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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
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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
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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
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psnet.ahrq.gov/issue/antecedent-treat-and-release-diagnoses-prior-sepsis-hospitalization-among-adult-emergency
May 12, 2021 - 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
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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
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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
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psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
April 12, 2019 - experiences and a review of current literature, surgical interns at The Johns Hopkins Hospital developed a method … Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure … December 21, 2014
Sleep deprivation, elective surgical procedures, and informed consent
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - No alternate method to verify tube placement had been documented. … Commentary By Anita Singh, MD, and Cecilia Huang, MD Nasogastric (NG) tube insertion is a commonly performed procedure … intracranial misplacement, and esophageal stricture, due to the risk of esophageal perforation. 2 The procedure … Methods and complications of nasoenteral intubation. … Clinical Procedures. In: Ballweg R, Sullivan EM, Brown D, Vetrosky D, eds.
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psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
November 17, 2014 - outline a seven-step plan to address these barriers using educational, psychological, and organizational methods … July 23, 2014
A method for prioritizing interventions following root cause analysis ( … July 2, 2014
A novel method for reproducibly measuring the effects of interventions to
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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
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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
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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/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
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psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective
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Timeout procedure in paediatric surgery: effective tool or lip service? … Timeout procedure in paediatric surgery: effective tool or lip service? … period, this study purposefully and randomly introduced errors during preoperative timeouts for 1,800 procedures … Timeout procedure in paediatric surgery: effective tool or lip service? … 2022
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psnet.ahrq.gov/issue/information-chaos-primary-care-implications-physician-performance-and-patient-safety
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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
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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
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psnet.ahrq.gov/issue/prospective-evaluation-consultant-surgeon-sleep-deprivation-and-outcomes-more-4000
October 19, 2022 - of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures … of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures … attending surgeon was sleep deprived (defined as less than 6 hours of sleep the night prior to the procedure … of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures … September 11, 2013
A novel method for reproducibly measuring the effects of interventions
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psnet.ahrq.gov/node/41781/psn-pdf
October 24, 2012 - Designing for Patient Safety: Developing Methods to
Integrate Patient Safety Concerns in the Design …
https://psnet.ahrq.gov/issue/designing-patient-safety-developing-methods-integrate-patient-safety … report discusses patient safety issues to consider when designing health care facilities and includes
methods … https://psnet.ahrq.gov/issue/designing-patient-safety-developing-methods-integrate-patient-safety-concerns-design-process … transforming-hospitals-designing-safety-and-quality
https://psnet.ahrq.gov/issue/patient-safety-begins-proper-planning-quantitative-method-improve-hospital-design
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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.