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Total Results: 7,842 records

Showing results for "method".

281. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-454
     September 25, 2024 - Study Learning from patient safety incidents: The Green Cross method. … A diverse array of methods exists to report and learn from patient safety incidents. … This study describes post-anesthesia care unit (PACU) nurses' experience with the Green Cross method, … a proactive method to report and learn from patient safety incidents occurring in the prior 24 hours … Nurses reported more openness and transparency after implementation of the Green Cross method; however

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33591/psn-pdf
     September 07, 2019 - These methods are often referred to by various names such as Targeted Injury Detection Systems and most … This method would miss many less severe cases (ones that weren't severe enough to merit naloxone administration … Conceptually, though, the method resembles that of major adverse event studies such as the Harvard Medical … Controversies The IHI cautions that the GTT (or any trigger tool method) cannot identify all sources

283. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. | PSNet
     psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
     June 17, 2014 - This method reliably identified contributing factors and enabled more in-depth understanding about underlying … October 8, 2016 Hospital staff should use more than one method to detect adverse events

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49439/psn-pdf
     March 01, 2004 - 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 … The communication of information from physician to patient: a method for increasing patient retention … The "Teach-back" Method in Clinician—Patient Education (9) This project was funded under contract number

285. Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. | PSNet
     psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric
     February 15, 2023 - Differences in hospitals' workplace violence incident reporting practices: a mixed methods … Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method … Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method

286. Near-miss events detected using the emergency department trigger tool. | PSNet
     psnet.ahrq.gov/issue/near-miss-events-detected-using-emergency-department-trigger-tool
     August 24, 2022 - September 2, 2020 Differences between methods of detecting medication errors: a secondary … analysis of medication administration errors using incident reports, the Global Trigger Tool method, … December 15, 2021 The trigger tool as a method to measure harmful medication errors in

287. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. | PSNet
     psnet.ahrq.gov/issue/patient-safety-factors-and-perceived-consequences-nursing-errors-nursing-staff-home-care
     May 18, 2022 - 2022 Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method … August 5, 2020 Differences between methods of detecting medication errors: a secondary … analysis of medication administration errors using incident reports, the Global Trigger Tool method,

288. Racial/ethnic inequities in pregnancy-related morbidity and mortality. | PSNet
     psnet.ahrq.gov/issue/racialethnic-inequities-pregnancy-related-morbidity-and-mortality
     August 10, 2022 - 2022 Implementation and sustainability of a medication reconciliation toolkit: a mixed methods … August 5, 2020 Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method … November 13, 2011 In situ simulation: a method of experiential learning to promote safety

289. Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. | PSNet
     psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability
     April 03, 2019 - April 8, 2020 Using snowball sampling method with nurses to understand medication administration … February 19, 2014 A structured judgement method to enhance mortality case note review … October 16, 2012 Integration of prospective and retrospective methods for risk analysis

290. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. | PSNet
     psnet.ahrq.gov/issue/longitudinal-medication-reconciliation-hospital-admission-discharge-and-post-discharge
     August 19, 2020 - Differences in medication reconciliation interventions between six hospitals: a mixed method … Differences in medication reconciliation interventions between six hospitals: a mixed method … 2021 Implementation and sustainability of a medication reconciliation toolkit: a mixed methods

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850927/psn-pdf
     June 21, 2023 - “horror room” simulations are more common in Western countries and focus on medication-related or procedure-related … room-horrors-simulation-healthcare-education-systematic-review https://psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43346/psn-pdf
     August 02, 2015 - device, the da Vinci robot, led to a change in surgical processes or surgeon performance for a specific procedure … new technique and device, there was an increased risk of unsafe practice compared with the standard method … This finding emphasizes the need to create safety processes and monitoring when novel devices and procedures

293. Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. | PSNet
     psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-bundled-intervention-reduce-interruptions-during-medication
     August 26, 2020 - 2020 Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method … April 26, 2023 Impact of interruptions, distractions, and cognitive load on procedure … A mixed method study.

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843413/psn-pdf
     February 01, 2023 - Toward the translation of systems thinking methods in patient safety practice: assessing the validity … Toward the translation of systems thinking methods in patient safety practice: assessing the validity … https://psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice- assessing-validity-net … Net-HARMS) to identify risks associated with patient medication administration and an accident analysis method … https://psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net

295. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. | PSNet
     psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses
     May 25, 2022 - Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods … implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method … Factors influencing medication errors in the prehospital paramedic environment: a mixed method … September 15, 2021 Methods used to obtain pediatric patient weights, their accuracy and

296. The contribution of sociotechnical factors to health information technology–related sentinel events. | PSNet
     psnet.ahrq.gov/issue/contribution-sociotechnical-factors-health-information-technology-related-sentinel-events
     September 18, 2024 - September 18, 2024 Incidence and method of suicide in hospitals in the United States. … 2019 Medication safety in emergency medical services: approaching an evidence-based method

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43459/psn-pdf
     August 27, 2014 - https://psnet.ahrq.gov/issue/serious-reportable-events Incident reporting systems are an important method … adverse events reported to the Department of Health and Wellness in Nova Scotia related to surgical procedures

298. Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet
     psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
     February 15, 2011 - Trigger tools have proved to be a useful method of screening for adverse events, with prior research … February 15, 2011 Measuring patient safety in real time: an essential method for effectively

299. Development and evaluation of the Institute for Healthcare Improvement global trigger tool. | PSNet
     psnet.ahrq.gov/issue/development-and-evaluation-institute-healthcare-improvement-global-trigger-tool
     February 10, 2015 - Trigger tools have proved to be an effective method of screening for adverse events , with past research … April 4, 2011 Measuring patient safety in real time: an essential method for effectively

300. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. | PSNet
     psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients
     October 03, 2017 - evaluated more than 325 medical records that were identified based on electronic triggers to develop their method … January 2, 2017 Measuring adverse events in hospitalized patients: an administrative method