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psnet.ahrq.gov/node/45872/psn-pdf
April 13, 2017 - 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 … challenges-defining-and-measuring-diagnostic-error
https://psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care
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psnet.ahrq.gov/node/849325/psn-pdf
January 01, 2024 - medication-safety-event-reporting-factors-contribute-safety-events-during-
times
Institutional error and near-miss reporting helps identify … medication-safety-event-reporting-factors-contribute-safety-events-during-times
https://psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes
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psnet.ahrq.gov/node/860387/psn-pdf
January 10, 2024 - analysis-medical-malpractice-claims-against-medical-oncologists-national-
database
Closed malpractice claims are frequently analyzed to identify … This study used
malpractice claims against medical oncologists to identify areas for practice and education
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psnet.ahrq.gov/node/862129/psn-pdf
February 07, 2024 - prevention-medical
Human Factor Analysis and Classification System (HFACS) in healthcare is used to identify … primer/human-factors-engineering
https://psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
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psnet.ahrq.gov/node/865590/psn-pdf
April 17, 2024 - this study, researchers used the Safer Dx Trigger tool framework to develop an
electronic trigger to identify … abrupt-expansion-ambulatory-telemedicine-implications-patient-safety
https://psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
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psnet.ahrq.gov/node/836812/psn-pdf
March 30, 2022 - The goal of RCA is to identify root causes, identify corrective actions, and eliminate these
root causes … It is helpful in structuring brainstorming sessions where healthcare teams identify
several potential … an investment of time,
resources, organizational commitment, and patient and family engagement to identify … and effects analysis (FMEA) is a structured adverse event analysis tool that aims to
prospectively identify … The team then conducts detailed process mapping to identify all the
steps in the process that is being
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - /eB team, which includes physicians who oversee each eA/eB study, as
well as specialty experts, to identify … Best Practice Alert in the
electronic health record (EHR), greatly increased the screening rate to identify … KPSC implemented an electronic surveillance system4 to identify patients with rectal
bleeding and/or … KPSC created the SureNet system4 to identify patients with no follow-up
visit scheduled, despite having … The SureNet system “leverages
electronic health information to efficiently identify and address a variety
-
psnet.ahrq.gov/node/74133/psn-pdf
January 01, 2022 - coordination resources in primary care, this study
utilized Medicare fee-for-service claims data to identify … risk factors to identify individuals at risk of future
avoidable hospital events.
-
psnet.ahrq.gov/node/838194/psn-pdf
September 28, 2022 - This commentary introduces Measure Dx, a tool
providing guidance for health care organizations to identify … improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
-
psnet.ahrq.gov/node/866163/psn-pdf
June 19, 2024 - This study sought to evaluate ChatGPT's ability to identify diagnostic errors in
case studies. … ChatGPT was able to identify diagnostic errors in 95% of the 545 case reports.
-
psnet.ahrq.gov/node/867638/psn-pdf
February 26, 2025 - artificial-intelligence-related-safety-issues-associated-fda-medical-device-reports
https://psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents … https://psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
-
psnet.ahrq.gov/node/867590/psn-pdf
January 22, 2025 - evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-
improvement
AHRQ’s Measure Dx: A Resource to Identify … evaluation-measure-dx-resource-accelerate-diagnostic-safety-learning-and-improvement
https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
-
psnet.ahrq.gov/node/860726/psn-pdf
January 17, 2024 - sustained-decrease-latent-safety-threats-through-regular-interprofessional-situ-
simulation
In situ simulation training can identify … psnet.ahrq.gov/glossary-0#glossary-heading-term-73800
https://psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine-systematic-review
-
psnet.ahrq.gov/node/862601/psn-pdf
February 14, 2024 - why-simulation-matters-systematic-review-medical-errors-occurring-during-
simulated-health
Simulation provides a safe environment to learn new skills or identify … checklist-usage-decreases-critical-task-omissions-when-training-residents-separate-simulated
https://psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats
-
psnet.ahrq.gov/node/862990/psn-pdf
February 21, 2024 - (PSI) developed by the Agency for Healthcare Research and Quality aid
healthcare organizations to identify … patient-safety-indicators-overview
https://psnet.ahrq.gov/issue/validity-16-ahrq-patient-safety-indicators-identify-hospital-complications-medical-record
-
psnet.ahrq.gov/node/848087/psn-pdf
August 02, 2019 - simulation-based-clinical-systems-testing-healthcare-spaces-intake-through-
implementation
Simulation is a valuable tool to identify … the development and implementation of a simulation-based clinical systems
testing (SbCST) program to identify
-
psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record
April 13, 2022 - Citation
Related Resources From the Same Author(s)
Inviting patients to identify … April 13, 2022
Use of patient complaints to identify diagnosis-related safety concerns … November 16, 2022
Inviting patients to identify diagnostic concerns through structured
-
psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - • Identify strategies to reduce diagnostic errors. … • Identify factors that place a patient at higher risk for death after abdominal surgery for a
bowel … • Applying root-cause-analysis (RCA) methodology, we can appreciate the
complexity of the case and identify … RCA will guide this commentary with a focus on diagnostic
failure, failure to identify and target early … AND TARGET
EARLY SEPSIS
20
Failure to Identify and Target Early Sepsis (1)
• Sepsis is the body
-
psnet.ahrq.gov/node/846148/psn-pdf
March 15, 2023 - This study used a
computerized trigger tool to identify near-miss incidents in the emergency department … This
analysis suggests computerized trigger tools can be useful to identify near misses that otherwise
-
psnet.ahrq.gov/node/866692/psn-pdf
September 11, 2024 - This
study used 8 years of medication records to identify when in the medication process the error occurred … prevalence-nature-severity-and-preventability-adverse-drug-events-mental-health-settings
https://psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors