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psnet.ahrq.gov/issue/preventing-blood-transfusion-failures-fmea-effective-assessment-method
August 25, 2021 - Study
Preventing blood transfusion failures: FMEA, an effective assessment method … Preventing blood transfusion failures: FMEA, an effective assessment method. … Preventing blood transfusion failures: FMEA, an effective assessment method.
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psnet.ahrq.gov/issue/what-does-safety-commitment-mean-leaders-multi-method-investigation
September 11, 2024 - A multi-method investigation.
Citation Text:
Fruhen LS, Griffin MA, Andrei DM. … A multi-method investigation. J Safety Res. 2019;68:203-214. doi:10.1016/j.jsr.2018.12.011. … A multi-method investigation. J Safety Res. 2019;68:203-214. doi:10.1016/j.jsr.2018.12.011. … December 29, 2014
The 'time-out' procedure: an institutional ethnography of how it is
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psnet.ahrq.gov/issue/green-cross-method-postanaesthesia-care-unit-qualitative-study-healthcare-professionals
September 04, 2024 - Study
Green Cross method in a postanaesthesia care unit: a qualitative study of the … Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals … This Norwegian post-anesthesia care unit (PACU) implemented a voluntary incident reporting method, Green … Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals … Resources From the Same Author(s)
Learning from patient safety incidents: The Green Cross method
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psnet.ahrq.gov/node/47398/psn-pdf
December 22, 2018 - Simulation-based clinical rehearsals as a method for
improving patient safety. … Simulation-Based Clinical Rehearsals as a Method for Improving Patient
Safety. … https://psnet.ahrq.gov/issue/simulation-based-clinical-rehearsals-method-improving-patient-safety
High-risk … commentary reviews
elements of a successful simulation program to enable practice of rare or complex procedures … https://psnet.ahrq.gov/issue/simulation-based-clinical-rehearsals-method-improving-patient-safety
https
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psnet.ahrq.gov/issue/two-sides-every-story-dual-perspectives-method-examining-interruptions-healthcare
September 29, 2017 - Commentary
Two sides to every story: the Dual Perspectives Method for examining interruptions … Two sides to every story: The Dual Perspectives Method for examining interruptions in healthcare. … This commentary describes an observational method to explore factors that contribute to interruptions … Two sides to every story: The Dual Perspectives Method for examining interruptions in healthcare. … 22, 2017
Differentiating between detrimental and beneficial interruptions: a mixed-methods
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psnet.ahrq.gov/issue/method-addressing-proprietary-name-similarity-us-prescription-drugs
June 10, 2020 - Commentary
A method of addressing proprietary name similarity for US prescription … A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. … A Method of Addressing Proprietary Name Similarity for US Prescription Drugs.
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psnet.ahrq.gov/issue/speaking-same-language-ahrq-seeks-common-method-safety-reporting
July 05, 2023 - AHRQ seeks common method of safety reporting.
Citation Text:
Conn J. … AHRQ seeks common method of safety reporting. Modern Healthcare. 2005;35(33):22-23. … AHRQ seeks common method of safety reporting. Modern Healthcare. 2005;35(33):22-23. … July 1, 2016
Intravenous fluid prescribing errors in children: mixed methods analysis
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psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
October 25, 2023 - discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method … July 22, 2020
Medication safety in mental health hospitals: a mixed-methods analysis … Health and social care-associated harm amongst vulnerable children in primary care: mixed methods … May 8, 2013
Methods for studying medication safety following electronic health record … 2023
Electronic prescribing systems in hospitals to improve medication safety: a multi-methods
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psnet.ahrq.gov/issue/using-multi-method-user-centred-prospective-hazard-analysis-assess-care-quality-and-patient
May 27, 2011 - Study
Using a multi-method, user centred, prospective hazard analysis to assess care … Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety … The authors describe a method for identifying potential quality and safety problems in a care pathway … Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety … September 10, 2009
A structured judgement method to enhance mortality case note review
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psnet.ahrq.gov/issue/twenty-fourseven-mixed-method-systematic-review-shift-literature
March 10, 2021 - Review
Twenty-four/seven: a mixed-method systematic review of the off-shift literature … Twenty-four/seven: a mixed-method systematic review of the off-shift literature. … Twenty-four/seven: a mixed-method systematic review of the off-shift literature.
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psnet.ahrq.gov/issue/using-delphi-method-identify-human-factors-contributing-nursing-errors
June 10, 2015 - Study
Using a Delphi method to identify human factors contributing to nursing errors … Using a Delphi Method to Identify Human Factors Contributing to Nursing Errors. … Using a Delphi consensus method, investigators identified 24 causes of nursing errors , including fatigue … Using a Delphi Method to Identify Human Factors Contributing to Nursing Errors.
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psnet.ahrq.gov/issue/patient-observer-approach-alternative-method-hand-hygiene-auditing-ambulatory-care-setting
September 13, 2023 - Study
Patient-as-observer approach: an alternative method for hand hygiene auditing … Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting … 87% of the time, leading the authors to conclude that engaging patients in this role is a feasible method … Patient-as-observer approach: an alternative method for hand hygiene auditing in an ambulatory care setting
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psnet.ahrq.gov/issue/nurses-second-victims-their-patients-suicidal-attempts-mixed-method-study
October 20, 2021 - Study
Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method … Nurses as ‘second victims’ to their patients’ suicidal attempts: a mixed‐method study. … This mixed-methods study found a significant association between emotional distress and feeling alone … Nurses as ‘second victims’ to their patients’ suicidal attempts: a mixed‐method study. … ' willingness and ability to identify and respond to errors in their personal health records: mixed methods
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psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure-mode-effect-analysis
December 09, 2020 - implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method … Implementation of Proposed Actions for Improvement With the Healthcare Failure Mode Effect Analysis Method … Failure mode effect analysis is a widely used method of prospectively detecting safety hazards , but … Implementation of Proposed Actions for Improvement With the Healthcare Failure Mode Effect Analysis Method
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psnet.ahrq.gov/node/43625/psn-pdf
October 29, 2014 - Assessing distractors and teamwork during surgery:
developing an event-based method for direct observation … Assessing distractors and teamwork during surgery: developing an
event-based method for direct observation … https://psnet.ahrq.gov/issue/assessing-distractors-and-teamwork-during-surgery-developing-event-based-
method-direct … coding system to simultaneously monitor distractions and teamwork in
the operating room, even for long procedures … https://psnet.ahrq.gov/issue/assessing-distractors-and-teamwork-during-surgery-developing-event-based-method-direct
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psnet.ahrq.gov/issue/implementation-trigger-review-method-scottish-general-practices-patient-safety-outcomes-and
November 07, 2011 - Study
Implementation of the trigger review method in Scottish general practices: … Implementation of the trigger review method in Scottish general practices: patient safety outcomes and … in which a prespecified value triggers medical record review to identify patient safety issues, is a method … Implementation of the trigger review method in Scottish general practices: patient safety outcomes and … June 6, 2012
A mixed method study of the merits of e-prescribing drug alerts in primary
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psnet.ahrq.gov/issue/defining-avoidable-healthcare-associated-harm-prisons-mixed-method-development-study
August 04, 2021 - Study
Defining avoidable healthcare-associated harm in prisons: a mixed-method development … Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. … Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. … Resources From the Same Author(s)
Medication safety in mental health hospitals: a mixed-methods … discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method
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psnet.ahrq.gov/node/44186/psn-pdf
November 10, 2015 - A comprehensive method to develop a checklist to
increase safety of intra-hospital transport of critically … A comprehensive method to develop a checklist to
increase safety of intra-hospital transport of critically … https://psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital- … transport-critically
Transporting critically ill patients to other hospital areas for tests or procedures … https://psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically
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psnet.ahrq.gov/node/44646/psn-pdf
November 11, 2015 - psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-counts
Retained foreign objects after surgical procedures … The traditional method of
preventing such incidents is the count—manually tracking and reconciling the … number of sponges and
instruments used during the procedure. … Prior studies have shown counting to be inaccurate and an
inadequate method of preventing retained foreign … the fact that it is associated with worsened efficiency and
increased costs may prompt use of newer methods
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psnet.ahrq.gov/issue/medication-administration-technologies-and-patient-safety-mixed-method-systematic-review
May 18, 2022 - Review
Medication administration technologies and patient safety: a mixed-method … Medication administration technologies and patient safety: a mixed-method systematic review. … This systematic review of methods to reduce medication administration errors, including technological … Medication administration technologies and patient safety: a mixed-method systematic review. … August 31, 2016
Seniors managing multiple medications: using mixed methods to view the