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psnet.ahrq.gov/node/72795/psn-pdf
March 03, 2021 - Use of patient complaints to identify diagnosis-related
safety concerns: a mixed-method evaluation. … Use of patient complaints to identify diagnosis-related safety
concerns: a mixed-method evaluation. … https://psnet.ahrq.gov/issue/use-patient-complaints-identify-diagnosis-related-safety-concerns-mixed- … method-evaluation
Patient complaints are increasingly used to identify opportunities for patient safety … analyzed patient complaint and
medical record data and found that manual reviews by clinicians can identify
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psnet.ahrq.gov/node/72719/psn-pdf
February 10, 2021 - The Diagnostic Error Index: a quality improvement
initiative to identify and measure diagnostic errors … The Diagnostic Error Index: a quality improvement initiative to
identify and measure diagnostic errors … https://psnet.ahrq.gov/issue/diagnostic-error-index-quality-improvement-initiative-identify-and-measure … This
article describes one large pediatric hospital's experience using a systematic methodology to identify … morbidity & mortality conference, and abdominal pain
trigger tool) and adjudication by a QI team to identify
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psnet.ahrq.gov/node/74177/psn-pdf
January 01, 2022 - Harnessing event report data to identify diagnostic error
during the COVID-19 pandemic. … Harnessing event report data to identify diagnostic error during the COVID-
19 pandemic. … https://psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19- … This innovative approach may be useful for organizations wanting to identify emerging risks,
including … https://psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-
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psnet.ahrq.gov/node/61039/psn-pdf
October 21, 2020 - A machine learning-based clinical decision support
system to identify prescriptions with a high risk … A machine learning–based clinical decision support system to identify
prescriptions with a high risk … https://psnet.ahrq.gov/issue/machine-learning-based-clinical-decision-support-system-identify-
prescriptions-high-risk … health record (EHR) and clinical pharmacist review to test the
accuracy of a hybrid CDS system to identify … https://psnet.ahrq.gov/issue/machine-learning-based-clinical-decision-support-system-identify-prescriptions-high-risk
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psnet.ahrq.gov/node/866591/psn-pdf
August 28, 2024 - How harnessing patient
voice can identify drift towards boundaries of acceptable
performance. … How harnessing patient voice can identify
drift towards boundaries of acceptable performance. … https://psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards … https://psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries … https://psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
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psnet.ahrq.gov/node/841484/psn-pdf
December 14, 2022 - Performance of 3 sets of criteria for potentially
inappropriate prescribing in older people to identify … Performance of 3 sets of criteria for potentially
inappropriate prescribing in older people to identify … psnet.ahrq.gov/issue/performance-3-sets-criteria-potentially-inappropriate-prescribing-older-people-
identify … STOPP)/Screening Tool to Alert to
Right Treatment (START) criteria, are tools used by clinicians to identify … psnet.ahrq.gov/issue/performance-3-sets-criteria-potentially-inappropriate-prescribing-older-people-identify
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psnet.ahrq.gov/node/837737/psn-pdf
July 27, 2022 - Patients' willingness and ability to identify and respond to
errors in their personal health records … Patients' willingness and ability to identify and respond to errors in their
personal health records … https://psnet.ahrq.gov/issue/patients-willingness-and-ability-identify-and-respond-errors-their-personal … -
health-records
As patients increasingly access their electronic health records, they often identify … of 445 patients in the United Kingdom found that the majority of patients are willing and able
to identify
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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
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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.
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psnet.ahrq.gov/node/47811/psn-pdf
March 13, 2019 - Using electronic health records to identify adverse drug
events in ambulatory care: a systematic review … Using Electronic Health Records to Identify Adverse Drug Events in Ambulatory
Care: A Systematic Review … https://psnet.ahrq.gov/issue/using-electronic-health-records-identify-adverse-drug-events-ambulatory-care … systematic
This systematic review found that most studies use electronic health records as a data source to identify … https://psnet.ahrq.gov/issue/using-electronic-health-records-identify-adverse-drug-events-ambulatory-care-systematic
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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
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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
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psnet.ahrq.gov/node/837333/psn-pdf
June 08, 2022 - Hospital-wide cardiac arrest in situ simulation to identify
and mitigate latent safety threats. … Hospital-wide cardiac arrest in situ simulation to identify and
mitigate latent safety threats. … https://psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety … -
threats
In situ simulations are an effective method to identify latent safety threats (LST). … https://psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats
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psnet.ahrq.gov/node/48060/psn-pdf
June 19, 2019 - Strategies to identify patient risks of prescription opioid
addiction when initiating opioids for pain … Strategies to Identify Patient Risks of Prescription Opioid Addiction
When Initiating Opioids for Pain … https://psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating … This systematic review sought to
identify factors that confer risk for opioid addiction and thereby … They could not identify any screening instruments or tools that
accurately risk-stratified individuals
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psnet.ahrq.gov/issue/evaluation-drug-interaction-software-identify-alerts-transplant-medications
November 16, 2022 - Study
Evaluation of drug interaction software to identify alerts for transplant medications … Evaluation of drug interaction software to identify alerts for transplant medications. … Evaluation of drug interaction software to identify alerts for transplant medications.
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psnet.ahrq.gov/node/45692/psn-pdf
January 01, 2020 - A patient reported approach to identify medical errors and
improve patient safety in the emergency department … A Patient Reported Approach to Identify Medical Errors and
Improve Patient Safety in the Emergency Department … https://psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety … They found that patients
were able to accurately identify adverse events and near misses, only a small … https://psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
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psnet.ahrq.gov/node/61066/psn-pdf
October 28, 2020 - Using event reports in real-time to identify and mitigate
patient safety concerns during the COVID-19 … Using event reports in real-time to identify and mitigate patient
safety concerns during the COVID-19 … https://psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns … 19
This article describes one academic medical center’s use of the Donabedian framework to rapidly identify … https://psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns-during-covid
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psnet.ahrq.gov/node/844548/psn-pdf
February 15, 2023 - Use of complete medication history to identify and correct
transitions-of-care medication errors at … Use of complete medication history to identify and correct
transitions-of-care medication errors at … https://psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care- … medication-errors
Medication reconciliation can help identify medication discrepancies during transitions … https://psnet.ahrq.gov/issue/use-complete-medication-history-identify-and-correct-transitions-care-medication-errors
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psnet.ahrq.gov/node/50836/psn-pdf
January 29, 2020 - Developing a cancer-specific trigger tool to identify
treatment-related adverse events using administrative … specific trigger tool to identify treatment?
related adverse events using administrative data. … https://psnet.ahrq.gov/issue/developing-cancer-specific-trigger-tool-identify-treatment-related-adverse … or prostate cancer investigated the feasibility of a
cancer-specific claims-based trigger tool to identify … https://psnet.ahrq.gov/issue/developing-cancer-specific-trigger-tool-identify-treatment-related-adverse-events-using
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psnet.ahrq.gov/node/74229/psn-pdf
January 12, 2022 - A simulation systems testing program using HFMEA
methodology can effectively identify and mitigate latent … A simulation systems testing program using HFMEA methodology
can effectively identify and mitigate latent … //psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-
identify-and … study, researchers used simulation training
and healthcare failure mode and effect analysis (HFMEA) to identify … https://psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and