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  1. Development and validation of electronic health record–based triggers to detect delays in follow-up of abnormal lung imaging findings. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-electronic-health-record-based-triggers-detect-delays-follow
    June 21, 2016 - Investigators developed and validated an electronic trigger to identify potential delays in follow-up … June 21, 2016 Application of electronic trigger tools to identify targets for improving … April 9, 2013 Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary … December 7, 2022 Using electronic health records to identify adverse drug events in ambulatory … April 24, 2018 Electronic triggers to identify delays in follow-up of mammography: harnessing

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867589/psn-pdf
    January 22, 2025 - A machine learning-based clinical predictive tool to identify patients at high risk of medication errors … A machine learning-based clinical predictive tool to identify patients at high risk of medication errors … https://psnet.ahrq.gov/issue/machine-learning-based-clinical-predictive-tool-identify-patients-high-risk … In this study, a machine learning (ML) tool was developed to identify hospitalized patients at risk … https://psnet.ahrq.gov/issue/machine-learning-based-clinical-predictive-tool-identify-patients-high-risk-medication-errors

  3. Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. | PSNet

    psnet.ahrq.gov/issue/systemic-vulnerabilities-suicide-among-veterans-iraq-and-afghanistan-conflicts-review-case
    January 22, 2017 - This study used root cause analysis to identify systematic problems that resulted in incorrect assessment … Download Citation Related Resources From the Same Author(s) A checklist to identify … March 25, 2020 A checklist to identify inpatient suicide hazards in Veterans Affairs … November 18, 2015 Root cause analysis reports help identify common factors in delayed

  4. Andre B et al. 2008 "Experiences with the implementation of computerized tools in health care units: a review article." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/andre-b-et-al-2008
    January 01, 2008 - The aim of this review is to identify the main challenges to the introduction of computer technology … in health care and to identify what kinds of factors may promote or hamper the implementation process … Objective "To identify the main challenges to the introduction of computer technology in health care … and to identify what kinds of factors may promote or hamper the implementation process."

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867230/psn-pdf
    December 04, 2024 - Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital … Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital … https://psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near … https://psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses … https://psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853961/psn-pdf
    September 27, 2023 - Making a move: using simulation to identify latent safety threats before the care of injured patients … Making a move: Using simulation to identify latent safety threats before the care of injured patients … https://psnet.ahrq.gov/issue/making-move-using-simulation-identify-latent-safety-threats-care-injured … - patients-new Simulation can be used to identify latent safety threats (LSTs) when implementing new … In this study, simulation scenarios were used to identify LSTs associated with the opening of a new

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851053/psn-pdf
    June 28, 2023 - In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for … In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for … https://psnet.ahrq.gov/issue/situ-simulation-quality-improvement-tool-identify-and-mitigate-latent-safety … - threats Simulation training is commonly used by hospitals to identify threats to safety and improve … The simulation protocol helped identify latent safety threats involving equipment, infection control

  8. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. | PSNet

    psnet.ahrq.gov/issue/medication-based-trigger-tool-identify-adverse-events-pediatric-anesthesiology
    April 22, 2020 - Commentary A medication-based trigger tool to identify adverse events in pediatric … A medication-based trigger tool to identify adverse events in pediatric anesthesiology. … A medication-based trigger tool to identify adverse events in pediatric anesthesiology. … Adverse drug event detection in pediatric oncology and hematology patients: using medication triggers to identify

  9. Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? | PSNet

    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

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867379/psn-pdf
    January 01, 2025 - Implementation of electronic triggers to identify diagnostic errors in emergency departments. … Implementation of electronic triggers to identify diagnostic errors in emergency departments. … https://psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency- … Researchers in this study developed and implemented electronic triggers (e-triggers) to identify missed … https://psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments

  11. Screening and Diagnosis | The Academy

    integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/screening-and-diagnosis
    January 01, 2018 - Screening and Diagnosis Systematic screening can help identify … Practices should implement systematic protocols to identify patients who may need medication-assisted … This model aims to identify individuals at risk for substance use disorders and intervene early before … PDMPs can help identify patients who may be misusing or diverting prescription opioids. … Identify Steps To Take When a Patient Screens Positive Conduct a followup assessment for opioid

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853236/psn-pdf
    September 06, 2023 - Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed … Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed … https://psnet.ahrq.gov/issue/video-review-simulated-pediatric-cardiac-arrest-identify-errorslatent-safety … - threats-mixed Simulation trainings are widely used to identify safety threats and improve processes … By analyzing video recordings of pediatric cardiac arrest simulations, researchers were able to identify

  13. Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-fac-guide.html
    February 01, 2017 - Objectives Say: After this session, you will be able to understand and apply the Science of Safety, identify … Once these systems are understood, staff will be able to effectively identify system failures that can … Ask: What levels can you identify within your health care delivery system? … Defects Say: The second step of CUSP is to proactively identify defects within your organization … Ask: But, what is the most effective way to identify defects, particularly in a localized environment

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851651/psn-pdf
    July 26, 2023 - Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency … Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency … https://psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric … - hospital Failure mode and effect analysis (FMEA) is a common way to identify error risk. … In this study, FMEA was used in a psychiatric hospital emergency department (ED) to identify potential

  15. Developing and Evaluating Online Education to Improve Older Adults’ Health Information - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/developing-and-evaluating-online-education-improve-older-adults-health/annual-summary/2012
    January 01, 2012 - including seniors, are turning to the Internet for information about health care, it can be difficult to identify … The program aimed to improve older adults’ ability to identify high-quality health Web sites and to promote … The project team conducted focus groups to identify older adults’ preferences for online learning about … users of each of the two programs documented differences in participants’ knowledge of and ability to identify … Specific Aims: Convene focus groups to identify older adults’ preferences for online learning about

  16. Psn-Pdf (pdf file)

    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

  17. Psn-Pdf (pdf file)

    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

  18. Psn-Pdf (pdf file)

    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

  19. Psn-Pdf (pdf file)

    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-

  20. Psn-Pdf (pdf file)

    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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