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psnet.ahrq.gov/node/38837/psn-pdf
June 28, 2011 - A comparison of hospital adverse events identified by
three widely used detection methods. … A comparison of hospital adverse events identified by
three widely used detection methods. … ://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-
methods … Investigators discovered that each method yielded significantly different results. … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
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psnet.ahrq.gov/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health-service-board
March 27, 2019 - Operating room list errors are often cited as leading to wrong-side, wrong-site or wrong-procedure errors … analyzed two years of data from the United Kingdom and found that while no wrong-side, wrong-site or wrong-procedure … Tracking and reducing operating room list errors may help to prevent wrong-side, -site, or -procedure … March 14, 2022
Methods for studying medication safety following electronic health record … January 9, 2018
Implementation of the trigger review method in Scottish general practices
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psnet.ahrq.gov/node/39790/psn-pdf
March 21, 2017 - executive walk rounds, malpractice claims, and risk management databases,
and found that while each method … accompanying commentary discusses the strengths and limitations of a broad range of safety monitoring
methods … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
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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/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/node/49585/psn-pdf
May 01, 2009 - Describe the Confusion Assessment Method for workup of suspected delirium. … The diagnosis of delirium follows the diagnostic algorithm of the Confusion Assessment Method (CAM) and … Delirium in mechanically ventilated patients: validity and reliability
of the confusion assessment method … Clarifying confusion: the
confusion assessment method. A new method for detection of delirium. … The Confusion Assessment Method (CAM) for the diagnosis of delirium.
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psnet.ahrq.gov/node/34105/psn-pdf
December 24, 2008 - barcode-technology-its-role-increasing-safety-blood-transfusion
This study found that barcode patient identification technology provided an effective method
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psnet.ahrq.gov/node/41567/psn-pdf
October 19, 2012 - medications were administered more rapidly, when pre-filled
syringes were used instead of the traditional method
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psnet.ahrq.gov/node/41397/psn-pdf
June 06, 2012 - semi-supervised-classification-patient-safety-event-reports
This study describes the application of a semi-supervised classification method
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psnet.ahrq.gov/node/43964/psn-pdf
November 25, 2015 - psnet.ahrq.gov/issue/simulation-based-surgical-education
Simulation training is widely accepted as a method
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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/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