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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 … https://psnet.ahrq.gov/issue/method-identify-pediatric-high-risk-diagnoses-missed-emergency-department
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psnet.ahrq.gov/issue/strengths-and-weaknesses-working-global-trigger-tool-method-retrospective-record-review-focus
March 24, 2012 - Study
Strengths and weaknesses of working with the Global Trigger Tool method for … Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review … Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review … An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool."
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psnet.ahrq.gov/issue/what-do-healthcare-staff-think-about-quality-and-safety-care-provided-children-and-young
February 07, 2024 - A qualitative study using the framework method of analysis. … A qualitative study using the framework method of analysis. … A qualitative study using the framework method of analysis.
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psnet.ahrq.gov/issue/use-patient-complaints-identify-diagnosis-related-safety-concerns-mixed-method-evaluation
April 13, 2022 - Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method … 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.
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psnet.ahrq.gov/issue/identifying-and-analyzing-diagnostic-paths-new-approach-studying-diagnostic-practices
July 17, 2019 - The authors suggest big data as a method to mine electronic medical records to identify the information … in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method … specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods
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psnet.ahrq.gov/issue/combined-proactive-risk-assessment-unifying-proactive-and-reactive-risk-assessment-techniques
May 11, 2022 - Healthcare organizations use multiple proactive and reactive methods of investigating and preventing … assessments into a Combined Proactive Risk Assessment (CPRA) to identify risks not detected by one method … September 1, 2012
A risk analysis method to evaluate the impact of a Computerized Provider
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psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after
March 15, 2017 - to identification of more corrective and preventive actions than the preexisting root cause analysis method … March 5, 2025
Comparison of three methods for estimating rates of adverse events and … 18, 2024
Adverse events in intensive care and continuing care units during bed-bath procedures … , 2020
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Related Resources
Using the Generic Analysis Method
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psnet.ahrq.gov/issue/test-retest-reliability-experienced-global-trigger-tool-review-team
August 03, 2022 - October 13, 2021
The trigger tool as a method to measure harmful medication errors in … June 16, 2021
Why an open disclosure procedure is and is not followed after an avoidable … October 14, 2020
Differences between methods of detecting medication errors: a secondary … analysis of medication administration errors using incident reports, the Global Trigger Tool method,
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psnet.ahrq.gov/node/34806/psn-pdf
December 23, 2008 - identification-hospital-complications-claims-data-it-valid
In order to validate a computerized screening method … determined whether ICD-9 codes used to
identify complications are coded accurately and if the screening method … findings for each diagnosis code as well as the estimated
predictive values of the computer screening method … While
the authors suggest that their method has validity for capturing most surgical complications,
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psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed
October 27, 2021 - Trigger tools and incident reporting systems are two commonly used methods for detecting adverse events … October 27, 2021
Timeout procedure in paediatric surgery: effective tool or lip service … 2021
Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method … May 20, 2020
A method to identify pediatric high-risk diagnoses missed in the emergency
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psnet.ahrq.gov/issue/large-scale-organisational-intervention-improve-patient-safety-four-uk-hospitals-mixed-method
February 23, 2011 - Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method … Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method … clinical issues (e.g., medication errors and communication), through continuous quality improvement methods … Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method
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psnet.ahrq.gov/issue/standardized-formulary-reduce-pediatric-medication-dosing-errors-mixed-methods-study
August 25, 2021 - A standardized formulary to reduce pediatric medication dosing errors: a mixed methods … A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. … A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. … Factors influencing medication errors in the prehospital paramedic environment: a mixed method … Factors influencing medication errors in the prehospital paramedic environment: a mixed method
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psnet.ahrq.gov/node/44484/psn-pdf
May 04, 2016 - Failure mode and effects analysis: a comparison of two
common risk prioritisation methods. … Failure mode and effects analysis: a comparison of two
common risk prioritisation methods. … /psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-
methods … Failure mode and effect analysis (FMEA) is a human factors engineering method used to examine a
process … traditional resource-intensive FMEA
with a simplified version, this analysis found that the simplified method
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psnet.ahrq.gov/node/36027/psn-pdf
March 28, 2011 - Investigators used the Wisconsin Medical Injury
Prevention Program (WMIPP) screening method to analyze … rate of medical injuries was 3.4%, with the most frequent areas for improvement
around medications, procedures … The authors suggest that use of the WMIPP screening
process may serve as an important method to survey
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psnet.ahrq.gov/issue/using-assessment-reasoning-tool-facilitate-feedback-about-diagnostic-reasoning
February 23, 2022 - Clinical reasoning is now a common method to improve diagnostic decision making, and several tools … in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method … April 8, 2020
Critical errors in infrequently performed trauma procedures after training
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psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment
May 18, 2022 - Root cause analysis (RCA) is a common method to investigate adverse events and identify contributing … Root cause analysis using the prevention and recovery information system for monitoring and analysis method … 8, 2022
A dynamic risk management approach for reducing harm from invasive bedside procedures
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psnet.ahrq.gov/issue/longitudinal-analysis-culture-patient-safety-survey-results-surgical-departments
October 12, 2022 - Results of the Delta analysis were similar to the traditional scoring method (percent of positive responses … September 27, 2016
Safety considerations in learning new procedures: a survey of surgeons … October 4, 2023
Green Cross method in a postanaesthesia care unit: a qualitative study
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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - No alternate method to verify tube placement had been documented. … misplaced-nasogastric-tube-resulting-aspiration
Nasogastric (NG) tube insertion is a commonly performed procedure … intracranial misplacement, and esophageal stricture, due to
the risk of esophageal perforation.2 The procedure … Methods and complications of nasoenteral intubation. … Clinical Procedures. In: Ballweg R, Sullivan EM, Brown D, Vetrosky D, eds.
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psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
June 29, 2011 - Study
A new method to guard inpatient medication safety by the implementation of … A new method to guard inpatient medication safety by the implementation of RFID. … A new method to guard inpatient medication safety by the implementation of RFID.
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psnet.ahrq.gov/node/47291/psn-pdf
October 31, 2018 - Incidence and method of suicide in hospitals in the United
States. … Incidence and Method of Suicide in Hospitals in the United
States. … https://psnet.ahrq.gov/issue/incidence-and-method-suicide-hospitals-united-states
The Joint Commission … https://psnet.ahrq.gov/issue/incidence-and-method-suicide-hospitals-united-states
https://psnet.ahrq.gov