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  1. Psn-Pdf (pdf file)

    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
  2. 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
  3. 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
  4. 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
  5. 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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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.
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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.
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. 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
  14. 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
  15. Psn-Pdf (pdf file)

    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
  16. 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
  17. 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
  18. 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
  19. 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
  20. Psn-Pdf (pdf file)

    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

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