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Showing results for "identify".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851052/psn-pdf
     June 28, 2023 - This study uses two years of unplanned readmissions to a children’s hospital to identify missed opportunities … The authors recommend that future research include larger cohorts to identify populations and conditions

342. Psn-Pdf (pdf file)
     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

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43174/psn-pdf
     December 12, 2014 - Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify … Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify … In contrast, voluntary reporting did not identify all ADEs that were found using the trigger tool, implying

344. Psn-Pdf (pdf file)
     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

345. HealthGrades Seventh Annual Patient Safety in American Hospitals Study. | PSNet
     psnet.ahrq.gov/issue/healthgrades-seventh-annual-patient-safety-american-hospitals-study
     July 02, 2014 - preventable patient safety events, estimate the attributable morbidity and mortality from such events, and identify … October 25, 2013 Reliability and usability of a 7-minute chart review tool to identify

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864861/psn-pdf
     September 19, 2022 - real-world-activities Clinical audits are used to compare clinical practices against standards of care to identify … defined by clinically relevant events) and the use of care pathway audit cycles to improve diagnosis and identify

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843413/psn-pdf
     February 01, 2023 - toward-translation-systems-thinking-methods-patient-safety-practice- assessing-validity-net Organizations are encouraged to proactively identify … This article describes validity testing of systems-thinking risk assessment (Net-HARMS) to identify

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45945/psn-pdf
     April 24, 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 input

349. 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

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38706/psn-pdf
     June 17, 2009 - triggers https://psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related … https://psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related … https://psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit https://psnet.ahrq.gov

351. Electronic health record reviews to measure diagnostic uncertainty in primary care. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-reviews-measure-diagnostic-uncertainty-primary-care
     August 20, 2018 - August 20, 2018 An electronic trigger based on care escalation to identify preventable … September 28, 2016 Electronic triggers to identify delays in follow-up of mammography … August 25, 2021 Implementation of electronic triggers to identify diagnostic errors in … February 2, 2022 Use of patient complaints to identify diagnosis-related safety concerns

352. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
     September 01, 2011 - * Objectives At the conclusion of this educational activity, participants should be able to: Identify … commonly reported adverse events in long-term care Identify two to three challenges of nursing home … risk for adverse events Multidisciplinary team meetings can help identify and aggressively manage individuals … rates of falls, pressure ulcers, infections, unplanned hospitalizations, and emergency room visits to identify … nursing homes that may contribute to the occurrence of adverse events Monitoring systems designed to identify

353. Recognizing the ordinary as extraordinary: insight into the "way we work" to improve patient safety outcomes. | PSNet
     psnet.ahrq.gov/issue/recognizing-ordinary-extraordinary-insight-way-we-work-improve-patient-safety-outcomes
     December 12, 2012 - This commentary describes how a surveillance program can help gain insights about nursing work and identify … September 27, 2016 Strategies used by critical care nurses to identify, interrupt, and

354. Psn-Pdf (pdf file)
     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

355. Psn-Pdf (pdf file)
     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

356. Psn-Pdf (pdf file)
     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

357. Psn-Pdf (pdf file)
     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

358. Psn-Pdf (pdf file)
     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

359. Psn-Pdf (pdf file)
     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

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866344/psn-pdf
     January 01, 2025 - machine-learning-evaluation-inequities-and-disparities-associated-nurse- sensitive-indicator Nurse sensitive indicators (NSI) can help organizations identify … associated pressure injuries, and healthcare associated infections - in one hospital were analyzed to identify