-
psnet.ahrq.gov/node/42564/psn-pdf
September 11, 2013 - Error rating tool to identify and analyse technical errors
and events in laparoscopic surgery. … Error rating tool to identify and analyse technical errors and events in
laparoscopic surgery. … https://psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic … https://psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic-surgery … https://psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic-surgery
-
psnet.ahrq.gov/node/37925/psn-pdf
July 23, 2008 - Mix of methods is needed to identify adverse events in
general practice: a prospective observational … Mix of methods is needed to identify adverse events in general
practice: a prospective observational … https://psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective- … https://psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study … https://psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study
-
www.ahrq.gov/sites/default/files/2025-02/singh-report.pdf
January 01, 2025 - Progress in
reducing diagnostic errors is slow partly due to poorly defined methods to identify errors … Defining trigger criteria: The advisory panel helped operationalize triggers and identify
details of … Performance
of E-Triggers to Identify Diagnostic Errors in High-risk Clinical Presentation in ED. … Application of electronic
trigger tools to identify targets for improving diagnostic safety. … Accuracy of the Safer Dx instrument to identify diagnostic errors in primary care.
-
www.ahrq.gov/hai/tools/mrsa-prevention/surgery/sustainability.html
September 01, 2025 - this presentation, viewers will be able to— Define sustainability for quality improvement success Identify … key components of sustainability Identify challenges and successes in sustainability Describe steps … plan Define a core Comprehensive Unit-based Safety Program (CUSP) team, roles, and responsibilities Identify
-
psnet.ahrq.gov/node/40097/psn-pdf
January 19, 2011 - Use of an electronic information system to identify
adverse events resulting in an emergency department … Use of an electronic information system to identify
adverse events resulting in an emergency department … https://psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-
emergency-department … https://psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department … https://psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-2.pdf
March 01, 2018 - the CoEs, AHRQ, and the
Coordinating Center during the
past year, particularly their efforts
to identify … Key Themes
Efforts to identify and describe health systems have advanced substantially
over the past … Health Systems (2016), which combined data
from several sources to identify and describe 626 U.S. health … • The three CoEs collected data from a variety of sources to identify and
describe health systems in … • To that end, the CoEs are working to
identify relevant outcomes of health
systems and to measure
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
July 01, 2023 - Slide 5: Identify Defects Overview
Say:
When collaborating with frontline staff to identify defects … on the L&D unit, the CUSP team should apply tools to identify defects, define them, and identify their … Identify safety issues, potential solutions, and resources during safety rounds. … Identify the contributing factors.
Step 3. Prioritize the contributing factors. … CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring
-
psnet.ahrq.gov/node/47270/psn-pdf
August 08, 2018 - A method to identify pediatric high-risk diagnoses missed
in the emergency department. … A method to identify pediatric high-risk diagnoses missed in the
emergency department. … https://psnet.ahrq.gov/issue/method-identify-pediatric-high-risk-diagnoses-missed-emergency-department … This retrospective cohort study employed natural language processing to identify
dangerous diagnoses … https://psnet.ahrq.gov/issue/method-identify-pediatric-high-risk-diagnoses-missed-emergency-department
-
psnet.ahrq.gov/node/44955/psn-pdf
May 21, 2016 - Accuracy of the Safer Dx Instrument to identify diagnostic
errors in primary care. … Accuracy of the Safer Dx Instrument to Identify Diagnostic
Errors in Primary Care. … https://psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care
Diagnostic … Compared to the researchers' prior open chart review method, this tool provided adequate accuracy to help
identify … https://psnet.ahrq.gov/issue/accuracy-safer-dx-instrument-identify-diagnostic-errors-primary-care
https
-
psnet.ahrq.gov/node/41557/psn-pdf
August 01, 2012 - Signal and noise: applying a laboratory trigger tool to
identify adverse drug events among primary care … Signal and noise: applying a laboratory trigger tool to identify adverse
drug events among primary care … https://psnet.ahrq.gov/issue/signal-and-noise-applying-laboratory-trigger-tool-identify-adverse-drug-events … triggers led the authors to conclude that
these abnormal laboratory values are "a 'noisy' method to identify … https://psnet.ahrq.gov/issue/signal-and-noise-applying-laboratory-trigger-tool-identify-adverse-drug-events-among-primary
-
psnet.ahrq.gov/node/46704/psn-pdf
December 04, 2018 - Surveying care teams after in-hospital deaths to identify
preventable harm and opportunities to improve … Surveying Care Teams after in-Hospital Deaths to Identify Preventable
Harm and Opportunities to Improve … https://psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and … The survey aimed to identify deaths that merited further
investigation. … https://psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities
-
psnet.ahrq.gov/node/45911/psn-pdf
June 27, 2018 - Use of unsolicited patient observations to identify
surgeons with increased risk for postoperative … Use of Unsolicited Patient Observations to Identify
Surgeons With Increased Risk for Postoperative Complications … https://psnet.ahrq.gov/issue/use-unsolicited-patient-observations-identify-surgeons-increased-risk- … and clinical adverse events, and it strengthens the argument for using data on patient concerns to
identify … https://psnet.ahrq.gov/issue/use-unsolicited-patient-observations-identify-surgeons-increased-risk-postoperative
-
psnet.ahrq.gov/node/38585/psn-pdf
April 30, 2014 - Development of an online morbidity, mortality, and near-
miss reporting system to identify patterns … Development of an online morbidity, mortality, and near-miss
reporting system to identify patterns of … https://psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-
identify-patterns … Investigators used the new tool to better
categorize complications, identify patterns or trends, and … https://psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
September 01, 2021 - Identify provider factors, including bias, that contribute to diagnostic error, including missed or delayed … Identify institutional factors that contribute to diagnostic error, including policies and cultural factors … Identify the most sensitive markers for [maternal hemorrhage], e.g., quantitative blood loss, early warning … Identify solutions based on health information technology that are associated with improved diagnostic … Identify diagnostic safety issues through case review using the Safer Dx framework. 16,17
Reviewing
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
January 01, 2004 - This study examined whether clinical evidence in medical records
confirms ICD-9-CM diagnoses that identify … Introduction
Various types of algorithms that identify complications of care and adverse
events in … It is
also possible to identify lacerations and punctures using secondary procedure
codes. … Using
computers to identify complications after surgery. … Using
physician claims to identify postoperative
complications of carotid endarterectomy.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
December 01, 2014 - Identify the questionable report variables. … The ultimate purpose is to identify ways the electronic reports can help the team identify opportunities … identify ways that the report information may help. … Remember the goal is to identify opportunities to use the reports. … Identify areas of need to stimulate future discussion about using On-Time reports.
-
psnet.ahrq.gov/node/44524/psn-pdf
March 16, 2016 - Application of a human factors classification framework
for patient safety to identify precursor and … Application of a human factors classification framework for patient
safety to identify precursor and … https://psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify … https://psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and … https://psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and
-
psnet.ahrq.gov/node/38070/psn-pdf
March 10, 2011 - Can surveillance systems identify and avert adverse drug
events? … Can surveillance systems identify and avert adverse drug events? … https://psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective … https://psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective-evaluation … https://psnet.ahrq.gov/issue/can-surveillance-systems-identify-and-avert-adverse-drug-events-prospective-evaluation
-
psnet.ahrq.gov/node/45843/psn-pdf
July 02, 2017 - Safety huddles to proactively identify and address
electronic health record safety. … Safety huddles to proactively identify and address electronic health
record safety. … https://psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety … They concluded that such
huddles may be a useful strategy to identify and mitigate concerns related … https://psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety
-
psnet.ahrq.gov/node/39600/psn-pdf
June 16, 2010 - Developing a patient safety surveillance system to
identify adverse events in the intensive care unit … Developing a patient safety surveillance system to identify adverse events in
the intensive care unit … https://psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events- … https://psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit … https://psnet.ahrq.gov/issue/developing-patient-safety-surveillance-system-identify-adverse-events-intensive-care-unit