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psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
July 01, 2016 - physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify … physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify … Related Resources From the Same Author(s)
Can medical record reviewers reliably identify … September 4, 2024
In situ simulation as a quality improvement tool to identify and mitigate … May 31, 2023
In situ simulation as a tool to longitudinally identify and track latent
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psnet.ahrq.gov/node/40016/psn-pdf
September 26, 2016 - Strategies used by critical care nurses to identify,
interrupt, and correct medical errors. … Strategies used by critical care nurses to identify, interrupt,
and correct medical errors. … https://psnet.ahrq.gov/issue/strategies-used-critical-care-nurses-identify-interrupt-and-correct-medical … relying upon their knowledge of
the patient and personal relationships with other nurses and staff to identify … https://psnet.ahrq.gov/issue/strategies-used-critical-care-nurses-identify-interrupt-and-correct-medical-errors
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www.ahrq.gov/chsp/about-chsp/centers/dartmouth.html
July 01, 2019 - Develop measures of integration and identify how environmental factors influence the adoption of new … Identify mechanisms health systems use to influence adoption of evidence-based practices, reasons for … Identify factors that influence the successful deployment of effective biomedical innovations, factors … Evaluate factors that influence decisions to adopt healthcare delivery innovations and identify ways … shared decision making and identify the impact of adoption on utilization, health outcomes, and cost
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psnet.ahrq.gov/node/38942/psn-pdf
November 25, 2009 - Using in situ simulation to identify and resolve latent
environmental threats to patient safety: case … Using in situ simulation to identify and resolve latent
environmental threats to patient safety: case … https://psnet.ahrq.gov/issue/using-situ-simulation-identify-and-resolve-latent-environmental-threats-patient … safety-case
This case analysis explains how crew resource management training provides an opportunity to identify … https://psnet.ahrq.gov/issue/using-situ-simulation-identify-and-resolve-latent-environmental-threats-patient-safety-case
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www.ahrq.gov/chsp/about-chsp/index.html
May 01, 2021 - about $52 million over 5 years to establish three Centers of Excellence and a Coordinating Center to identify … understand the factors that affect health systems' use of patient-centered outcomes research (PCOR) and to identify … Identify characteristics of high-performing health systems. … Identify, characterize, and classify the proliferating forms of health systems. … Identify characteristics of high-performing health systems, the influence of external environments on
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psnet.ahrq.gov/node/44431/psn-pdf
October 21, 2015 - Use of a human factors classification framework to
identify causal factors for medication and medical … Use of a human factors classification framework to identify causal
factors for medication and medical … https://psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication … and 200 medical device-related clinical
incidents in Australia using a human factors framework to identify … https://psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
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psnet.ahrq.gov/node/40084/psn-pdf
December 15, 2010 - Patterns in nursing home medication errors:
disproportionality analysis as a novel method to identify … Patterns in nursing home medication errors: disproportionality
analysis as a novel method to identify … psnet.ahrq.gov/issue/patterns-nursing-home-medication-errors-disproportionality-analysis-novel-
method-identify … This study applied a novel analytic tool to identify rates and patterns of medication error reporting … psnet.ahrq.gov/issue/patterns-nursing-home-medication-errors-disproportionality-analysis-novel-method-identify
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
July 01, 2023 - Image: Four ascending steps show the learning objectives:
Introduce CUSP and Sensemaking tools to identify … Identify sources of defects.
Apply CUSP tools to identify defects. … Use the Staff Safety Assessment Form to first, identify clinical or operational problems that have or … Use this form during safety rounds, to identify safety issues, potential solutions, and available resources … CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring
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psnet.ahrq.gov/node/44315/psn-pdf
November 20, 2015 - Expanding the scope of Critical Care Rapid Response
Teams: a feasible approach to identify adverse events … Expanding the scope of Critical Care Rapid Response
Teams: a feasible approach to identify adverse events … https://psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-
identify-adverse-events … methods of detecting errors
and adverse events, as individual approaches vary in their ability to identify … hospitalized patients, and this study investigated whether analysis of RRS activations could be used to
identify
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psnet.ahrq.gov/issue/physician-implicit-review-identify-preventable-errors-during-hospital-cardiac-arrest
August 02, 2013 - Study
Physician implicit review to identify preventable errors during in-hospital … Physician implicit review to identify preventable errors during in-hospital cardiac arrest. … Physician implicit review to identify preventable errors during in-hospital cardiac arrest. … April 10, 2024
Development of patient safety measures to identify inappropriate diagnosis … October 31, 2011
Using prospective clinical surveillance to identify adverse events in
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psnet.ahrq.gov/node/45878/psn-pdf
September 20, 2017 - Development of a trigger tool to identify adverse events
and harm in emergency medical services. … Development of a trigger tool to identify adverse events and
harm in Emergency Medical Services. … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-
medical-services … Trigger tools can identify patient results that may represent adverse events in an automated manner … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-medical-services
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/135-translating-research-into-practice-one-pager.docx
April 01, 2025 - Identify Barriers1
The second step of the TRiP model is to identify barriers to translating the evidence … One way to do identify barriers is to observe the existing workflow of the clinical setting to understand … Additionally, check with staff to assess their awareness of current evidence—this can identify barriers
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psnet.ahrq.gov/node/42740/psn-pdf
December 31, 2014 - ICD-10 codes used to identify adverse drug events in
administrative data: a systematic review. … ICD-10 codes used to identify adverse drug events in
administrative data: a systematic review. … https://psnet.ahrq.gov/issue/icd-10-codes-used-identify-adverse-drug-events-administrative-data-
systematic-review … However, many prior studies have shown that these data have limited ability to
identify adverse events … The review searched for studies that
attempted to identify adverse drug events by searching administrative
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psnet.ahrq.gov/node/45239/psn-pdf
August 24, 2016 - Using simulation to improve first-year pharmacy students'
ability to identify medication errors involving … Using Simulation to Improve First-Year Pharmacy Students' Ability to
Identify Medication Errors Involving … https://psnet.ahrq.gov/issue/using-simulation-improve-first-year-pharmacy-students-ability-identify- … combined didactic lecture and simulation methods enhanced first-year
pharmacy students' ability to identify … https://psnet.ahrq.gov/issue/using-simulation-improve-first-year-pharmacy-students-ability-identify-medication-errors
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www.ahrq.gov/teamstepps/instructor/essentials/implguide1.html
November 01, 2018 - Identify potential failure points in the redesigned process. … Identify a measure and define target ranges for that measure. … Identify a comparison or "control" group. … Identify the instructors for each audience. … Key Actions:
Identify your stakeholders.
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psnet.ahrq.gov/node/46424/psn-pdf
March 20, 2018 - Electronic triggers to identify delays in follow-up of
mammography: harnessing the power of big data … Electronic Triggers to Identify Delays in Follow-Up of
Mammography: Harnessing the Power of Big Data … https://psnet.ahrq.gov/issue/electronic-triggers-identify-delays-follow-mammography-harnessing-power-big … Researchers developed an electronic health record–based trigger tool to identify delays in
abnormal … in
detecting diagnostic and treatment delays (positive predictive value 71%) and rarely failed to identify
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psnet.ahrq.gov/node/46481/psn-pdf
August 20, 2018 - An electronic trigger based on care escalation to identify
preventable adverse events in hospitalised … An electronic trigger based on care escalation to identify preventable
adverse events in hospitalised … https://psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events … refine the Institute of Healthcare Improvement Global
Trigger Tool to more efficiently and accurately identify … Among these
patients, they applied a modified trigger tool to identify cases of possible adverse events
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psnet.ahrq.gov/node/35941/psn-pdf
May 24, 2006 - Ability of practitioners to identify solid oral dosage
tablets. … https://psnet.ahrq.gov/issue/ability-practitioners-identify-solid-oral-dosage-tablets
The investigators … tested physicians' and pharmacists' ability to correctly identify three commonly used
tablets and found … that they did not identify the drugs correctly one-third of the time. … https://psnet.ahrq.gov/issue/ability-practitioners-identify-solid-oral-dosage-tablets
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-gray-sops-action-planning-tool.pdf
February 05, 2019 - • Raise staff awareness about patient safety;
• Assess patient safety culture;
• Identify strengths and … • Identify initiatives
• Evaluate the options
• Select your initiative and define its scope
• Leadership … • Identify key people who will be affected
► Consider domino effects in other units
23
5. … • Identify a leader and/or champion
► Essential to identify enthusiastic, respected leader
and/or champion … • Identify barriers and how they can be overcome
► For example
− Satisfaction with the status quo
−
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/ts-obc-webinar-052317.pptx
January 01, 2017 - Slide ‹#›
Training & Implementation
Planning for Implementation
Define your scope and project plan
Identify … excitement and present in person if at all possible
Celebrate the invitation
Get provider buy-in
Identify … Identify possible barriers and plan accordingly
What are your measures? … Celebrate the team’s completion and success
Town hall and employee recognition board
Identify champions … and do your homework
Pre-survey, clinical observations, and staff feedback
Identify your TeamSTEPPS