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  1. 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
  2. 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.
  3. 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
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. 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
  7. 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
  8. 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
  9. 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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    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
  15. Psn-Pdf (pdf file)

    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
  16. 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
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    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

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