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psnet.ahrq.gov/node/37940/psn-pdf
June 16, 2010 - comparing-patient-reported-hospital-adverse-events-medical-record-review-do-
patients-know
While many methods … detecting inpatient adverse events, ranging from medical record review to
incident reporting, no single method
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psnet.ahrq.gov/node/42628/psn-pdf
January 07, 2015 - This study, conducted at a Veterans Affairs
hospital, evaluated a novel method of accomplishing medication … Other methods of leveraging information technology to engage patients in
medication safety efforts have
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psnet.ahrq.gov/node/35432/psn-pdf
September 11, 2009 - psnet.ahrq.gov/issue/improving-patient-safety-moving-beyond-hype-medical-errors
The authors advocate for a method
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psnet.ahrq.gov/node/41179/psn-pdf
February 29, 2012 - //psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool
This review explores simulation as a method
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psnet.ahrq.gov/node/38921/psn-pdf
September 09, 2009 - using-medical-emergency-teams-detect-preventable-adverse-events
Structured analysis of medical emergency team calls proved to be an effective method
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psnet.ahrq.gov/node/37718/psn-pdf
April 23, 2008 - https://psnet.ahrq.gov/issue/mistakes-and-disclosure
This article describes a method for teaching residents
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psnet.ahrq.gov/node/38130/psn-pdf
January 02, 2017 - psnet.ahrq.gov/issue/view-world-through-different-lens-shadowing-another-provider
This article summarizes the method
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psnet.ahrq.gov/node/42388/psn-pdf
June 26, 2013 - independent-double-checks-undervalued-and-misused
Noting inconsistent evidence for independent double checks as a method
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psnet.ahrq.gov/node/37842/psn-pdf
November 20, 2017 - and developing interventions, study designs, measurement of safety and quality, and the
use of mixed methods … tension-between-needing-improve-care-and-knowing-how-do-it
https://psnet.ahrq.gov/issue/science-improvement
https://psnet.ahrq.gov/issue/mixed-method-study-merits-e-prescribing-drug-alerts-primary-care
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psnet.ahrq.gov/node/43814/psn-pdf
June 21, 2015 - project aimed to achieve adherence to hand hygiene practices at eight hospitals using
change management methods … This study suggests that local improvement may be a
fruitful method to enhance the proven but incompletely
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psnet.ahrq.gov/issue/building-culture-safety-through-team-training-and-engagement
September 23, 2017 - From the Same Author(s)
Impact of interruptions, distractions, and cognitive load on procedure … contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method … February 26, 2020
Technological methods used to prevent errors aren't infallible.
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - The Commentary Central venous catheter (CVC) placement is one of the most common medical procedures … The time honored "see one, do one, teach one" method is inadequate in today's environment—in fact, the … Service is another excellent adjunctive training option because it enables the trainee to learn procedures … Real-time ultrasound-guided subclavian vein cannulation versus the landmark method in critical care patients … Creation of an innovative inpatient medical procedure service and a method to evaluate house staff competency
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psnet.ahrq.gov/issue/slowing-down-stay-out-trouble-operating-room-remaining-attentive-automaticity
December 12, 2012 - June 22, 2016
Effectiveness of facilitated introduction of a standard operating procedure … November 18, 2013
A novel method for reproducibly measuring the effects of interventions … July 5, 2013
Application of human error theory in case analysis of wrong procedures.
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psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care
April 12, 2017 - Related Resources From the Same Author(s)
Implementation of the trigger review method … January 19, 2011
Methods for studying medication safety following electronic health record … February 22, 2019
Assessment of incorrect surgical procedures within and outside the … October 3, 2012
Incidence and root cause analysis of wrong-site pain management procedures
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psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems
May 24, 2012 - May 20, 2009
Incorrect surgical procedures within and outside of the operating room. … November 2, 2016
Incorrect surgical procedures within and outside of the operating room … November 21, 2011
The harm susceptibility model: a method to prioritise risks identified … July 22, 2009
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events
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psnet.ahrq.gov/issue/problem-engaging-hospital-doctors-promoting-safety-and-quality-clinical-care
August 18, 2017 - Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods … February 22, 2019
Society of Interventional Radiology IR Pre-Procedure Patient Safety … June 17, 2014
Hospital staff should use more than one method to detect adverse events
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psnet.ahrq.gov/issue/improving-communication-between-teams-managing-boarded-patients-surgical-specialty-ward
September 29, 2017 - January 24, 2024
Reconceptualizing patient safety beyond harm: insights from a mixed-methods … May 11, 2014
Safe Site Invasive Procedure—Non-Operating Room. … December 15, 2011
Using a multi-method, user centred, prospective hazard analysis to
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psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study
June 15, 2011 - 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods … October 1, 2014
Patient-as-observer approach: an alternative method for hand hygiene … August 5, 2008
Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - Rounding procedures must be restructured to become more patient-centered. … Perception without attention: results of a new method. Cogn Psychol. 1992;24:502-534. … physician remote access of the electronic health record and implications for resident supervision: a mixed methods … understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods … November 1, 2012
Application of human error theory in case analysis of wrong procedures
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psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center
January 11, 2017 - Overlapping surgery refers to when two procedures are performed concurrently, but important portions … Experts have raised concerns about the safety of scheduling coincident procedures. … the authors caution that further studies at multiple centers are needed to ensure that overlapping procedure … , 2016
Assessing distractors and teamwork during surgery: developing an event-based method