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psnet.ahrq.gov/node/44037/psn-pdf
March 14, 2018 - elimination-emergency-department-medication-errors-due-estimated-weights
https://psnet.ahrq.gov/issue/effect-weight-based-prescribing-method-within-electronic-health-record-prescribing-errors … https://psnet.ahrq.gov/issue/effect-weight-based-prescribing-method-within-electronic-health-record-prescribing-errors
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psnet.ahrq.gov/node/44195/psn-pdf
June 06, 2018 - Prior research has demonstrated
the effectiveness of simulation as an instructional method for teaching … issue/hand-hygiene-healthcare-settings
https://psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents
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psnet.ahrq.gov/issue/root-causes-adverse-drug-events-hospitals-and-artificial-intelligence-capabilities-prevention
May 20, 2020 - This cross-sectional, mixed method study sought to prioritize common root causes for medication errors … , 2020
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Using the Generic Analysis Method
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psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
June 26, 2019 - Rapid-cycle improvement methods have been embraced as an approach to enhancing health care quality … May 30, 2018
Systematic review of the application of the plan-do-study-act method to … quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods … January 30, 2019
Systematic review of the application of the plan-do-study-act method
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psnet.ahrq.gov/issue/2008-recommendations-pre-anesthesia-checkout-procedures
April 22, 2020 - Organizational Policy/Guidelines
2008 Recommendations for Pre-Anesthesia Checkout Procedures … Citation Text:
2008 Recommendations for Pre-Anesthesia Checkout Procedures. … Cite
Citation
Citation Text:
2008 Recommendations for Pre-Anesthesia Checkout Procedures … June 1, 2015
Cutaneous Procedures Adverse Events Reporting (CAPER). … Root cause analysis using the prevention and recovery information system for monitoring and analysis method
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psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes
February 08, 2017 - and voluntary reporting as approaches to monitor adverse events and explores how lack of a standard method … 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods … An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool."
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psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance
May 07, 2014 - Global Trigger Tool (developed by the Institute for Healthcare Improvement ) appeared to be a reliable method … 2014
A comparison of hospital adverse events identified by three widely used detection methods … September 12, 2016
Measuring adverse events in hospitalized patients: an administrative method
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psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution
March 01, 2023 - comprehensive discussion concludes with recommendations for making the tort system a more effective method … Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method
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psnet.ahrq.gov/issue/it-depends-who-you-ask-divergences-staff-and-external-stakeholder-narratives-about-causes
August 05, 2020 - This novel method revealed that staff identified a lack of training and understaffing, whereas patients … 2020
The Healthcare Complaints Analysis Tool: development and reliability testing of a method
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psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
July 07, 2021 - The author suggests that common cause analysis is an effective method to utilize root cause analysis … Root cause analysis using the prevention and recovery information system for monitoring and analysis method
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psnet.ahrq.gov/node/45680/psn-pdf
February 22, 2017 - medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/effect-weight-based-prescribing-method-within-electronic-health-record-prescribing-errors … https://psnet.ahrq.gov/issue/effect-weight-based-prescribing-method-within-electronic-health-record-prescribing-errors
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psnet.ahrq.gov/node/42626/psn-pdf
October 02, 2013 - improving-patient-safety-icu-prospective-identification-missing-safety-barriers-
using-bow-tie
Conceptually analogous to failure mode and effect analysis, the Bow-Tie method … In this study, the Bow-Tie method was used to identify latent safety hazards in
intrahospital transport
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psnet.ahrq.gov/node/45645/psn-pdf
November 16, 2016 - A mixed method study.
November 16, 2016
Reime MH, Johnsgaard T, Kvam FI, et al. … A mixed method study. Nurse Educ Pract.
2016;21:75-82. doi:10.1016/j.nepr.2016.10.003.
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psnet.ahrq.gov/node/44773/psn-pdf
January 13, 2016 - In this study, researchers tested a concise incident analysis method, drawing on
multiple existing incident … These results suggest that a more
streamlined method of investigating adverse events could support patient
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psnet.ahrq.gov/node/42249/psn-pdf
May 08, 2013 - An evaluation of the "Harvard Medical
Practice Study" method and the "Global Trigger Tool." … an evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool".
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psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital-inpatients
October 22, 2014 - September 4, 2016
A multi-method exploratory evaluation of a service designed to improve … 2018
The Healthcare Complaints Analysis Tool: development and reliability testing of a method … April 13, 2016
What methods are used to apply positive deviance within healthcare organisations … September 23, 2015
Hospital staff should use more than one method to detect adverse events
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psnet.ahrq.gov/web-mm/lethal-cap
December 19, 2018 - efficient means to enhance communication and reduce errors is to routinely employ the "teach-back" method … We have demonstrated that physicians employ this method for only 13% of new medications. … However, those physicians who employ the teach-back method do not have longer visits than those who do … The communication of information from physician to patient: a method for increasing patient retention … The "Teach-back" Method in Clinician—Patient Education ( 9 )
This
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psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations-medical-and
June 24, 2020 - Citation
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Differences between methods … secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method … October 15, 2016
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Differences between methods … secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method
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psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units
June 16, 2011 - vary in application from institution to institution, their use continues to grow as a largely unproven method … January 18, 2023
Comparing the outcomes of reporting and trigger tool methods to capture … February 27, 2019
Patient-as-observer approach: an alternative method for hand hygiene
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psnet.ahrq.gov/issue/measuring-adverse-events-and-levels-harm-pediatric-inpatients-global-trigger-tool
December 18, 2013 - The Institute for Healthcare Improvement's (IHI) Global Trigger Tool is a well-established sampling method … Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method … October 18, 2018
Utilising improvement science methods to optimise medication reconciliation