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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
-
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.
-
psnet.ahrq.gov/issue/errors-diagnosis-spinal-epidural-abscesses-era-electronic-health-records
April 24, 2018 - September 28, 2016
Electronic triggers to identify delays in follow-up of mammography … April 13, 2017
Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary … November 11, 2020
An electronic trigger based on care escalation to identify preventable
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - Rather than focusing corrective efforts on punishment or remediation, the
systems approach seeks to identify … tremendous explanatory power, it also helps point the way toward solutions—encouraging
personnel to try to identify … Failure modes effect analysis (FMEA) attempts to prospectively identify error-prone situations, or failure … Different teams charged with analyzing
the same process may identify different steps in the process, … Creating a culture of safety in which reporting of active errors is encouraged, analysis of errors
to identify
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psnet.ahrq.gov/node/46168/psn-pdf
June 14, 2017 - conditions-targeted
This retrospective cohort study demonstrated that a readmission risk score could prospectively identify … These results suggest that this
algorithm can identify a high-risk patient group who may benefit from
-
psnet.ahrq.gov/issue/automated-and-electronically-assisted-hand-hygiene-monitoring-systems-systematic-review
July 30, 2014 - View More
Related Resources
Using community detection techniques to identify … August 24, 2022
Dashboard design to identify and balance competing risk of multiple hospital-acquired … April 20, 2022
Harnessing event report data to identify diagnostic error during the COVID
-
psnet.ahrq.gov/issue/patient-perceptions-receiving-test-results-online-portals-mixed-methods-study
July 01, 2017 - Related Resources From the Same Author(s)
Safety huddles to proactively identify … February 2, 2022
An electronic trigger based on care escalation to identify preventable … August 3, 2016
Electronic triggers to identify delays in follow-up of mammography: harnessing
-
psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive
February 19, 2014 - Settings Help Improve Management of Sepsis
May 31, 2023
Implementing strategies to identify … April 29, 2018
Strategies used by critical care nurses to identify, interrupt, and correct … October 13, 2010
Developing a patient safety surveillance system to identify adverse
-
psnet.ahrq.gov/issue/variability-concentrations-intravenous-drug-infusions-prepared-critical-care-unit
March 02, 2011 - August 3, 2016
Implementation of electronic triggers to identify diagnostic errors in … March 17, 2021
Development of patient safety measures to identify inappropriate diagnosis … July 17, 2024
Safety huddles to proactively identify and address electronic health record
-
psnet.ahrq.gov/node/36797/psn-pdf
August 26, 2011 - The surgeon-reviewers identify several problems in the categories of diagnosis and treatment
that occurred … Anesthesia and
obstetrics and gynecology have also used closed claim reviews to identify opportunities
-
psnet.ahrq.gov/node/47141/psn-pdf
August 17, 2018 - Association of postoperative readmissions with surgical
quality using a Delphi consensus process to identify … Association of Postoperative Readmissions With Surgical Quality
Using a Delphi Consensus Process to Identify
-
psnet.ahrq.gov/node/34806/psn-pdf
December 23, 2008 - order to validate a computerized screening method, this study determined whether ICD-9 codes used to
identify … method has validity for capturing most surgical complications, the screening
tool fails to adequately identify
-
psnet.ahrq.gov/node/45393/psn-pdf
November 16, 2016 - and Quality (AHRQ)
Patient Safety Indicator for Postoperative Respiratory
Failure (PSI 11) does not identify … and Quality (AHRQ)
Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify
-
psnet.ahrq.gov/node/45463/psn-pdf
April 12, 2017 - safety-outcomes-and
The trigger tool approach, in which a prespecified value triggers medical record review to identify … triggers-and-trigger-tools
https://psnet.ahrq.gov/issue/signal-and-noise-applying-laboratory-trigger-tool-identify-adverse-drug-events-among-primary
-
psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - team communication.6 The overall goal of the safety huddle is to
review the previous day’s work to identify … safety issues as well as to proactively identify safety concerns for
patients to be seen on the current … teambuilding tool in
TeamSTEPPS to increase situational awareness-- the ability of individuals to monitor and identify … optimizing team communication.10
For example, huddles can be used in the outpatient clinic setting to identify … Huddles are an efficient
communication technique to allow teams to share information, identify concerns
-
psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - Case Objectives Identify commonly reported adverse events in long-term care. … Identify two to three challenges of nursing home care that may contribute to adverse events. … For example, technology systems can be designed to identify high-risk residents (e.g., pressure ulcer … Monitoring systems designed to identify both resident level and organizational level risk for adverse … January 17, 2024
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital
-
psnet.ahrq.gov/node/46359/psn-pdf
September 21, 2017 - at a pediatric hospital, surveyed both parents
and physicians at the time of hospital discharge to identify … with another recent study, this study confirms the need to actively survey patients and
caregivers to identify
-
psnet.ahrq.gov/node/45613/psn-pdf
September 01, 2018 - interviewed patients and family members following an adverse event to determine whether they could
identify … Each patient and family member was able to identify at least
one contributing factor and make recommendations
-
psnet.ahrq.gov/node/49423/psn-pdf
November 01, 2003 - https://psnet.ahrq.gov/web-mm/missing-suction-tip
Case Objectives
Identify the risk factors for retained … Understand methods used to prevent and identify retained foreign bodies. … Root cause analyses are often used to identify such "system errors" in hospitals. … Other complementary
methods elicit participants’ understanding of an event and also help identify factors … 17) and collaborative rounds.(18)
Cases of retained foreign bodies should be thoroughly analyzed to identify
-
psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
Case Objectives
Identify commonly reported … Identify two to three challenges of nursing home care that may contribute to adverse events. … team
meetings to identify and aggressively manage individuals at risk for falls, pressure ulcers, health … For example, technology systems can be designed to identify high-risk residents (e.g., pressure ulcer … https://psnet.ahrq.gov//#references
Monitoring systems designed to identify both resident level and