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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - delays in diagnosing malignancies or other conditions warranting urgent interventions such as surgical procedures … Newer electronic methods can also be used to help ensure effective communication at the systems level … Although this safeguard is a one-way method of communication, the communication loop could be closed … Secure text messaging platforms offer another e-method that can be used by radiologists to communicate … Improving communication by implementing multiple systems-based changes, using both e-methods and more
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psnet.ahrq.gov/node/45078/psn-pdf
June 28, 2019 - site supports review and
comment of versions of common formats developed to provide a standardized method
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psnet.ahrq.gov/node/44640/psn-pdf
February 20, 2016 - https://psnet.ahrq.gov/issue/problem-plan-do-study-act-cycles
Rapid-cycle improvement methods have been … model-increasing-patient-safety-intensive-care-unit-increasing-implementation-rates-proven
https://psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality-healthcare
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psnet.ahrq.gov/issue/patient-safety-culture-theory-methods-and-application
August 24, 2016 - Book/Report
Patient Safety Culture: Theory, Methods and Application. … Citation Text:
Patient Safety Culture: Theory, Methods and Application. Waterson P, ed. … Cite
Citation
Citation Text:
Patient Safety Culture: Theory, Methods … February 23, 2018
Safety Culture: Theory, Method and Improvement.
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psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
April 08, 2018 - in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method … specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods … in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method
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psnet.ahrq.gov/node/48131/psn-pdf
August 14, 2019 - psnet.ahrq.gov/issue/teaching-nurses-make-clinical-judgments-ensure-patient-safety
This commentary describes a method
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psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count
March 02, 2011 - during surgery has traditionally been accomplished by manually counting instruments used during the procedure … the fact that discrepancies in the count were associated with changes in nursing personnel during the procedure … A recent study evaluated using bar-coded surgical sponges as a potential method of increasing the accuracy … cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures
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psnet.ahrq.gov/node/73628/psn-pdf
August 25, 2021 - Methods used to obtain pediatric patient weights, their
accuracy and associated drug dosing errors in … Methods used to obtain pediatric patient weights, their accuracy
and associated drug dosing errors in … https://psnet.ahrq.gov/issue/methods-used-obtain-pediatric-patient-weights-their-accuracy-and-associated … pre-hospital emergency medical services (EMS) crews obtained patient weight using
one or more of three methods … BLT was
the most frequent method used and patient age resulted in the most frequent dosing errors.
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psnet.ahrq.gov/node/40604/psn-pdf
December 30, 2014 - Errors in the administration of intravenous medications in
hospital and the role of correct procedures … Errors in the administration of intravenous medications in hospital
and the role of correct procedures … https://psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-
procedures-and-nurse … https://psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse … https://psnet.ahrq.gov/issue/medication-administration-technologies-and-patient-safety-mixed-method-systematic-review
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psnet.ahrq.gov/issue/interventions-reducing-medication-errors-children-hospital
May 19, 2018 - Citation
Related Resources From the Same Author(s)
The trigger tool as a method … A mixed method study.
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psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
September 27, 2017 - March 23, 2022
COVID-19 and open notes: a new method to enhance patient safety and trust … July 22, 2015
A new method to guard inpatient medication safety by the implementation
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psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety
December 12, 2014 - December 20, 2023
Use of therapeutic outcomes monitoring method for performing of pharmaceutical … June 22, 2010
In situ simulation: a method of experiential learning to promote safety
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psnet.ahrq.gov/issue/practice-rehearsal-and-performance-approach-simulation-based-surgical-and-procedure-training
October 15, 2014 - Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure … Citation Text:
Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure … Citation Text:
Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure … May 1, 2019
Simulation-based clinical rehearsals as a method for improving patient safety
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
May 01, 2009 - State the key diagnostic differences between delirium and dementia
Describe the Confusion Assessment Method … Confusion Assessment Method
Diagnosis of delirium requires features 1 and 2, and either 3 or 4
See … Clarifying confusion: the confusion assessment method. A new method for detection of delirium.
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psnet.ahrq.gov/node/866351/psn-pdf
July 24, 2024 - all the SEIPS components and resilience capacities
(e.g., preparedness, adaptation), indicating this method … can be used to complement traditional investigative
methods.
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psnet.ahrq.gov/node/47930/psn-pdf
May 01, 2019 - improvement support strategies to
improve Plan–Do–Study–Act cycle fidelity: a retrospective
mixed-methods … improvement support strategies to improve
Plan-Do-Study-Act cycle fidelity: a retrospective mixed-methods … evolving-quality-improvement-support-strategies-improve-plan-do-study-act-
cycle-fidelity
This mixed-methods … redesigned training, and hands-on support were all required to support frontline teams in using the PDSA
method
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psnet.ahrq.gov/issue/state-science-evolving-perspectives-human-error
February 22, 2023 - This article provides an overview of human error , the theories and methods available to understand … June 1, 2022
Toward the translation of systems thinking methods in patient safety practice … Factors influencing medication errors in the prehospital paramedic environment: a mixed method … April 1, 2015
Effectiveness of facilitated introduction of a standard operating procedure
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - 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 … 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
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psnet.ahrq.gov/node/73240/psn-pdf
May 12, 2021 - Comparison of methods to reduce bias from clinical
prediction models of postpartum depression. … Comparison of methods to reduce bias from clinical prediction models of
postpartum depression. … https://psnet.ahrq.gov/issue/comparison-methods-reduce-bias-clinical-prediction-models-postpartum-
depression … Machine learning uses data and statistical methods to enhance risk prediction models and it has been … The researchers found that a
reweighing method in machine learning models was associated with a greater
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psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
April 08, 2011 - Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method … September 3, 2011
In situ simulation: a method of experiential learning to promote safety