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Showing results for "method".

301. Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”. | PSNet
     psnet.ahrq.gov/issue/rate-diagnostic-errors-and-serious-misdiagnosis-related-harms-major-vascular-events
     July 28, 2023 - 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 … in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method

302. Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
     January 01, 2023 - • During the procedure, the abdominal wall transilluminated as expected, and 1-to-1 gastric motion … Completion of the PEG tube procedure. … sites use proactive review (double interpretation by separate radiologists) in addition to reactive methods … utilizing the malpositioned tube. 4,10,11,14,25 27 PEG Tube Complications (6) There are several methods … A simple and inexpensive method of removal or replacement of gastrostomy tubes.

303. Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. | PSNet
     psnet.ahrq.gov/issue/negative-emotions-experienced-healthcare-staff-following-medication-administration-errors
     December 18, 2019 - Using qualitative methods and text mining of medication error incident reports, researchers in this study … analysis of medication administration errors using incident reports, the Global Trigger Tool method, … February 15, 2023 Toward the translation of systems thinking methods in patient safety … July 29, 2020 Differences between methods of detecting medication errors: a secondary … analysis of medication administration errors using incident reports, the Global Trigger Tool method,

304. What causes adverse events in prehospital care? A human-factors approach. | PSNet
     psnet.ahrq.gov/issue/what-causes-adverse-events-prehospital-care-human-factors-approach
     July 26, 2023 - Factors influencing medication errors in the prehospital paramedic environment: a mixed method … 2019 Medication safety in emergency medical services: approaching an evidence-based method

305. Evaluation of critical incidents in general surgery. | PSNet
     psnet.ahrq.gov/issue/evaluation-critical-incidents-general-surgery
     April 29, 2009 - Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method … , 2014 Assessing distractors and teamwork during surgery: developing an event-based method … Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure

306. Obstacles to research on the effects of interruptions in healthcare. | PSNet
     psnet.ahrq.gov/issue/obstacles-research-effects-interruptions-healthcare
     April 19, 2017 - commentary suggests that research about interruptions clearly determine definitions, data collection methods … Related Resources From the Same Author(s) Two sides to every story: the Dual Perspectives Method … September 27, 2017 Two sides to every story: the Dual Perspectives Method for examining

307. Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands. | PSNet
     psnet.ahrq.gov/issue/examining-causes-and-prevention-strategies-adverse-events-deceased-hospital-patients
     June 08, 2022 - Root cause analysis using the prevention and recovery information system for monitoring and analysis method … October 6, 2021 A systematic review of methods for medical record analysis to detect … Monitoring preventable adverse events and near misses: number and type identified differ depending on method

308. An e-Delphi study to obtain expert consensus on the level of risk associated with preventable e-prescribing events. | PSNet
     psnet.ahrq.gov/issue/e-delphi-study-obtain-expert-consensus-level-risk-associated-preventable-e-prescribing-events
     January 19, 2022 - 2021 Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method … discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method … 2023 Electronic prescribing systems in hospitals to improve medication safety: a multi-methods

309. Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators. | PSNet
     psnet.ahrq.gov/issue/patient-safety-monitoring-acute-care-decentralized-national-health-care-system-conceptual
     July 27, 2022 - Root cause analysis using the prevention and recovery information system for monitoring and analysis method … November 10, 2021 Medication safety in mental health hospitals: a mixed-methods analysis … Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73434/psn-pdf
     June 30, 2021 - delays in diagnosing malignancies or other conditions warranting urgent interventions such as surgical procedures … Newer electronic methods can also be used to help ensure effective communication at the systems level … Although this safeguard is a one-way method of communication, the communication loop could be closed … Secure text messaging platforms offer another e-method that can be used by radiologists to communicate … Improving communication by implementing multiple systems-based changes, using both e-methods and more

311. Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? | PSNet
     psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right
     March 02, 2016 - Resources From the Same Author(s) Seniors managing multiple medications: using mixed methods … Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method … December 4, 2016 The use of human factors methods to identify and mitigate safety issues … March 13, 2019 Formative evaluation of the video reflexive ethnography method, as applied

312. Reclaiming the systems approach to paediatric safety. | PSNet
     psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
     April 03, 2019 - Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method … November 28, 2018 The trigger tool as a method to measure harmful medication errors in

313. Information chaos in primary care: implications for physician performance and patient safety. | PSNet
     psnet.ahrq.gov/issue/information-chaos-primary-care-implications-physician-performance-and-patient-safety
     July 02, 2019 - Prescribers' interactions with medication alerts at the point of prescribing: a multi-method … March 11, 2011 A mixed method study of the merits of e-prescribing drug alerts in primary

314. Building social capital in healthcare organizations: thinking ecologically for safer care. | PSNet
     psnet.ahrq.gov/issue/building-social-capital-healthcare-organizations-thinking-ecologically-safer-care
     June 23, 2009 - June 23, 2009 Seniors managing multiple medications: using mixed methods to view the … July 23, 2008 Medication administration technologies and patient safety: a mixed-method … March 13, 2019 Formative evaluation of the video reflexive ethnography method, as applied

315. Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach. | PSNet
     psnet.ahrq.gov/issue/assessing-impact-new-pediatric-healthcare-facility-medication-administration-human-factors
     February 07, 2024 - A qualitative study using the framework method of analysis. … A mixed method study.

316. Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments. | PSNet
     psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical
     October 30, 2024 - July 31, 2024 Mitigating imperfect data validity in administrative data PSIs: a method … , 2011 View More Related Resources Using the Generic Analysis Method

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35176/psn-pdf
     June 23, 2009 - These included reduced mortality after elective procedures, fewer adverse events attributed to deaths … The authors conclude that continuous peer review offers an important and cost-effective method for improving

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866351/psn-pdf
     July 24, 2024 - all the SEIPS components and resilience capacities (e.g., preparedness, adaptation), indicating this method … can be used to complement traditional investigative methods.

319. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. | PSNet
     psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
     April 11, 2011 - The trigger tool appeared to be a sensitive (though nonspecific) method for identifying AEs.  … Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method

320. The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services. | PSNet
     psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause-analysis-not-best-model
     September 27, 2016 - While the authors assert that the method may not be helpful, their findings also emphasize the importance … April 3, 2024 Two sides to every story: the Dual Perspectives Method for examining interruptions