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psnet.ahrq.gov/issue/using-automated-risk-assessment-report-identify-patients-risk-clinical-deterioration
February 15, 2017 - Commentary
Using an automated risk assessment report to identify patients at risk … Using an automated risk assessment report to identify patients at risk for clinical deterioration. … Using an automated risk assessment report to identify patients at risk for clinical deterioration.
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psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study
April 15, 2009 - Study
Mix of methods is needed to identify adverse events in general practice: a … Mix of methods is needed to identify adverse events in general practice: a prospective observational … Mix of methods is needed to identify adverse events in general practice: a prospective observational
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psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic-surgery
October 09, 2013 - Study
Error rating tool to identify and analyse technical errors and events in laparoscopic … Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. … Error rating tool to identify and analyse technical errors and events in laparoscopic surgery.
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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.
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psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation-therapy
March 22, 2011 - Study
The use of human factors methods to identify and mitigate safety issues in … The use of human factors methods to identify and mitigate safety issues in radiation therapy. … The use of human factors methods to identify and mitigate safety issues in radiation therapy.
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psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit
February 19, 2014 - Review
Developing a patient safety surveillance system to identify adverse events … 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
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psnet.ahrq.gov/issue/using-modified-a3-lean-framework-identify-ways-increase-students-reporting-mistreatment
May 25, 2010 - Commentary
Using a modified A3 lean framework to identify ways to increase students … Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors … Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors
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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
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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
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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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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
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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
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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
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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/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/node/33582/psn-pdf
September 15, 2024 - identifying hazards before patients are harmed and analyzing events that have already occurred to identify … Despite this effort, health care institutions are still searching for
optimal methods to identify underlying … This Primer reviews both prospective and retrospective methods to identify safety hazards that can lead … The field of human factors engineering attempts to identify and address safety problems that arise due … The traditional use of triggers has been to efficiently identify adverse events through chart review
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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/issue/association-postoperative-readmissions-surgical-quality-using-delphi-consensus-process
September 25, 2018 - Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify … Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify … Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify
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psnet.ahrq.gov/issue/implementing-strategies-identify-and-mitigate-adverse-safety-events-case-study-unplanned
May 24, 2012 - Study
Implementing strategies to identify and mitigate adverse safety events: a case … Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations … Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations
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psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error-simulated
March 30, 2011 - Study
Can medical students identify a potentially serious acetaminophen dosing error … Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter … Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter