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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/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/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/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
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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/42211/psn-pdf
April 24, 2013 - recognition of the importance of safety culture in preventing errors, organizations are taking
steps to identify … transformative-learning-professional-development-course-aimed-addressing-disruptive-physician
https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
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psnet.ahrq.gov/node/44544/psn-pdf
October 07, 2015 - The growth in social media use potentially provides a way to identify safety
hazards quickly. … Although searching social media may help
identify unique safety hazards, the investigators concluded
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psnet.ahrq.gov/node/40619/psn-pdf
October 06, 2016 - Pediatric-specific trigger tools and
computerized surveillance systems are effective methods to detect ADEs and identify … adversedrugevent
https://psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
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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
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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
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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/periodic-issue/periodic-issue-437
April 10, 2024 - The researchers found that half of the included studies did not identify improvements in adverse event … advanced warning of an impending accreditation process can impact quality patient safety, but failed to identify … The researchers found that half of the included studies did not identify improvements in adverse event … This report summarizes findings from 55 case reports at military care facilities to identify investigation … stroke chameleons,” “stroke mimics,” and biases contribute to stroke misdiagnosis and strategies to identify
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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/43091/psn-pdf
May 30, 2014 - importance of professionalism in patient safety, and an
AHRQ WebM&M perspective reviewed strategies to identify … behaviors-undermine-culture-safety
https://psnet.ahrq.gov/web-mm/do-not-disturb
https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
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psnet.ahrq.gov/node/44719/psn-pdf
February 14, 2017 - body of research has begun to assess the role of individual clinicians in patient safety, seeking
to identify … claims, which mirrors data from
studies of patient complaints, implies that it may be possible to identify
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psnet.ahrq.gov/node/40586/psn-pdf
March 21, 2017 - adopting-real-time-surveillance-dashboards-component-enterprisewide-
medication-safety
Adverse drug event surveillance is an important strategy to both identify … medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/using-prospective-clinical-surveillance-identify-adverse-events-hospital
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psnet.ahrq.gov/periodic-issue/periodic-issue-352
July 08, 2022 - pediatric patients discharged from a single children’s hospital, researchers in this study did not identify … Study
Patients' willingness and ability to identify and respond to errors in their … As patients increasingly access their electronic health records, they often identify errors requiring … All healthcare workers were challenged to identify hazards of omission and those requiring two-step thinking … Toolkit
Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety
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psnet.ahrq.gov/issue/electronic-health-record-related-safety-concerns-cross-sectional-survey
August 03, 2016 - January 23, 2019
Safety huddles to proactively identify and address electronic health … September 28, 2016
Electronic triggers to identify delays in follow-up of mammography … December 3, 2014
Application of electronic trigger tools to identify targets for improving
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psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study
October 16, 2013 - October 16, 2013
Use of an electronic information system to identify adverse events resulting … December 5, 2018
A method to identify pediatric high-risk diagnoses missed in the emergency … training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify
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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