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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/node/846446/psn-pdf
March 22, 2023 - ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
https://psnet.ahrq.gov/issue/strengths-and-weaknesses-working-global-trigger-tool-method-retrospective-record-review-focus … https://psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
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psnet.ahrq.gov/node/837981/psn-pdf
August 31, 2022 - psnet.ahrq.gov/issue/improving-medication-reconciliation-hospitals
Medication reconciliation is a primary method
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psnet.ahrq.gov/node/42546/psn-pdf
October 02, 2013 - detection-medication-related-problems-hospital-practice-review
This review compared seven distinct methods … administrative
data—but concluded that insufficient evidence exists to support routine use of one method
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice
January 24, 2018 - December 29, 2014
Hospital staff should use more than one method to detect adverse events … March 28, 2011
The harm susceptibility model: a method to prioritise risks identified … August 20, 2018
Nature of blame in patient safety incident reports: mixed methods analysis
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psnet.ahrq.gov/issue/alternatives-potentially-inappropriate-medications-use-e-prescribing-software-triggers-and
February 18, 2011 - Download Citation
Related Resources From the Same Author(s)
A mixed method … February 18, 2011
A comparison of two distribution methods on response rates to a patient … Prescribers' interactions with medication alerts at the point of prescribing: a multi-method
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psnet.ahrq.gov/issue/opportunities-improvement-nursing-homes-variance-six-patient-safety-climate-factor-scores
September 29, 2017 - September 29, 2017
Green Cross method in a postanaesthesia care unit: a qualitative study … July 24, 2019
A comparison of two distribution methods on response rates to a patient … Patterns in nursing home medication errors: disproportionality analysis as a novel method
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psnet.ahrq.gov/issue/impact-interventions-designed-reduce-medication-administration-errors-hospitals-systematic
April 01, 2015 - March 27, 2013
A multi-method exploratory evaluation of a service designed to improve … July 15, 2020
Differences between methods of detecting medication errors: a secondary … analysis of medication administration errors using incident reports, the Global Trigger Tool method,
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - expectations between sender and receiver, cultural differences, inadequate time, and lack of standardized procedures … allows providers to review potential drug-drug or drug-disease interactions. 16
The “brown bag” method … Additionally, healthcare providers can adopt evidence-based best practices like the teach-back method … “A Method for Assessing Drug Therapy Appropriateness.” … “The Effectiveness of the Teach-Back Method on Adherence and Self-Management in Health Education for
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psnet.ahrq.gov/node/836774/psn-pdf
March 23, 2022 - institutional avoidability of out-of-hours
discharge from intensive care: an analysis using mixed
methods … institutional avoidability of out-of-hours discharge
from intensive care: an analysis using mixed methods … patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care-
analysis-using
This mixed-method
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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/39073/psn-pdf
February 20, 2010 - education
This study describes the integration of simulation exercises into nursing education as a method … my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/38100/psn-pdf
July 02, 2009 - /issue/surgical-team-behaviors-and-patient-outcomes
Direct observation of teamwork during surgical procedures … One method of improving teamwork, crew resource
management training, has been extensively evaluated
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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/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/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/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/node/843056/psn-pdf
January 25, 2023 - incidence-and-characteristics-adverse-events-paediatric-inpatient-care-
systematic-review-and
Retrospective error detection methods … tools: Global Trigger Tool (GTT), the Trigger Tool (TT) or the Harvard Medical Practice Study
(HMPS) 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/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