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psnet.ahrq.gov/node/43459/psn-pdf
August 27, 2014 - https://psnet.ahrq.gov/issue/serious-reportable-events
Incident reporting systems are an important method … adverse
events reported to the Department of Health and Wellness in Nova Scotia related to surgical procedures
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - death is unexpected.(3)
Though less emotionally charged, many other Diagnostic Related Groups (DRGs [a method … This is a far more efficient method of
identifying potential safety problems than most other methods … The efficiency of the ascertainment method and the rate of false positives represent just two characteristics … Technical Specifications
Death in low-
mortality DRGs
Mortality rate for admitting
diagnoses or procedures … Conduciveness to
change
The detection method should capture sufficient detail to understand the events
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psnet.ahrq.gov/node/37858/psn-pdf
June 25, 2008 - measuring-team-performance-healthcare-review-research-and-implications-
patient-safety
This article discusses various methods … direct
observation, surveys, and video-based analysis, and outlines the strengths and drawbacks of each method
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psnet.ahrq.gov/node/843413/psn-pdf
February 01, 2023 - Toward the translation of systems thinking methods in
patient safety practice: assessing the validity … Toward the translation of systems thinking methods in patient safety
practice: assessing the validity … https://psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-
assessing-validity-net … Net-HARMS) to identify risks associated
with patient medication administration and an accident analysis method … https://psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
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psnet.ahrq.gov/issue/coping-strategies-health-care-providers-second-victims-systematic-review
June 30, 2021 - Same Author(s)
Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method … October 6, 2021
Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method
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psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and-experiences
February 10, 2021 - Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method … August 4, 2021
Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method
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psnet.ahrq.gov/issue/developing-and-aligning-safety-event-taxonomy-inpatient-psychiatry
September 14, 2022 - Root cause analysis using the prevention and recovery information system for monitoring and analysis method … Monitoring preventable adverse events and near misses: number and type identified differ depending on method
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psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses
March 24, 2021 - Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method … December 9, 2020
Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method
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psnet.ahrq.gov/issue/work-nurses-provide-good-and-safe-services-children-receiving-hospital-home-qualitative
March 08, 2023 - June 9, 2021
Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method … Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method
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psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
June 03, 2020 - in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method … Related Resources
Three scans are better than two for follow-up: an automatic method
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psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
October 19, 2022 - November 2, 2022
Mitigating imperfect data validity in administrative data PSIs: a method … Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method
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psnet.ahrq.gov/issue/risk-factors-clinically-relevant-deviations-patients-medication-lists-reported-patients
March 23, 2022 - Differences in medication reconciliation interventions between six hospitals: a mixed method … Differences in medication reconciliation interventions between six hospitals: a mixed method
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psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-reported-potential-adverse-events-after-hospital
April 27, 2022 - Differences in medication reconciliation interventions between six hospitals: a mixed method … Differences in medication reconciliation interventions between six hospitals: a mixed method
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psnet.ahrq.gov/issue/evaluation-and-mitigation-limitations-large-language-models-clinical-decision-making
March 09, 2022 - contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method … November 10, 2021
COVID-19 and open notes: a new method to enhance patient safety and
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psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported
December 09, 2020 - implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method … Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method
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psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study
April 14, 2021 - November 3, 2021
Learning from patient safety incidents: The Green Cross method. … September 4, 2024
Green Cross method in a postanaesthesia care unit: a qualitative study
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psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
February 06, 2019 - Resources From the Same Author(s)
Formative evaluation of the video reflexive ethnography method … January 20, 2020
Formative evaluation of the video reflexive ethnography method, as applied
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psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients
June 30, 2021 - March 16, 2016
Implementation of the trigger review method in Scottish general practices … Resources
Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - During the procedure, the abdominal wall transilluminated as expected, and one-to-one motion of the stomach … sites use proactive review (double interpretation by separate radiologists) in addition to reactive methods … intervention exceeds the risk of utilizing the malpositioned tube. 4 , 10,11,14 , 25 There are several methods … A simple and inexpensive method of removal or replacement of gastrostomy tubes. … April 17, 2024
A mixed-methods systematic review of interventions to address incivility
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psnet.ahrq.gov/node/850927/psn-pdf
June 21, 2023 - “horror room” simulations are more common in Western
countries and focus on medication-related or procedure-related … room-horrors-simulation-healthcare-education-systematic-review
https://psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents