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psnet.ahrq.gov/node/44186/psn-pdf
November 10, 2015 - A comprehensive method to develop a checklist to
increase safety of intra-hospital transport of critically … A comprehensive method to develop a checklist to
increase safety of intra-hospital transport of critically … https://psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital- … transport-critically
Transporting critically ill patients to other hospital areas for tests or procedures … https://psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically
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psnet.ahrq.gov/issue/using-delphi-method-identify-human-factors-contributing-nursing-errors
June 10, 2015 - Study
Using a Delphi method to identify human factors contributing to nursing errors … Using a Delphi Method to Identify Human Factors Contributing to Nursing Errors. … Using a Delphi consensus method, investigators identified 24 causes of nursing errors , including fatigue … Using a Delphi Method to Identify Human Factors Contributing to Nursing Errors.
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psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-counts
May 08, 2013 - Retained foreign objects after surgical procedures are considered a never event . … The traditional method of preventing such incidents is the count—manually tracking and reconciling the … number of sponges and instruments used during the procedure. … Prior studies have shown counting to be inaccurate and an inadequate method of preventing retained foreign … the fact that it is associated with worsened efficiency and increased costs may prompt use of newer methods
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psnet.ahrq.gov/node/838069/psn-pdf
September 14, 2022 - Experience of learning from everyday work in daily safety
huddles: a multi-method study. … Experience of learning from everyday work in daily safety huddles—a multi-
method study. … https://psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study … This mixed-methods study found that patient safety huddles including a focus on
learning from what works … https://psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
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psnet.ahrq.gov/node/73439/psn-pdf
June 30, 2021 - Nurses as 'second victims' to their patients' suicidal
attempts: a mixed-method study. … method study. J Clin Nurs. 2021;30(21-22):3290-3300. doi:10.1111/jocn.15839. … https://psnet.ahrq.gov/issue/nurses-second-victims-their-patients-suicidal-attempts-mixed-method-study … This mixed-methods study found a significant association between emotional distress and feeling alone … https://psnet.ahrq.gov/issue/nurses-second-victims-their-patients-suicidal-attempts-mixed-method-study
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psnet.ahrq.gov/issue/healthcare-complaints-analysis-tool-development-and-reliability-testing-method-service
November 29, 2023 - The Healthcare Complaints Analysis Tool: development and reliability testing of a method … The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service … The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service … July 16, 2014
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A mixed-methods study … February 9, 2012
Hospital staff should use more than one method to detect adverse events
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psnet.ahrq.gov/issue/incidence-and-method-suicide-hospitals-united-states
October 04, 2023 - Study
Incidence and method of suicide in hospitals in the United States. … Incidence and Method of Suicide in Hospitals in the United States. … Incidence and Method of Suicide in Hospitals in the United States.
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psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
April 21, 2021 - Study
Toward the translation of systems thinking methods in patient safety practice … Toward the translation of systems thinking methods in patient safety practice: assessing the validity … Net-HARMS) to identify risks associated with patient medication administration and an accident analysis method … Toward the translation of systems thinking methods in patient safety practice: assessing the validity … analysis of medication administration errors using incident reports, the Global Trigger Tool method,
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psnet.ahrq.gov/node/35640/psn-pdf
June 24, 2010 - The Shift Coupon: an innovative method to monitor
adverse events. … The Shift Coupon: an innovative method to monitor adverse events. … https://psnet.ahrq.gov/issue/shift-coupon-innovative-method-monitor-adverse-events
This study describes … methods, which pose many challenges. … https://psnet.ahrq.gov/issue/shift-coupon-innovative-method-monitor-adverse-events
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psnet.ahrq.gov/node/73179/psn-pdf
January 01, 2022 - Use of therapeutic outcomes monitoring method for
performing of pharmaceutical care in oncology patients … Use of therapeutic outcomes monitoring method for
performing of pharmaceutical care in oncology patients … https://psnet.ahrq.gov/issue/use-therapeutic-outcomes-monitoring-method-performing-pharmaceutical-
care-oncology-patients … Using the
therapeutic outcome monitoring (TOM) method, pharmacists in this study identified 43 negative … The TOM
method increased patient safety by improving the use of medications.
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psnet.ahrq.gov/node/45922/psn-pdf
April 19, 2017 - Two sides to every story: the Dual Perspectives Method
for examining interruptions in healthcare. … Two sides to every story: The Dual Perspectives Method for
examining interruptions in healthcare. … https://psnet.ahrq.gov/issue/two-sides-every-story-dual-perspectives-method-examining-interruptions- … This commentary describes an observational method to explore factors that contribute to interruptions … https://psnet.ahrq.gov/issue/differentiating-between-detrimental-and-beneficial-interruptions-mixed-methods-study
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psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
December 22, 2021 - Failure mode and effects analysis (FMEA) has been recommended as a method to detect safety hazards … Root cause analysis using the prevention and recovery information system for monitoring and analysis method … July 24, 2013
Applying Lean methods to improve quality and safety in surgical sterile … Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures
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psnet.ahrq.gov/issue/automated-search-methods-identifying-wrong-patient-order-entry-scoping-review
June 14, 2023 - Study
Automated search methods for identifying wrong patient order entry-a scoping … Automated search methods for identifying wrong patient order entry—a scoping review. … The most common organizational detection method is the retract-and-reorder method whereby a medication … Automated search methods for identifying wrong patient order entry—a scoping review.
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psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically
March 15, 2016 - Study
A comprehensive method to develop a checklist to increase safety of intra-hospital … A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically … Transporting critically ill patients to other hospital areas for tests or procedures can be hazardous … A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically … December 1, 2021
Seniors managing multiple medications: using mixed methods to view the
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psnet.ahrq.gov/node/40233/psn-pdf
December 29, 2014 - The impact of type of manual medication cart filling
method on the frequency of medication administration … The impact of type of manual medication cart filling
method on the frequency of medication administration … https://psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication- … significant difference in medication administration errors regardless of whether
medication cart filling methods … https://psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication-administration-errors
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psnet.ahrq.gov/node/40476/psn-pdf
September 09, 2011 - Medication administration technologies and patient
safety: a mixed-method systematic review. … Medication administration technologies and patient safety: a mixed-
method systematic review. … https://psnet.ahrq.gov/issue/medication-administration-technologies-and-patient-safety-mixed-method- … systematic-review
This systematic review of methods to reduce medication administration errors, including … https://psnet.ahrq.gov/issue/medication-administration-technologies-and-patient-safety-mixed-method-systematic-review
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psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
June 23, 2021 - Dialysis is a common procedure that carries risks if not performed correctly. … attention to detail (to reduce unwitnessed bleeding events), (3) mental status of the patient, and (4) the method … cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures … Root cause analysis using the prevention and recovery information system for monitoring and analysis method
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psnet.ahrq.gov/node/837589/psn-pdf
June 29, 2022 - Monitoring preventable adverse events and near misses:
number and type identified differ depending on method … Monitoring preventable adverse events and near misses: number
and type identified differ depending on method … monitoring-preventable-adverse-events-and-near-misses-number-and-type-
identified-differ
Organizations may employ one or more methods … Using each of the three methods, this study identified the number and types of near
misses and adverse … Results indicate that each method identifies different numbers and types of
adverse events, suggesting
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psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods
December 07, 2022 - Barcode medication administration technology use in hospital practice: a mixed-methods … A mixed-methods study with a focus on user experience. … July 29, 2020
Timeout procedure in paediatric surgery: effective tool or lip service? … 2021
Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method … September 26, 2016
Medication administration technologies and patient safety: a mixed-method
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psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication-administration-errors
January 23, 2019 - Study
The impact of type of manual medication cart filling method on the frequency … The impact of type of manual medication cart filling method on the frequency of medication administration … significant difference in medication administration errors regardless of whether medication cart filling methods … The impact of type of manual medication cart filling method on the frequency of medication administration … Differences in medication reconciliation interventions between six hospitals: a mixed method