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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-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/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/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/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/node/865532/psn-pdf
April 10, 2024 - https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
In situ simulation can identify … combines simulation-based clinical systems testing (SbCST) and simulation-based training
(SbT) to identify … medical emergency, participants engaged in a facilitator-led debriefing process and were asked
to identify … innovation/let-us-twisst-plan-simulate-study-and-act
https://psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine-systematic-review
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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/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/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
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psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
September 09, 2015 - Review
A systematic review to identify the factors that affect failure to rescue … A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery … A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery
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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/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine
July 18, 2018 - This report analyzes malpractice claims from 90 hospitals across the United States to identify risks … May 1, 2011
Implications of the failure to identify high-risk electrocardiogram
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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/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among
June 11, 2010 - Study
Use of an interactive, telephone-based self-management support program to identify … Use of an interactive, telephone-based self-management support program to identify adverse events among … Use of an interactive, telephone-based self-management support program to identify adverse events among
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psnet.ahrq.gov/node/37687/psn-pdf
February 22, 2011 - Use of an interactive, telephone-based self-management
support program to identify adverse events among … Use of an interactive, telephone-based self-management support
program to identify adverse events among … https://psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify … https://psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among … https://psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among
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psnet.ahrq.gov/node/42830/psn-pdf
December 18, 2013 - How to Identify and Address Unsafe Conditions
Associated With Health IT. … https://psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
This white … paper details how health care organizations can identify health information technology concerns
and … https://psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
https://
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psnet.ahrq.gov/issue/unintended-exposure-radiotherapy-identification-prominent-causes
May 01, 2003 - This study used root cause analysis methodology to identify system factors leading to excess radiation … June 27, 2011
The use of human factors methods to identify and mitigate safety issues
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psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
September 12, 2018 - This commentary recommends an approach to examine laboratory testing and identify weaknesses that may … October 9, 2013
Root cause analysis reports help identify common factors in delayed diagnosis