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Showing results for "identify".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37859/psn-pdf
    June 25, 2008 - Relying on information from multiple sources is more likely to identify a broader range of incidents … and to identify underlying causes.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43727/psn-pdf
    January 28, 2015 - training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify … training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42862/psn-pdf
    January 15, 2014 - va-health-care-improvements-needed-processes-used-address-providers- actions-contribute Evaluation of provider behavior can identify … This report analyzed data and expert interviews from four Veterans Affairs medical centers to identify

  4. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-457
    September 25, 2024 - This review sought to identify definitions and themes of "safety leadership." … This review sought to identify factors contributing to nurses' decisions to report medication errors … This study evaluated an ML-enhanced electronic trigger to identify possible missed opportunities in diagnosis … This review sought to identify factors contributing to nurses' decisions to report medication errors … This review sought to identify definitions and themes of "safety leadership."

  5. Charting diagnostic safety: exploring patient-provider discordance in medical record documentation. | PSNet

    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

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847535/psn-pdf
    April 12, 2023 - events that result in death or severe patient harm and require a full organizational investigation to identify … This study pooled sentinel event reports from 28 Dutch hospitals to identify common system-level contributing

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838917/psn-pdf
    October 26, 2022 - Diagnostic errors are an emerging area of patient safety research; as such, innovative methods to identify … method includes dedicated patient safety staff and volunteer clinical specialists to review events and identify

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46606/psn-pdf
    July 10, 2019 - implementation-mock-root-cause-analysis-provide-simulated-patient-safety- training Root cause analysis is a strategy to identify … The students involved in the program gained confidence in their ability to recognize, identify, and

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848038/psn-pdf
    April 26, 2023 - assessing-system-thinking-senior-pharmacy-students-using-innovative-horror- room-simulation Simulated hospital rooms have been used in medical education to identify … In this study, pharmacy students participated in a team-based simulation to identify potential latent

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74098/psn-pdf
    January 01, 2023 - reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality- improvement-study Failure to identify … This study used routinely collected emergency event data to identify failure to rescue events at one

  11. 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

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842429/psn-pdf
    January 11, 2023 - diagnosed with lung cancer used electronic health records and natural language processing (NLP) to identify … Researchers found that NLP can identify signs and symptoms associated with lung cancer over a year prior

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48100/psn-pdf
    July 24, 2019 - opioid-safety https://psnet.ahrq.gov/issue/opioid-stewardship https://psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating-opioids-pain … https://psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating-opioids-pain

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836824/psn-pdf
    March 30, 2022 - collaborative-case-review-systems-based-approach-patient-safety-event- investigation-and Root cause analysis is a commonly used tool to identify … collaborative case reviews (CCR) co- led by radiology and an institutional patient safety program) to identify

  15. 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

  16. 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

  17. "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

  18. 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

  19. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-392
    April 26, 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. … This study used four years of incident reports to identify the types, causes, and consequences of health … Institutional error and near-miss reporting helps identify systemic weaknesses and areas for improvement … Suggestions for improvement included conducting a root cause analysis to identify systemic problems,

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60635/psn-pdf
    January 01, 2021 - systemic-defenses-prevent-intravenous-medication-errors-hospitals- systematic-review The objective of this systematic review was to identify … and smart pumps were the most common systemic defenses examined in the included studies; the authors identify
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