-
psnet.ahrq.gov/node/36221/psn-pdf
October 20, 2010 - Enhancing patient safety during hand-offs: standardized
communication and teamwork using the 'SBAR' method
-
psnet.ahrq.gov/node/37707/psn-pdf
March 02, 2011 - However, prior research has found that this method does not reliably prevent errors. … This randomized
trial compared the incidence of misplaced and miscounted sponges in procedures using … standard manual
count with procedures where a novel bar-coded surgical sponge was used.
-
psnet.ahrq.gov/node/37755/psn-pdf
April 14, 2011 - Such systems may serve as a method to prevent medication errors,
particularly at the prescribing stage
-
psnet.ahrq.gov/node/34128/psn-pdf
December 23, 2016 - psnet.ahrq.gov/issue/patient-controlled-analgesia-proxy
Patient-controlled analgesia (PCA) is a recognized method
-
psnet.ahrq.gov/node/36868/psn-pdf
August 29, 2011 - high-quality hospital error
research and explores the potential of quali-quantitative analysis as a research method
-
psnet.ahrq.gov/node/45153/psn-pdf
May 18, 2016 - This method, called "microdebriefing," has been shown to be effective in
improving skills for adult
-
psnet.ahrq.gov/node/36562/psn-pdf
January 12, 2011 - describe the concept of formally defining process and apply it to point-of-care blood
transfusion as a method
-
psnet.ahrq.gov/node/38698/psn-pdf
June 10, 2009 - incident investigation techniques to help forecast the most
implementable predictive investigation method
-
psnet.ahrq.gov/issue/insulin-dosing-error-patient-severe-hyperkalemia
May 06, 2020 - May 6, 2020
A national mixed-methods evaluation of preparedness for general surgery residency … March 8, 2017
Performing the wrong procedure. … June 21, 2016
A method for prioritizing interventions following root cause analysis (
-
psnet.ahrq.gov/node/41030/psn-pdf
March 04, 2015 - quality of the studies was limited by variations in ADE definitions and failure to
use gold standard methods … Although they are a promising method for identifying ADEs
promptly, the review concludes that electronic
-
psnet.ahrq.gov/node/44462/psn-pdf
January 22, 2016 - and identifies areas of progress,
including curricula development, training techniques, and feedback methods … pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room
https://psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment
-
psnet.ahrq.gov/node/49524/psn-pdf
November 01, 2006 - Because the patient's airway had been secured with an LMA (as
opposed to an endotracheal method), the … preoperative consenting process should
address how a patient's airway will be secured during an operative procedure … device.(3-5) The Table briefly outlines the advantages and disadvantages of LMA versus endotracheal
methods … Complications of endotracheal intubation and other airway management
procedures. … [go to PubMed]
Table
Airway Device Ventilation Method Advantages Disadvantages
Endotracheal
intubation
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - "(
17) Several other significant safety studies used similar methods. … However, it has largely
been replaced by the more efficient and more sensitive trigger tool method described … 26), have been shown to more efficiently identify adverse events than any other published detection
method … Comparison of four most frequently used methods to identify harm. … (Go to table citation in the text)
Harm Detection Method Advantages Limitations
Incident (occurrence
-
psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - 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 … Creation of an innovative inpatient medical procedure
service and a method to evaluate house staff competency
-
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
-
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.