … https://psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-
systematic-review … However, many prior studies have shown that these data have limited ability to
identify adverse events … The review searched for studies that
attempted to identify adverse drug events by searching administrative
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psnet.ahrq.gov/node/47811/psn-pdf
March 13, 2019 - Using electronic health records to identify adverse drug
events in ambulatory care: a systematic review … Using Electronic Health Records to Identify Adverse Drug Events in Ambulatory
Care: A Systematic Review … https://psnet.ahrq.gov/issue/using-electronic-health-records-identify-adverse-drug-events-ambulatory-care … systematic
This systematic review found that most studies use electronic health records as a data source to identify … https://psnet.ahrq.gov/issue/using-electronic-health-records-identify-adverse-drug-events-ambulatory-care-systematic
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psnet.ahrq.gov/node/45878/psn-pdf
September 20, 2017 - Development of a trigger tool to identify adverse events
and harm in emergency medical services. … Development of a trigger tool to identify adverse events and
harm in Emergency Medical Services. … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-
medical-services … Trigger tools can identify patient results that may represent adverse events in an automated manner … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-medical-services
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psnet.ahrq.gov/node/46481/psn-pdf
August 20, 2018 - An electronic trigger based on care escalation to identify
preventable adverse events in hospitalised … An electronic trigger based on care escalation to identify preventable
adverse events in hospitalised … https://psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events … refine the Institute of Healthcare Improvement Global
Trigger Tool to more efficiently and accurately identify … Among these
patients, they applied a modified trigger tool to identify cases of possible adverse events
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psnet.ahrq.gov/node/46424/psn-pdf
March 20, 2018 - Electronic triggers to identify delays in follow-up of
mammography: harnessing the power of big data … Electronic Triggers to Identify Delays in Follow-Up of
Mammography: Harnessing the Power of Big Data … https://psnet.ahrq.gov/issue/electronic-triggers-identify-delays-follow-mammography-harnessing-power-big … Researchers developed an electronic health record–based trigger tool to identify delays in
abnormal … in
detecting diagnostic and treatment delays (positive predictive value 71%) and rarely failed to identify
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psnet.ahrq.gov/node/45239/psn-pdf
August 24, 2016 - Using simulation to improve first-year pharmacy students'
ability to identify medication errors involving … Using Simulation to Improve First-Year Pharmacy Students' Ability to
Identify Medication Errors Involving … https://psnet.ahrq.gov/issue/using-simulation-improve-first-year-pharmacy-students-ability-identify- … combined didactic lecture and simulation methods enhanced first-year
pharmacy students' ability to identify … https://psnet.ahrq.gov/issue/using-simulation-improve-first-year-pharmacy-students-ability-identify-medication-errors
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psnet.ahrq.gov/innovation/clinician-collaboration-improve-clinical-decision-support-clickbusters-initiative
October 21, 2020 - Using the Plan-Do-Study-Act model, the Clickbuster initiative assesses the performance of CDS alerts to identify … From the Same Author(s)
A machine learning-based clinical decision support system to identify … April 21, 2021
Inviting patients to identify diagnostic concerns through structured evaluation
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psnet.ahrq.gov/issue/process-failures-increase-risk-infection-through-respiratory-droplets-study-patient-safety
March 24, 2021 - In an effort to identify process failures related to infectious disease spread in hospital settings … 2022
Filling a gap in safety metrics: development of a patient-centred framework to identify … More
Related Resources
In situ simulation as a quality improvement tool to identify
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psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient
December 16, 2020 - The authors undertook a retrospective review of primary care consultations to identify incidence, … 2020
Filling a gap in safety metrics: development of a patient-centred framework to identify … August 3, 2022
Use of patient complaints to identify diagnosis-related safety concerns
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psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
April 11, 2011 - Study
Development, testing, and findings of a pediatric-focused trigger tool to identify … Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related … Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related … neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify
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psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-ahrq-patient-safety-indicator-postoperative
January 10, 2018 - and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify … and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify … and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify … Time of Crisis
March 15, 2023
In situ simulation as a tool to longitudinally identify
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psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-drug-events-elderly-patients-multimorbidity
December 02, 2020 - Study
Development of a trigger tool to identify adverse drug events in elderly patients … 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
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psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes
March 18, 2020 - Study
A systems approach to identify factors influencing adverse drug events in nursing … A Systems Approach to Identify Factors Influencing Adverse Drug Events in Nursing Homes. … A Systems Approach to Identify Factors Influencing Adverse Drug Events in Nursing Homes.
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psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
July 07, 2021 - Study
Implications of the failure to identify high-risk electrocardiogram findings … Implications of the failure to identify high-risk electrocardiogram findings for the quality of care … Implications of the failure to identify high-risk electrocardiogram findings for the quality of care
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psnet.ahrq.gov/issue/development-research-agenda-identify-evidence-based-strategies-improve-physician-wellness-and
June 01, 2022 - Commentary
Development of a research agenda to identify evidence-based strategies … Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness … Development of a Research Agenda to Identify Evidence-Based Strategies to Improve Physician Wellness
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psnet.ahrq.gov/node/46513/psn-pdf
June 19, 2018 - Development of a trigger tool to identify adverse events
and no-harm incidents that affect patients … Development of a trigger tool to identify adverse events and
no-harm incidents that affect patients … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect … -
patients
This study describes the development and validation of a trigger tool to identify possible … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients