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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47105/psn-pdf
    August 10, 2018 - 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. … https://psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing … https://psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes … https://psnet.ahrq.gov/issue/systems-approach-identify-factors-influencing-adverse-drug-events-nursing-homes
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46756/psn-pdf
    May 09, 2018 - Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment … Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment … https://psnet.ahrq.gov/issue/using-modified-a3-lean-framework-identify-ways-increase-students-reporting … https://psnet.ahrq.gov/issue/using-modified-a3-lean-framework-identify-ways-increase-students-reporting-mistreatment … https://psnet.ahrq.gov/issue/using-modified-a3-lean-framework-identify-ways-increase-students-reporting-mistreatment
  3. psnet.ahrq.gov/issue/using-delphi-method-identify-human-factors-contributing-nursing-errors
    June 10, 2015 - Study Using a Delphi method to identify human factors contributing to nursing errors … Using a Delphi Method to Identify Human Factors Contributing to Nursing Errors. … Using a Delphi Method to Identify Human Factors Contributing to Nursing Errors.
  4. psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
    June 28, 2023 - Identify a vendor to implement the automated calling program. … Identify pharmacists who meet the cultural and linguistic needs of the patient population. … Identify a vendor to implement the automated calling program. … Identify pharmacists who meet the cultural and linguistic needs of the patient population. … Identify a vendor to deploy the automated phone calls.
  5. psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
    April 12, 2017 - academic medical center as well as data on medication indications, researchers developed an algorithm to identify … Although the algorithm was able to identify LASA prescribing errors that may not have been found by other … August 26, 2020 Using electronic health records to identify adverse drug events in ambulatory
  6. psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
    January 02, 2017 - The Department of Veterans Affairs has pioneered the use of root cause analysis to identify systems … January 2, 2017 A checklist to identify inpatient suicide hazards in Veterans Affairs … June 21, 2017 A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals
  7. psnet.ahrq.gov/issue/parent-provider-miscommunications-hospitalized-children
    May 08, 2017 - at a pediatric hospital, surveyed both parents and physicians at the time of hospital discharge to identify … another recent study , this study confirms the need to actively survey patients and caregivers to identify … October 13, 2018 Partnering with pediatric patients and families in high reliability to identify
  8. psnet.ahrq.gov/issue/finding-diagnostic-errors-children-admitted-picu
    May 21, 2016 - A prior study showed that application of the Safer Dx Instrument—a structured tool to help identify … In this study, researchers tested the ability of the instrument to identify diagnostic errors in high-risk … Related Resources From the Same Author(s) Accuracy of the Safer Dx Instrument to identify
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35121/psn-pdf
    September 07, 2005 - Classifying laboratory incident reports to identify problems that jeopardize patient safety. … https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient … https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety … https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
  10. psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
    June 22, 2022 - This commentary explores the weaknesses of using hospital mortality to measure patient safety and identify … 2022 Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify
  11. psnet.ahrq.gov/issue/tapping-front-line-knowledge-identifying-problems-they-occur-helps-enhance-patient-safety
    July 21, 2009 - This commentary describes a four-step process to help frontline caregivers identify and address safety … July 21, 2009 A trigger tool to identify adverse events in the intensive care unit. 
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61077/psn-pdf
    October 28, 2020 - Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk …   https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high … https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk … https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60973/psn-pdf
    September 30, 2020 - During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes … https://psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid- … https://psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes … https://psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836853/psn-pdf
    April 06, 2022 - Use of e-triggers to identify diagnostic errors in the paediatric ED. … Use of e-triggers to identify diagnostic errors in the paediatric ED. … https://psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed Trigger tools and … https://psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed https://psnet.ahrq.gov
  15. psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system
    July 31, 2013 - Trigger tools seek to identify adverse events by flagging cases for review based on a particular data … March 19, 2019 Application of electronic trigger tools to identify targets for improving … December 5, 2018 An electronic trigger based on care escalation to identify preventable
  16. psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
    January 17, 2012 - The system includes tools to prospectively identify process risks in an organization, analyze the ways … January 2, 2017 A checklist to identify inpatient suicide hazards in Veterans Affairs … January 5, 2017 A practical framework for patient care teams to prospectively identify
  17. psnet.ahrq.gov/issue/types-and-origins-diagnostic-errors-primary-care-settings
    January 19, 2012 - This study used previously developed trigger tools to screen the electronic medical record to identify … October 26, 2011 Accuracy of the Safer Dx Instrument to identify diagnostic errors in … November 13, 2024 Application of electronic trigger tools to identify targets for improving
  18. psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
    December 21, 2016 - Hospitals often rely on voluntary patient safety event reporting systems to identify safety issues. … Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify … August 20, 2018 Using a modified A3 lean framework to identify ways to increase students
  19. psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance
    December 19, 2018 - inpatient settings used medical record review, clinician reports, and hospital incident reports to identify … Families were able to identify preventable adverse events that were not detected by any other method. … These results demonstrate that families can identify otherwise undetected adverse events and their
  20. psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
    June 04, 2014 - However, in this study the PSIs were able to identify adverse events after discharge in patients who … Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify … Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify

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