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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/addressing-health-care-needs-people-who-identify-transgender-what-do-nurses-need-know
February 17, 2021 - Commentary
Addressing the health care needs of people who identify as transgender … Addressing the health care needs of people who identify as transgender: what do nurses need to know? … Addressing the health care needs of people who identify as transgender: what do nurses need to know?
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psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
October 05, 2022 - leadership , providers, EHR developers) can now use the refined SEWA framework to identify , analyze … October 5, 2022
Patients' willingness and ability to identify and respond to errors in … 2020
Assessment of patients' ability to review electronic health record information to identify
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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/development-and-performance-evaluation-medicines-optimisation-assessment-tool-moat-prognostic
March 18, 2020 - This article describes the development and validation of a scoring tool to identify patients most at … 2020
Filling a gap in safety metrics: development of a patient-centred framework to identify … April 3, 2019
Use of patient complaints to identify diagnosis-related safety concerns
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psnet.ahrq.gov/issue/study-multisite-prospective-adverse-event-surveillance-system
October 16, 2019 - This prospective study used a trigger tool approach to identify potential adverse events among hospitalized … April 9, 2014
Error rating tool to identify and analyse technical errors and events in … January 18, 2012
Using prospective clinical surveillance to identify adverse events in
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psnet.ahrq.gov/issue/near-miss-events-detected-using-emergency-department-trigger-tool
August 24, 2022 - This study used a computerized trigger tool to identify near-miss incidents in the emergency department … This analysis suggests computerized trigger tools can be useful to identify near misses that otherwise … View More
Related Resources
Implementation of electronic triggers to identify
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psnet.ahrq.gov/issue/adverse-drug-event-related-admissions-pediatric-emergency-unit
October 05, 2022 - The authors recommend the involvement of clinical pharmacists to prevent and identify ADEs in the pediatric … 2020
Filling a gap in safety metrics: development of a patient-centred framework 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-name-overlap-analysis-understand-medication-name-search-safety
August 31, 2022 - is selected by requiring users to type just enough characters of the medication name to uniquely identify … Results show as few as 4 characters may be needed to identify a single name, but substantial research … April 29, 2020
Using a machine learning system to identify and prevent medication prescribing
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psnet.ahrq.gov/node/841149/psn-pdf
December 07, 2022 - structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-
analysis-two
Structured tools are increasingly used to identify … study, researchers compared the performance of two validated tools (Safer Dx
and the DEER taxonomy) to identify … structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two
https://psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care … missed-acute-myocardial-infarction-emergency-department-standardizing-measurement
https://psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
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psnet.ahrq.gov/node/40097/psn-pdf
January 19, 2011 - Use of an electronic information system to identify
adverse events resulting in an emergency department … Use of an electronic information system to identify
adverse events resulting in an emergency department … https://psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-
emergency-department … https://psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department … https://psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department
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psnet.ahrq.gov/node/44955/psn-pdf
May 21, 2016 - 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. … https://psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care
Diagnostic … Compared to the researchers' prior open chart review method, this tool provided adequate accuracy to help
identify … https://psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care
https
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psnet.ahrq.gov/node/47270/psn-pdf
August 08, 2018 - A method to identify pediatric high-risk diagnoses missed
in the emergency department. … A method to identify pediatric high-risk diagnoses missed in the
emergency department. … https://psnet.ahrq.gov/issue/method-identify-pediatric-high-risk-diagnoses-missed-emergency-department … This retrospective cohort study employed natural language processing to identify
dangerous diagnoses … https://psnet.ahrq.gov/issue/method-identify-pediatric-high-risk-diagnoses-missed-emergency-department
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psnet.ahrq.gov/issue/antecedent-treat-and-release-diagnoses-prior-sepsis-hospitalization-among-adult-emergency
May 12, 2021 - Building on prior research on missed myocardial infarction, this study used the SPADE approach to identify … Using claims data, researchers used a ‘look back’ analysis to identify treat-and-release emergency department … (ED) visits in the month prior to sepsis hospitalizations and identify common diagnoses linked to downstream
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psnet.ahrq.gov/node/39600/psn-pdf
June 16, 2010 - Developing a patient safety surveillance system to
identify adverse events in the intensive care unit … Developing a patient safety surveillance system to identify adverse events in
the intensive care unit … https://psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events- … https://psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit … https://psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit
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psnet.ahrq.gov/node/38070/psn-pdf
March 10, 2011 - Can surveillance systems identify and avert adverse drug
events? … Can surveillance systems identify and avert adverse drug events? … https://psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective … https://psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective-evaluation … https://psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective-evaluation
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psnet.ahrq.gov/node/44524/psn-pdf
March 16, 2016 - Application of a human factors classification framework
for patient safety to identify precursor and … Application of a human factors classification framework for patient
safety to identify precursor and … https://psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify … https://psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and … https://psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and
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psnet.ahrq.gov/node/36413/psn-pdf
July 13, 2010 - 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 … https://psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care … https://psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients … https://psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
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psnet.ahrq.gov/node/45843/psn-pdf
July 02, 2017 - Safety huddles to proactively identify and address
electronic health record safety. … Safety huddles to proactively identify and address electronic health
record safety. … https://psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety … They concluded that such
huddles may be a useful strategy to identify and mitigate concerns related … https://psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety
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psnet.ahrq.gov/node/38585/psn-pdf
April 30, 2014 - Development of an online morbidity, mortality, and near-
miss reporting system to identify patterns … Development of an online morbidity, mortality, and near-miss
reporting system to identify patterns of … https://psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-
identify-patterns … Investigators used the new tool to better
categorize complications, identify patterns or trends, and … https://psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns