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  1. psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed
    October 27, 2021 - Study Use of e-triggers to identify diagnostic errors in the paediatric ED. … Use of e-triggers to identify diagnostic errors in the paediatric ED. … Use of e-triggers to identify diagnostic errors in the paediatric ED. … May 20, 2020 A method to identify pediatric high-risk diagnoses missed in the emergency … August 8, 2018 Reliability and usability of a 7-minute chart review tool to identify
  2. psnet.ahrq.gov/issue/using-machine-learning-system-identify-and-prevent-medication-prescribing-errors-clinical-and
    June 05, 2018 - Study Emerging Classic Using a machine learning system to identify … Using a machine learning system to identify and prevent medication prescribing errors: A clinical and … Clinical decision support (CDS) tools help identify and reduce medication errors but are limited by … Using a machine learning system to identify and prevent medication prescribing errors: A clinical and
  3. psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
    August 20, 2018 - Development of an online morbidity, mortality, and near-miss reporting system to identify … Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of … Investigators used the new tool to better categorize complications, identify patterns or trends, and … Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of
  4. psnet.ahrq.gov/issue/validation-electronic-trigger-measure-missed-diagnosis-stroke-emergency-departments
    May 18, 2022 - SPADE frameworks, researchers applied a symptom-disease pair-based electronic trigger (e-trigger) to identify … October 12, 2022 Application of electronic trigger tools to identify targets for improving … December 18, 2024 Use of patient complaints to identify diagnosis-related safety concerns … August 15, 2017 Can medical record reviewers reliably identify errors and adverse events … July 1, 2016 Use of an electronic information system to identify adverse events resulting
  5. psnet.ahrq.gov/issue/machine-learning-enhance-electronic-detection-diagnostic-errors
    December 18, 2024 - This study evaluated an ML-enhanced electronic trigger to identify possible missed opportunities in … predictive value, indicating that the tool could reduce the burden of manual medical record review to identify … Related Resources From the Same Author(s) Implementation of electronic triggers to identify … December 18, 2024 An electronic trigger based on care escalation to identify preventable … March 5, 2025 Implementation of electronic triggers to identify diagnostic errors in
  6. psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process
    December 18, 2024 - Each measure used data from the electronic health record (EHR) to identify abnormal test results, evidence … Related Resources From the Same Author(s) Implementation of electronic triggers to identify … September 28, 2016 Electronic triggers to identify delays in follow-up of mammography … March 19, 2018 Use of patient complaints to identify diagnosis-related safety concerns … September 25, 2024 An electronic trigger based on care escalation to identify preventable
  7. psnet.ahrq.gov/issue/situ-simulation-tool-longitudinally-identify-and-track-latent-safety-threats-structured
    June 08, 2022 - Study In situ simulation as a tool to longitudinally identify and track latent safety … In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured … In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured … Resources From the Same Author(s) Hospital-wide cardiac arrest in situ simulation to identify … February 23, 2022 In situ simulation as a quality improvement tool to identify and mitigate
  8. psnet.ahrq.gov/issue/using-community-detection-techniques-identify-themes-covid-19-related-patient-safety-event
    July 29, 2020 - Study Using community detection techniques to identify themes in COVID-19-related … Using community detection techniques to identify themes in COVID-19-related patient safety event reports … Using community detection techniques to identify themes in COVID-19-related patient safety event reports … May 18, 2022 Use of patient complaints to identify diagnosis-related safety concerns: … March 3, 2021 Using event reports in real-time to identify and mitigate patient safety
  9. psnet.ahrq.gov/primer/detection-safety-hazards
    March 30, 2022 - Despite this effort, health care institutions are still searching for optimal methods to identify underlying … This Primer reviews both prospective and retrospective methods to identify safety hazards that can lead … The field of  human factors engineering  attempts to identify and address safety problems that arise … The traditional use of triggers has been to efficiently identify adverse events through chart review … June 29, 2022 Use of e-triggers to identify diagnostic errors in the paediatric ED.
  10. psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
    February 14, 2024 - Study Using statistical text classification to identify health information technology … Using statistical text classification to identify health information technology incidents. … Using statistical text classification to identify health information technology incidents.
  11. psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
    September 22, 2021 - evaluation of a simulation training designed to help emergency medicine and pediatric learners identify … The simulation objectives were for the learners to (1) identify that the case was not concerning for … non-accidental trauma, (2) identify that the resident was displaying bias, and (3) communicate with both … July 5, 2023 In situ simulation as a quality improvement tool to identify and mitigate … March 1, 2023 In situ simulation as a tool to longitudinally identify and track latent
  12. psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-analysis-optimize
    July 24, 2019 - Prior research has found that simulation-based event analysis (SBEA) can identify novel sources of error … March 2, 2022 In situ simulation as a tool to longitudinally identify and track latent … February 23, 2022 Hospital-wide cardiac arrest in situ simulation to identify and mitigate … More Related Resources In situ simulation as a quality improvement tool to identify … November 16, 2022 Hospital-wide cardiac arrest in situ simulation to identify and
  13. psnet.ahrq.gov/issue/putting-action-rca2-analysis-intervention-strength-after-adverse-events
    April 17, 2024 - Patient safety event investigations identify opportunities to prevent future events, also known as … 2024 Filling a gap in safety metrics: development of a patient-centred framework to identify … August 9, 2018 Surveying care teams after in-hospital deaths to identify preventable … December 14, 2022 Root cause analysis to identify contributing factors for the development
  14. psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals
    February 10, 2015 - Study Does the Leapfrog program help identify high-quality hospitals? … Does the Leapfrog program help identify high-quality hospitals? … Does the Leapfrog program help identify high-quality hospitals?
  15. psnet.ahrq.gov/issue/computer-based-simulation-reduce-ehr-related-chemotherapy-ordering-errors
    October 27, 2021 - the use of simulation-based training to improve pediatric hematology/oncology providers’ ability to identify … Author(s) Filling a gap in safety metrics: development of a patient-centred framework to identify … August 26, 2020 Use of patient complaints to identify diagnosis-related safety concerns … 2021 Assessment of patients' ability to review electronic health record information to identify … Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify
  16. psnet.ahrq.gov/issue/can-medical-record-reviewers-reliably-identify-errors-and-adverse-events-ed
    October 11, 2023 - Study Can medical record reviewers reliably identify errors and adverse events in … Can medical record reviewers reliably identify errors and adverse events in the ED? … Can medical record reviewers reliably identify errors and adverse events in the ED? … physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify … March 10, 2011 Use of an electronic information system to identify adverse events resulting
  17. psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
    January 26, 2022 - Emerging Classic Application of electronic trigger tools to identify … Application of electronic trigger tools to identify targets for improving diagnostic safety. … Application of electronic trigger tools to identify targets for improving diagnostic safety. … 2021 Filling a gap in safety metrics: development of a patient-centred framework to identify … January 21, 2019 Use of patient complaints to identify diagnosis-related safety concerns
  18. psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-started
    June 26, 2024 - Simulation can be used to identify latent safety threats, test new environments, and uncover team communication … October 4, 2023 In situ simulation as a tool to longitudinally identify and track latent … February 22, 2023 In situ simulation as a quality improvement tool to identify and mitigate … June 13, 2018 Hospital-wide cardiac arrest in situ simulation to identify and mitigate
  19. psnet.ahrq.gov/issue/factors-related-serious-safety-events-childrens-hospital-patient-safety-collaborative
    February 16, 2022 - data submitted to the Child Health Patient Safety Organization (CHILDPSO), researchers sought to identify … August 26, 2020 Use of patient complaints to identify diagnosis-related safety concerns … 2021 Filling a gap in safety metrics: development of a patient-centred framework to identify … February 9, 2022 The Diagnostic Error Index: a quality improvement initiative to identify
  20. psnet.ahrq.gov/issue/enhancing-safety-system-wide-situ-simulation-program-using-no-go-considerations
    June 13, 2018 - In situ simulations offer unique opportunities to improve teamwork and identify system vulnerabilities … April 14, 2021 Hospital-wide cardiac arrest in situ simulation to identify and mitigate … March 8, 2023 In situ simulation as a tool to longitudinally identify and track latent … February 22, 2023 In situ simulation as a quality improvement tool to identify and mitigate … , 2023 A simulation systems testing program using HFMEA methodology can effectively identify

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