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psnet.ahrq.gov/issue/misgivings
March 17, 2021 - November 3, 2021
Safety trade-offs in home care during COVID-19: a mixed methods study … June 29, 2022
Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized
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psnet.ahrq.gov/periodic-issue/weekly-resource-0
October 30, 2024 - Review
Parents' perceptions of patient safety in paediatric hospital care-a mixed-methods … Respectful skepticism is a noted element of innovation and professional dialogue, as challenges to embedded methods
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psnet.ahrq.gov/periodic-issue/periodic-issue-459
October 30, 2024 - Other Resources
Study
A mixed methods … This mixed methods study compared qualitative data from key informants at four VHA sites with quantitative
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
May 01, 2017 - Cambridge, MA: CRICO Strategies; 2012.
17
Methods to Identify & Estimate Errors
Autopsies
Surveys
Standardized … Patient dimensions
29
29
Take-Home Points (2)
Approaches to reduce diagnostic error could include methods
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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - The collective knowledge created through
simulations can inform training methods, protocol development … Improved FMEA
Methods for Proactive Healthcare Risk Analysis. Springer, Singapore: 2019.
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psnet.ahrq.gov/print/pdf/node/865864
January 01, 2024 - This review examines eight research methods used to estimate the incidence of diagnostic error and
recommends … This review examines eight research methods used to estimate the incidence of diagnostic error and
recommends
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - design-safety-dashboard-patients
https://psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis … improving-end-rotation-transitions-care-among-icu-patients
https://psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - September 1, 2012
Dissemination of Lean methods to improve Pap testing quality and patient … Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - following elective surgery. 5 Adverse events associated with failure to rescue following surgical procedures … Results
The RIC innovation was evaluated using a mixed methods design to analyze 20 conferences that … When the innovation is fully realized, it may become a standard operating procedure in the hospital.
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - who understand principles of adult education, appreciate the
limitations of traditional educational methods … Methods to educate and train future generations of health care professionals must evolve away from
traditional
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psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - (Often used for pain
control after orthopedic surgery procedures of the lower extremities, epidural … Later, when writing his note about the procedure, he glanced at the medication list and noticed the patient … is especially little information about the optimal management of TSOACs around
the time of invasive procedures … Measuring the anticoagulant effects of target specific oral
anticoagulants—reasons, methods and current
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psnet.ahrq.gov/issue/qualitytoolstm
April 25, 2018 - August 27, 2008
10-State project to study methods to reduce central line-associated bloodstream … May 13, 2021
Cutaneous Procedures Adverse Events Reporting (CAPER).
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - The patient had two procedures during the previous week - an arteriogram followed by balloon tamponade … Methods such as continuous oximetry, end-tidal carbon dioxide (ETCO2) monitoring, and acoustic respiratory … July 24, 2019
Methods used to obtain pediatric patient weights, their accuracy and associated
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psnet.ahrq.gov/issue/partnership-healthcare-excellence
October 26, 2020 - January 11, 2006
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong … January 6, 2010
10-State project to study methods to reduce central line-associated bloodstream
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psnet.ahrq.gov/issue/creative-license-ahrq-struggles-flat-funding-levels-agency-has-been-forced-use-novel
June 01, 2011 - May 8, 2019
Automated search methods for identifying wrong patient order entry-a scoping
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psnet.ahrq.gov/innovation/generalizability-medication-administration-discrepancy-detection-system-quantitative
November 04, 2020 - Considerable effort has been devoted to optimizing methods of detecting and preventing medication errors
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - work on diagnostic error in 2005, which includes an identification of systemic problems with policy, procedures … Recently, researchers and clinicians have debated methods for calculating error rates. … Methods to Improve Diagnostic Safety
Because misdiagnosis arises from complex factors, reducing misdiagnosis
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - work on diagnostic error in 2005, which includes an identification of
systemic problems with policy, procedures … Recently, researchers and clinicians have debated methods for calculating error rates. … Methods to Improve Diagnostic Safety
Because misdiagnosis arises from complex factors, reducing misdiagnosis
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
August 31, 2022 - laboratory tests, and imaging tests are unlikely to identify the patient’s underlying condition, as these procedures … have been altered by an in-person visit, but it is important for clinicians to consider alternative methods … even before the current pandemic) presents the opportunity for using new models of care, communication methods
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psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - The anticipated benefit of performing the procedure should outweigh the risks, which must be clearly … outweigh the risk of complications from an incomplete procedure. … Institutions face significant challenges in ensuring that their providers are competent to perform the procedures … , use objective criteria and direct observation to assess competence in the performance of invasive procedures … Optimal methods for the management of iatrogenic colonoscopic perforation.