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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/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/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/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/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/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/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/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-methods
September 09, 2015 - 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. … 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 … Failure mode and effects analysis: a comparison of two common risk prioritisation 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
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psnet.ahrq.gov/issue/adapting-cognitive-task-analysis-investigate-clinical-decision-making-and-medication-safety
March 10, 2021 - Cognitive task analysis is a human factors engineering method used to evaluate individuals' thinking … study examined medication safety through the lens of cognitive task analysis and concluded that the method … Prescribers' interactions with medication alerts at the point of prescribing: a multi-method … May 17, 2023
Using human factors methods to mitigate bias in artificial intelligence-based … August 21, 2019
A mixed-method study of practitioners' perspectives on issues related
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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/node/837804/psn-pdf
August 10, 2022 - Nurses' harm prevention practices during admission of an
older person to the hospital: a multi-method … method qualitative study. J Adv Nurs. 2022;78(11):3745-3759.
doi:10.1111/jan.15351. … psnet.ahrq.gov/issue/nurses-harm-prevention-practices-during-admission-older-person-hospital-
multi-method … This study
used qualitative methods (direct observation and participatory workshops) to explore nurses … /psnet.ahrq.gov/issue/nurses-harm-prevention-practices-during-admission-older-person-hospital-multi-method
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psnet.ahrq.gov/node/60618/psn-pdf
June 24, 2020 - Differences between methods of detecting medication
errors: a secondary analysis of medication administration … errors using incident reports, the Global Trigger Tool
method, and observations. … errors using incident reports, the Global Trigger
Tool method, and observations. … medication
This study compared medication errors detected using incident reports, the Global Trigger Tool method … The contributing factors also varied by method, but in general,
communication issues and human factors
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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/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse
March 17, 2021 - Study
Mitigating imperfect data validity in administrative data PSIs: a method for … Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse … Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse … February 16, 2022
Timeout procedure in paediatric surgery: effective tool or lip service … Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method
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psnet.ahrq.gov/issue/using-generic-analysis-method-analyze-sentinel-event-reports-across-hospitals-retrospective
May 18, 2022 - Study
Using the Generic Analysis Method to analyze sentinel event reports across … Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective … Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective … May 18, 2022
Compliance with a time-out procedure intended to prevent wrong surgery in … Root cause analysis using the prevention and recovery information system for monitoring and analysis method
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psnet.ahrq.gov/issue/simulation-based-clinical-rehearsals-method-improving-patient-safety
September 28, 2022 - Commentary
Simulation-based clinical rehearsals as a method for improving patient … Simulation-Based Clinical Rehearsals as a Method for Improving Patient Safety. … commentary reviews elements of a successful simulation program to enable practice of rare or complex procedures … Simulation-Based Clinical Rehearsals as a Method for Improving Patient Safety.
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psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global
December 09, 2020 - Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method … Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method … Hospitals employ various methods to detect adverse events , each with their own advantages and drawbacks … Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method … November 23, 2011
Strengths and weaknesses of working with the Global Trigger Tool 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/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
June 23, 2021 - Study
Experience of learning from everyday work in daily safety huddles: a multi-method … Experience of learning from everyday work in daily safety huddles—a multi-method study. … This mixed-methods study found that patient safety huddles including a focus on learning from what works … Experience of learning from everyday work in daily safety huddles—a multi-method study. … Differences in medication reconciliation interventions between six hospitals: a mixed method