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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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psnet.ahrq.gov/node/38010/psn-pdf
August 27, 2008 - detection-adverse-events-surgical-patients-using-trigger-tool-approach
https://psnet.ahrq.gov//#triggers
https://psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit … https://psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
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psnet.ahrq.gov/node/36237/psn-pdf
September 12, 2011 - study, researchers reviewed the medical
literature on error disclosure and conducted focus groups to identify … The authors were able to identify four facilitating factors, which
primarily centered on physicians'
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psnet.ahrq.gov/node/38079/psn-pdf
February 15, 2011 - psnet.ahrq.gov//#triggers
https://psnet.ahrq.gov//#adverseevent
https://psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit … https://psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
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psnet.ahrq.gov/node/46823/psn-pdf
August 20, 2018 - A previous PSNet perspective discussed how to identify and manage problem behaviors. … /psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
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psnet.ahrq.gov/node/40509/psn-pdf
June 08, 2011 - This study investigated
whether data from a CPOE system could be used to identify individual physicians … Although objective performance data would help
identify doctors who frequently make prescribing errors
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psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety
March 06, 2005 - December 23, 2012
Development of patient safety measures to identify inappropriate diagnosis … November 30, 2022
Root cause analysis to identify contributing factors for the development … patient safety efforts in office practice settings
December 18, 2019
A checklist to identify
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psnet.ahrq.gov/issue/accuracy-send-out-test-ordering-college-american-pathologists-q-probes-study-ordering
November 12, 2008 - 2008
Assessment of patients' ability to review electronic health record information to identify … September 7, 2011
Patients' willingness and ability to identify and respond to errors … February 24, 2011
Classifying laboratory incident reports to identify problems that jeopardize
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psnet.ahrq.gov/issue/electronic-detection-delayed-test-result-follow-patients-hypothyroidism
September 27, 2017 - 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 … June 21, 2023
Implementation of electronic triggers to identify diagnostic errors in
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psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
July 01, 2016 - Related Resources From the Same Author(s)
Can medical record reviewers reliably identify … physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify … February 22, 2023
Using community detection techniques to identify themes in COVID-19
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psnet.ahrq.gov/issue/leveraging-safety-event-management-system-improve-organizational-learning-and-safety-culture
August 01, 2018 - From the Same Author(s)
Reliability and usability of a 7-minute chart review tool to identify … 2022
Filling a gap in safety metrics: development of a patient-centred framework to identify … November 9, 2022
Harnessing event report data to identify diagnostic error during the
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psnet.ahrq.gov/issue/mitigating-patient-and-consumer-safety-risks-when-using-conversational-assistants-medical
September 19, 2018 - September 19, 2018
Patients' willingness and ability to identify and respond to errors … July 27, 2022
Using text mining techniques to identify health care providers with patient … 2022
Assessment of patients' ability to review electronic health record information to identify
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psnet.ahrq.gov/issue/workarounds-and-test-results-follow-electronic-health-record-based-primary-care
August 20, 2014 - September 28, 2016
Electronic triggers to identify delays in follow-up of mammography … March 19, 2018
Application of electronic trigger tools to identify targets for improving … January 23, 2019
Safety huddles to proactively identify and address electronic health
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psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities
July 10, 2024 - September 30, 2020
Use of complete medication history to identify and correct transitions-of-care … January 17, 2024
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital
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psnet.ahrq.gov/node/36544/psn-pdf
July 14, 2010 - Patient Safety Indicators (PSIs) are screening tools that
can be applied to administrative data to identify … well compared to chart review, certain specific
PSIs (such as failure to rescue) did not accurately identify
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psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - Case Objectives Identify the risk factors for retained foreign bodies. … Understand methods used to prevent and identify retained foreign bodies. … other industries.( 8 ) When investigating and analyzing this event, the goal should be not only to identify … 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
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psnet.ahrq.gov/node/45509/psn-pdf
September 28, 2016 - Investigators used an automated algorithm to identify chest imaging cases that potentially had a follow-up … The authors suggest that this trigger tool may help identify patients at risk for diagnostic
delay following
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psnet.ahrq.gov/node/38743/psn-pdf
January 03, 2017 - refocusing-lens-patient-safety-ambulatory-chronic-disease-care
https://psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among … https://psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among
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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - How should hospitals and health care organizations seek to identify these patients, determine what factors … Some hospitals conduct standardized reviews of deaths in order to identify individual clinician issues … These may be performed as part of trigger tool-based reviews to identify broader safety issues or as … It is important to recognize that no single detection method is able to identify all preventable deaths … Structured reviews of inpatient deaths are an important part of this process, but they tend to identify
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - help a hospital and its BOOST team more effectively implement necessary change providing guidance to identify … for transitioning out of the hospital : The General Assessment of Preparedness (GAP) checklist can identify … These calls can identify issues related to new symptoms requiring management; medication misuse, nonuse … This should be used as an opportunity to identify and address barriers contributing to cancellations … Results
Identify patients at risk for readmission: A retrospective cohort study using manual case