-
psnet.ahrq.gov/node/35537/psn-pdf
March 29, 2010 - Using a retrospective method to analyze
nearly 1 million automated claims data, investigators determined … Improved information about risk,
determination of risk, and methods to modify prescribing behavior will
-
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
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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 (
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psnet.ahrq.gov/issue/surgical-confusions-ophthalmology
November 16, 2022 - contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method … View More
Related Resources
Assessment of incorrect surgical procedures … June 15, 2016
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person
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psnet.ahrq.gov/issue/comparative-safety-endovascular-aortic-aneurysm-repair-over-open-repair-using-patient-safety
November 16, 2022 - Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method … August 2, 2015
Risk factors and outcomes for foreign body left during a procedure: analysis … March 3, 2011
What is the safety of nonemergent operative procedures performed at night
-
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
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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/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/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/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health-service-board
March 27, 2019 - Operating room list errors are often cited as leading to wrong-side, wrong-site or wrong-procedure errors … analyzed two years of data from the United Kingdom and found that while no wrong-side, wrong-site or wrong-procedure … Tracking and reducing operating room list errors may help to prevent wrong-side, -site, or -procedure … March 14, 2022
Methods for studying medication safety following electronic health record … January 9, 2018
Implementation of the trigger review method in Scottish general practices
-
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/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - Rounding procedures must be restructured to become more patient-centered. … Perception without attention: results of a new method. Cogn Psychol. 1992;24:502-534. … physician remote access of the electronic health record and implications for resident supervision: a mixed methods … understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods … November 1, 2012
Application of human error theory in case analysis of wrong procedures
-
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/node/43814/psn-pdf
June 21, 2015 - project aimed to achieve adherence to hand hygiene practices at eight hospitals using
change management methods … This study suggests that local improvement may be a
fruitful method to enhance the proven but incompletely
-
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.
-
psnet.ahrq.gov/issue/slowing-down-stay-out-trouble-operating-room-remaining-attentive-automaticity
December 12, 2012 - June 22, 2016
Effectiveness of facilitated introduction of a standard operating procedure … November 18, 2013
A novel method for reproducibly measuring the effects of interventions … July 5, 2013
Application of human error theory in case analysis of wrong procedures.
-
psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care
April 12, 2017 - Related Resources From the Same Author(s)
Implementation of the trigger review method … January 19, 2011
Methods for studying medication safety following electronic health record … February 22, 2019
Assessment of incorrect surgical procedures within and outside the … October 3, 2012
Incidence and root cause analysis of wrong-site pain management procedures