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psnet.ahrq.gov/periodic-issue/periodic-issue-435
April 10, 2024 - Workflow interventions included ASP education, a pharmacy standardized operating procedure, best practice … Workflow interventions included ASP education, a pharmacy standardized operating procedure, best practice … Study
Exploring the causes of COPD misdiagnosis in primary care: a mixed methods … This mixed methods study examined the prevalence and features of patients misdiagnosed with chronic obstructive
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - Even within a hospital whose R-AHMR seems reasonable, individual diagnoses and procedures may demonstrate … every in-hospital death and using continuously monitored risk-adjusted statistical process control methods
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psnet.ahrq.gov/issue/assessing-safety-culture-guidelines-and-recommendations
August 04, 2021 - commentary provides an overview of the origin and use of safety climate surveys and suggests effective methods … Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure … Methods for monitoring and measurement.
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psnet.ahrq.gov/issue/did-hospital-readmissions-reduction-program-reduce-readmissions-assessment-prior-evidence-and
August 25, 2021 - incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods
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psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-hospitals-statewide-collaborative
April 15, 2020 - 2023
Implementation and sustainability of a medication reconciliation toolkit: a mixed methods
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psnet.ahrq.gov/issue/healthcare-professional-and-patient-codesign-and-validation-mechanism-service-users-feedback
January 08, 2020 - March 27, 2024
Improving feedback on junior doctors' prescribing errors: mixed-methods
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psnet.ahrq.gov/issue/design-and-implementation-application-and-associated-services-support-interdisciplinary
February 15, 2011 - May 4, 2011
Utilising improvement science methods to optimise medication reconciliation
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psnet.ahrq.gov/issue/inattentional-blindness-anesthesiology-gorilla-worth-one-thousand-words
June 01, 2022 - Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods
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psnet.ahrq.gov/issue/interprofessional-training-and-communication-practices-among-clinicians-postoperative-icu
February 06, 2019 - The objective of this mixed methods study was to characterize training, practices, and preferences in
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psnet.ahrq.gov/issue/disruptive-behavior-inherent-surgeon-or-environment-analysis-314-events-single-academic
October 19, 2022 - April 24, 2018
Toward the translation of systems thinking methods in patient safety practice
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psnet.ahrq.gov/issue/personality-traits-and-traumatic-outcome-symptoms-registered-nurses-aftermath-patient-safety
October 06, 2021 - November 10, 2021
Medication safety in mental health hospitals: a mixed-methods analysis
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psnet.ahrq.gov/issue/association-workload-call-medical-interns-call-sleep-duration-shift-duration-and
September 25, 2008 - understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods
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psnet.ahrq.gov/issue/influencing-sceptical-staff-become-supporters-service-improvement-qualitative-study-doctors
September 02, 2020 - 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods … cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures … September 9, 2020
We Want to Know-a mixed methods evaluation of a comprehensive program
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psnet.ahrq.gov/issue/free-lessons-aviation-safety
October 19, 2022 - 2020
Implementation and sustainability of a medication reconciliation toolkit: a mixed methods … 22, 2021
A dynamic risk management approach for reducing harm from invasive bedside procedures … December 2, 2020
A mixed-methods analysis of patient safety incidents involving opioid
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psnet.ahrq.gov/node/33748/psn-pdf
April 01, 2013 - when you look at workforce trends in the United States, with the exception of a couple of
the more procedure-intensive … North
Carolina to try to understand whether the tool could be used as a reliable systemic surveillance method
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - There are methods that can be used to improve the detectability of critical signals and minimize vigilance … displays, and (iii) limiting the duration of watchkeeping shifts.( 11,22 ) Unfortunately, none of these methods … These methods have been applied in other high-risk domains (e.g., aviation, processing plant operations … March 4, 2011
A comprehensive quality assurance program for personnel and procedures
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - months of life.( 4,10 )
The Physician Orders for Life-Sustaining Treatment (POLST) paradigm is one method … November 21, 2018
A mixed methods study examining teamwork shared mental models of interprofessional
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - In addition to needing to
develop valid and reliable assessment methods, there are a number of regulatory … Compare quality improvement methods in the delivery of patient care. … Sarah Mossburg: That seems like a good method to help students understand where they personally are,
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psnet.ahrq.gov/node/49610/psn-pdf
October 01, 2010 - appendectomy (either open or
laparoscopic) is a relatively safe operation compared with other surgical procedures … It is also important to note that the 20 procedures are
performed over a 5-year residency, and it may … supervises the operation as an impartial
observer but does not actively participate in the operative procedure … One approach to decreasing technical errors
for emergency general surgery procedures in the era of increased … Surgeons must take the lead in developing new methods to measure and improve competency.
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - That's in contrast to a slower analytical, deductive method that's much more precise and often yields … resources needed for newly admitted patients and lack of familiarity of ED nurses with inpatient nursing procedures … During high-risk procedures, providers must be allowed to focus on the procedure without interruptions … (iv) ED systems for teamwork and handoffs as well as guidelines for procedures and checklists should … Risks of complications by attending physicians after performing nighttime procedures.