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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
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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/periodic-issue/periodic-issue-410
September 27, 2023 - Commentary
Making a move: using simulation to identify latent safety threats before … Simulation can be used to identify latent safety threats (LSTs) when implementing new workflows or care … In this study, simulation scenarios were used to identify LSTs associated with the opening of a new emergency … Commentary
Making a move: using simulation to identify latent safety threats before … Simulation can be used to identify latent safety threats (LSTs) when implementing new workflows or care
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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
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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
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psnet.ahrq.gov/node/43959/psn-pdf
September 01, 2016 - Trigger tools have been widely used in retrospective studies to identify and characterize adverse
events … by a
multidisciplinary team involving clinicians and information technologists and were tailored to identify
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psnet.ahrq.gov/periodic-issue/periodic-issue-337
April 27, 2022 - Multidisciplinary teams (e.g. leadership, providers, EHR developers) can now use the refined SEWA framework to identify … refers to widespread dissemination of process improvement tools to support staff skill development and identify … refers to widespread dissemination of process improvement tools to support staff skill development and identify … Study
Inviting patients to identify diagnostic concerns through structured evaluation … Clinical decision support systems (CDSS) can help identify potential drug-drug interactions (DDI), but
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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
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psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology
September 23, 2020 - February 14, 2017
A practical framework for patient care teams to prospectively identify … June 27, 2011
The use of human factors methods to identify and mitigate safety issues
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psnet.ahrq.gov/issue/enhancing-physicians-use-clinical-guidelines
July 01, 2017 - March 13, 2013
A practical framework for patient care teams to prospectively identify … September 20, 2011
Need to systematically identify and mitigate risks upon hospitalisation
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psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture
July 01, 2017 - March 13, 2013
A practical framework for patient care teams to prospectively identify … September 20, 2011
Need to systematically identify and mitigate risks upon hospitalisation
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psnet.ahrq.gov/issue/interview-peter-pronovost
July 01, 2017 - March 13, 2013
A practical framework for patient care teams to prospectively identify … September 20, 2011
Need to systematically identify and mitigate risks upon hospitalisation
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psnet.ahrq.gov/issue/managing-disruptive-behaviors-health-care-setting-focus-obstetrics-services
February 03, 2010 - August 27, 2012
Perspective
How to Identify and Manage … September 1, 2010
Perspective
How to Identify and Manage
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psnet.ahrq.gov/issue/learning-accountability-patient-outcomes
July 01, 2017 - March 13, 2013
A practical framework for patient care teams to prospectively identify … September 20, 2011
Need to systematically identify and mitigate risks upon hospitalisation
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psnet.ahrq.gov/issue/health-it-safety-center-roadmap
June 29, 2016 - July 23, 2014
How to Identify and Address Unsafe Conditions Associated With Health IT … March 19, 2014
How to Identify and Address Unsafe Conditions Associated With Health IT
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psnet.ahrq.gov/issue/safe-medication-prescribing-and-monitoring-outpatient-setting
January 06, 2018 - 2018
Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify … 17, 2011
Use of an interactive, telephone-based self-management support program to identify
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psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success
December 22, 2010 - October 4, 2011
Using prospective clinical surveillance to identify adverse events in … 2022
Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify
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psnet.ahrq.gov/issue/trail-quality-and-safety-health-care
December 17, 2009 - April 14, 2011
Mix of methods is needed to identify adverse events in general practice … November 18, 2020
Using event reports in real-time to identify and mitigate patient safety
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psnet.ahrq.gov/issue/cognitive-versus-technical-debriefing-after-simulation-training
September 12, 2011 - February 27, 2019
Using simulation to identify sources of medical diagnostic error in … training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify
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psnet.ahrq.gov/issue/failure-rescue-neonatal-care
July 06, 2011 - Performance of 3 sets of criteria for potentially inappropriate prescribing in older people to identify … , 2022
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