Results

Total Results: over 10,000 records

Showing results for "identify".

301. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. | PSNet
     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

302. Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. | PSNet
     psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2
     May 18, 2022 - The first commentary in this series describes strategies to identify and classify events in obstetric … December 21, 2017 Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854374/psn-pdf
     October 11, 2023 - learning-latent-safety-threats-identified-during-simulation-improve-patient- safety Simulations are routinely used to identify … learning-latent-safety-threats-identified-during-simulation-improve-patient-safety https://psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured-patients-new … https://psnet.ahrq.gov/issue/situ-simulation-tool-longitudinally-identify-and-track-latent-safety-threats-structured

304. 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.  | PSNet
     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

305. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet
     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

306. Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. | PSNet
     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

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837747/psn-pdf
     July 27, 2022 - Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. … https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events … https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events

308. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. | PSNet
     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

309. Unintended exposure in radiotherapy: identification of prominent causes. | PSNet
     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

310. Psn-Pdf (pdf file)
     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

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853439/psn-pdf
     September 13, 2023 - situ-simulations-detect-patient-safety-threats-during-hospital-cardiac-arrest In situ simulation is a valuable tool to identify … glossary-heading-term-73800 https://psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats … https://psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861838/psn-pdf
     January 31, 2024 - The Innovation team used chart review of ambulatory clinic patients to identify those who received a … Proactive approaches to identify outpatient ADEs provide an opportunity to address issues that may not … 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.

313. Psn-Pdf (pdf file)
     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

314. Strategies used by nurses to recover medical errors in an academic emergency department setting. | PSNet
     psnet.ahrq.gov/issue/strategies-used-nurses-recover-medical-errors-academic-emergency-department-setting
     September 26, 2016 - The investigators held focus groups to assess how emergency room nurses identify, recover, and correct … Related Resources From the Same Author(s) Strategies used by critical care nurses to identify

315. Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds. | PSNet
     psnet.ahrq.gov/issue/reevaluating-recovery-perceived-violations-and-preemptive-interventions-emergency-psychiatry
     September 17, 2008 - interactions that included miscommunication incidents or perceived violations of accepted practice to identify … October 19, 2022 Can medical record reviewers reliably identify errors and adverse events

316. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. | PSNet
     psnet.ahrq.gov/issue/emergency-medical-and-health-providers-perceptions-key-issues-prehospital-patient-safety
     January 11, 2017 - Interviews with experienced emergency medical services practitioners were used to identify the major … August 3, 2022 Evaluation of drug interaction software to identify alerts for transplant

317. Psn-Pdf (pdf file)
     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

318. Psn-Pdf (pdf file)
     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

319. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/838351
     July 01, 2024 - Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. … Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. … Patient complaints are increasingly used to identify opportunities for patient safety improvement and … Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. … Application of electronic trigger tools to identify targets for improving diagnostic safety.

320. Psn-Pdf (pdf file)
     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