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Showing results for "identify".

361. 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

362. 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

363. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)
     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

364. 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

365. 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

366. 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

367. The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation | PSNet
     psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
     April 01, 2005 - eA/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 system 4 to identify patients with rectal bleeding and/or … KPSC created the SureNet system 4 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

368. 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

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866526/psn-pdf
     August 14, 2024 - This systematic review including 66 studies evaluated tools used to identify adverse events in intermediate … The authors found that most tools are designed to identify specific adverse events or safety risks (

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73419/psn-pdf
     June 23, 2021 - medication history at hospital admission: description of a pharmacy technician-driven program to identify … possible medication history at hospital admission: description of a pharmacy technician-driven program to identify

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73675/psn-pdf
     September 08, 2021 - history taking, injury identification, testing for occult injuries, and cognitive analysis) and to identify … system-wide-hospital-child-maltreatment-patient-safety-program https://psnet.ahrq.gov/issue/using-simulation-identify-sources-medical-diagnostic-error-child-physical-abuse

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846448/psn-pdf
     March 22, 2023 - understanding-patient-and-clinician-reported-nonroutine-events-ambulatory- surgery Understanding deviations in care can identify … Understanding patient perspectives on care deviations can identify opportunities for process improvements

373. Diagnostic Safety Improvement | PSNet
     psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
     July 21, 2025 - Read More Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic … Patient complaints are increasingly used to identify opportunities for patient safety improvement and … Toolkit Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic … Study Use of patient complaints to identify diagnosis-related safety concerns: … Patient complaints are increasingly used to identify opportunities for patient safety improvement and

374. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-471
     December 31, 2024 - Study A machine learning-based clinical predictive tool to identify … In this study, a machine learning (ML) tool was developed to identify hospitalized patients at risk of … AHRQ’s Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events supports … Study A machine learning-based clinical predictive tool to identify patients at … In this study, a machine learning (ML) tool was developed to identify hospitalized patients at risk of

375. 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

376. 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

377. "No-go considerations" for in situ simulation safety. | PSNet
     psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
     April 14, 2021 - October 4, 2023 Hospital-wide cardiac arrest in situ simulation to identify and mitigate … June 8, 2022 In situ simulation as a quality improvement tool to identify and mitigate … July 31, 2024 In situ simulation as a tool to longitudinally identify and track latent

378. Incidence of adverse drug events and medication errors in Japan: the JADE Study. | PSNet
     psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-japan-jade-study
     September 25, 2019 - Clinical prediction rule to identify high-risk inpatients for adverse drug events: the JADE Study. … Clinical prediction rule to identify high-risk inpatients for adverse drug events: the JADE Study. … March 2, 2011 A trigger tool fails to identify serious errors and adverse events in pediatric

379. Strategies and Approaches for Investigating Patient Safety Events | PSNet
     psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
     March 15, 2025 - 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 … require 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

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854377/psn-pdf
     October 11, 2023 - whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify … physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify