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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. 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
  4. 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
  5. psnet.ahrq.gov/issue/should-patients-get-direct-access-their-laboratory-test-results-answer-many-questions
    November 13, 2024 - December 16, 2020 Safety huddles to proactively identify and address electronic health … March 25, 2015 Root cause analysis reports help identify common factors in delayed diagnosis
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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
  9. 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
  10. 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
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72616/psn-pdf
    December 22, 2020 - will need to be incrementally overcome as patient safety professionals and researchers seek to better identify … A review of published dental cases was conducted to identify the types of errors and harm that occurred … review of nearly 1000 charts from academic institutions sought to classify dentistry adverse events, identify … continue to place an emphasis on improving data collection in dentistry to not only more comprehensively identify
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60548/psn-pdf
    May 28, 2020 - Our system is based on passive surveillance: we rely on people to identify that a problem occurred and … things, and they are certainly not going to pick up on all associated events, so it may take longer to identify … These functions will allow us to identify potentially serious device risks that we did not know of beforehand … In some cases, we have even looked at devices in our laboratory to try and identify the root cause of … Finally, there are the changes we’re making in national capabilities to identify safety issues.
  16. psnet.ahrq.gov/issue/communicating-findings-delayed-diagnostic-evaluation-primary-care-providers
    June 21, 2016 - October 13, 2015 Electronic triggers to identify delays in follow-up of mammography: … March 19, 2018 Application of electronic trigger tools to identify targets for improving … March 12, 2014 Root cause analysis reports help identify common factors in delayed diagnosis
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43928/psn-pdf
    April 08, 2018 - In this study, researchers sought to identify missed diagnosis of acute myocardial infarction (AMI) … missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and https://psnet.ahrq.gov/primer/diagnostic-errors https://psnet.ahrq.gov/issue/implications-failure-identify-high-risk-electrocardiogram-findings-quality-care-patients
  18. psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
    February 08, 2023 - March 31, 2021 Use of patient complaints to identify diagnosis-related safety concerns … June 19, 2024 Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications
  19. psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm
    November 18, 2020 - July 21, 2021 Using text mining techniques to identify health care providers with patient … 2018 Filling a gap in safety metrics: development of a patient-centred framework to identify
  20. psnet.ahrq.gov/issue/diagnostic-stewardship-prevent-diagnostic-error
    May 05, 2021 - September 8, 2021 The Diagnostic Error Index: a quality improvement initiative to identify … May 25, 2022 Use of e-triggers to identify diagnostic errors in the paediatric ED.

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