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psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
December 18, 2013 - supporting the use of standardized forms in hospital incident reporting systems, and training surveyors to identify … Copy Citation
Related Resources From the Same Author(s)
How to Identify and … March 19, 2014
How to Identify and Address Unsafe Conditions Associated With Health IT
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psnet.ahrq.gov/node/44989/psn-pdf
July 01, 2016 - Can medical record reviewers reliably identify errors and
adverse events in the ED? … Can medical record reviewers reliably identify errors and adverse
events in the ED? … https://psnet.ahrq.gov/issue/can-medical-record-reviewers-reliably-identify-errors-and-adverse-events-ed … https://psnet.ahrq.gov/issue/can-medical-record-reviewers-reliably-identify-errors-and-adverse-events-ed
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psnet.ahrq.gov/node/42510/psn-pdf
August 21, 2013 - Root cause analysis reports help identify common factors
in delayed diagnosis and treatment of outpatients … Root cause analysis reports help identify common factors in
delayed diagnosis and treatment of outpatients … https://psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis … https://psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment … https://psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
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psnet.ahrq.gov/node/44022/psn-pdf
May 28, 2015 - Initiatives to identify and mitigate medication errors in
England. … Initiatives to identify and mitigate medication errors in England. … https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-medication-errors-england
Open communication … https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-medication-errors-england
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/causes-errors-electrocardiographic-diagnosis-atrial-fibrillation-physicians
April 16, 2018 - In this cohort study, cardiologists re-reviewed ECGs to identify the rate of false-positive and false-negative … A prior study also found that the computerized ECG interpretation frequently did not identify the correct … September 28, 2010
Implications of the failure to identify high-risk electrocardiogram
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psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field-incident-reporting
October 18, 2018 - manual chart review, natural language processing (NLP) can efficiently analyze narrative text to identify … February 8, 2023
Application of electronic trigger tools to identify targets for improving … May 8, 2017
Can medical record reviewers reliably identify errors and adverse events
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psnet.ahrq.gov/issue/obtaining-best-possible-medication-history-hospital-admission-description-pharmacy-technician
September 30, 2020 - possible medication history at hospital admission: description of a pharmacy technician-driven program to identify … possible medication history at hospital admission: description of a pharmacy technician-driven program to identify … possible medication history at hospital admission: description of a pharmacy technician-driven program to identify
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psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
October 24, 2018 - Study
Root cause analysis reports help identify common factors in delayed diagnosis … Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients … Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients
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psnet.ahrq.gov/node/851914/psn-pdf
August 02, 2023 - and Drug Administration's (FDA) Manufacturer and User Facility
Device Experience (MAUDE) database to identify … psnet.ahrq.gov/issue/toward-safer-health-care-review-strategy-fda-medical-device-adverse-event-database-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/865531/psn-pdf
April 10, 2024 - the
evaluation of a simulation training designed to help emergency medicine and pediatric learners identify … The simulation objectives were for the learners to (1) identify that the case was not concerning for … non-accidental trauma, (2) identify that the resident was displaying bias, and (3) communicate with
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psnet.ahrq.gov/node/41628/psn-pdf
January 03, 2017 - Is it possible to identify risks for injurious falls in
hospitalized patients? … Is it possible to identify risks for injurious falls in hospitalized
patients? … https://psnet.ahrq.gov/issue/it-possible-identify-risks-injurious-falls-hospitalized-patients
Despite … https://psnet.ahrq.gov/issue/it-possible-identify-risks-injurious-falls-hospitalized-patients
https:/
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Triggers have become a widely used way to retrospectively analyze medical
records in order to identify … effect of opioid medications) to a
hospitalized patient would be a reasonable trigger that could help identify … Therefore,
pharmacists and patient safety personnel could use that trigger to identify cases that may … severe cases (ones that weren't severe enough to merit naloxone administration), but the cases it did
identify … Controversies
The IHI cautions that the GTT (or any trigger tool method) cannot identify all sources
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psnet.ahrq.gov/node/849317/psn-pdf
May 24, 2023 - 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. … implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
https://psnet.ahrq.gov/issue/root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
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psnet.ahrq.gov/node/73687/psn-pdf
September 08, 2021 - leveraged “Great Catches” as part of an existing handshake antimicrobial stewardship program
(HS-ASP) to identify … recommendations often flagged
diagnostic errors, this suggests that the HS-ASP model can be leveraged to identify … psnet.ahrq.gov/issue/antimicrobial-stewardship
https://psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care
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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
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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
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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
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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
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psnet.ahrq.gov/node/74160/psn-pdf
December 08, 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
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psnet.ahrq.gov/node/36308/psn-pdf
January 05, 2017 - A trigger tool to identify adverse events in the intensive
care unit. … A Trigger Tool to Identify Adverse Events in the Intensive Care
Unit. … https://psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
This study describes … https://psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
https://psnet.ahrq.gov