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psnet.ahrq.gov/node/33844/psn-pdf
October 01, 2017 - Reasons why physicians and
advanced practice clinicians work while sick: a mixed-methods analysis.
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psnet.ahrq.gov/primer/opioid-safety
December 15, 2024 - As a result, most of the standard methods used to measure safety events did not detect these deaths
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psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - The work that lies ahead for the field is to develop a sophisticated understanding of the best methods
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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
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psnet.ahrq.gov/web-mm/more-treatment-better-care
August 11, 2021 - There is usually little criticism for getting an extra test or procedure (in this case, the Medical Director … is especially important to have an honest and informed discussion of risks and benefits before any procedure … pneumonia and clostridium difficile infections Carotid Stenting for asymptomatic stenoses ( 18 ) Procedure … September 23, 2020
A mixed-methods systematic review of interventions to address incivility
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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
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psnet.ahrq.gov/perspective/conversation-susan-smith-md
August 01, 2019 - The concern with that method was that it would incentivize longer and more complex notes, which was not … navigation and functionality; computerized order entry, clinical decision support, and reminders; and proper methods … Policy and procedure. … Each organization should have a policy/procedure regarding documentation assistance processes, including … log-in procedures; scope of documentation assistance; requirements for provider review of information
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - answer, although the mistake would most likely be attributed to an unexplainable lapse in following procedures … To prevent unintentional unsafe acts—slips, lapses, mistakes, or procedure violations—the contributory … Make it easy to report and provide several different reporting methods. … October 27, 2010
Procedures should promote patient safety.
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psnet.ahrq.gov/web-mm/too-hot-comfort
May 19, 2015 - Resources From the Same Author(s)
Interventions for reducing wrong-site surgery and invasive procedures … safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - always
trying ensure that we are keeping up with the science and applying efficient and effective methods
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psnet.ahrq.gov/node/60722/psn-pdf
February 06, 2023 - The Infectious Diseases
Society of America continues to recommend NAATs as the diagnostic method of … oropharyngeal sampling.39,40 A recent systematic
review and meta-analysis examining specimen collection methods … and typically require either a nasal or saliva specimen.46 Early studies have suggested
that some methods
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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
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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
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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
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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
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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
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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
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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.
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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.
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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