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psnet.ahrq.gov/issue/development-and-evaluation-institute-healthcare-improvement-global-trigger-tool
February 10, 2015 - This study outlines the Institute for Healthcare Improvement Global Trigger Tool methodology and … February 10, 2015
Performance characteristics of a methodology to quantify adverse events
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psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
April 08, 2018 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology … and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology
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psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
July 26, 2023 - Related Resources From the Same Author(s)
Adverse Events Toolkit: Medical Record Review Methodology … March 18, 2025
- March 18, 2025
Adverse Events Toolkit: Medical Record Review Methodology
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - This redesigned RCA methodology
aimed to address the most persistent ineffectual issues with traditional … This methodology stresses the importance of implementing solutions that are resilient to
future failures … ensure that
solutions are inclusive and sensitive to diverse patient needs.7
Other Innovations in RCA Methodology … In addition to RCA2, there have been other recent innovations in RCA methodology. … thereby promoting a more balanced approach to improving patient
safety.8 SCA applies root cause analysis methodology
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psnet.ahrq.gov/issue/methodological-variations-and-their-effects-reported-medication-administration-error-rates
January 15, 2025 - Review
Methodological variations and their effects on reported medication administration error rates.
Citation Text:
McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.…
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - This methodology is based on decades of
educational research revealing that adults learn by doing, not … When using any methodology, one should first ask “What are
the learning objectives?” … One can then craft a program utilizing the learning methodology that optimally
meets the needs of these … Instead, the key lies in the learning methodology employed: immersion of trainees into challenging
scenarios … Simulation-based training, if effectively designed and implemented, is an excellent learning
methodology
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psnet.ahrq.gov/node/74160/psn-pdf
December 08, 2021 - analysis employing insurance
claims data using Symptom-Disease Pair Analysis of
Diagnostic Error (SPADE) methodology
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psnet.ahrq.gov/issue/patient-safety-and-dentistry-what-do-we-need-know-fundamentals-patient-safety-safety-culture
April 01, 2020 - January 17, 2012
The clinical safety of disabled patients: proposal for a methodology … July 28, 2013
The clinical safety of disabled patients: proposal for a methodology for
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psnet.ahrq.gov/issue/workarounds-workplace-second-look
December 08, 2021 - analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology … look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - This methodology is based on decades of educational research revealing that adults learn by doing, not … When using any methodology, one should first ask “What are the learning objectives?” … One can then craft a program utilizing the learning methodology that optimally meets the needs of these … Instead, the key lies in the learning methodology employed: immersion of trainees into challenging … Simulation-based training, if effectively designed and implemented, is an excellent learning methodology
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psnet.ahrq.gov/issue/err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare
January 26, 2022 - Commentary
To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare.
Citation Text:
Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. J Patient Saf Risk Manag. 2…
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psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review
May 15, 2024 - 4, 2016
Improving standardization of paging communication using quality improvement methodology … August 14, 2013
Is detection of adverse events affected by record review methodology?
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psnet.ahrq.gov/node/867804/psn-pdf
February 26, 2025 - The studies utilized methodology
current to the time. … Using an updated
methodology that assesses electronic health records using a trigger method, 23.6% of … Disease Control and Prevention (CDC)
created a reliable and valid measure that used the best available methodology
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psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
April 11, 2011 - This AHRQ–funded study used methodology similar to a prior study in adult intensive care unit patients … December 1, 2010
Performance characteristics of a methodology to quantify adverse events
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psnet.ahrq.gov/node/73215/psn-pdf
May 05, 2021 - To err is system: a comparison of methodologies for the
investigation of adverse outcomes in healthcare.
May 5, 2021
Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse
outcomes in healthcare. J Patient Saf Risk Manag. 2021;26(2):64-73. doi:10.1177/2516043521990…
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psnet.ahrq.gov/issue/health-literacy-and-systemic-racism-using-clear-communication-reduce-health-care-inequities
July 19, 2023 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology
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psnet.ahrq.gov/issue/diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data
July 28, 2023 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology
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psnet.ahrq.gov/print/pdf/node/866419
March 27, 2024 - Grand rounds in methodology: key considerations for implementing machine learning solutions in
quality … https://psnet.ahrq.gov/issue/grand-rounds-methodology-key-considerations-implementing-machine-learning-solutions-quality … Grand rounds in methodology: key considerations for implementing machine learning solutions in
quality … psnet.ahrq.gov/issue/do-no-harm-and-most-good-ai-health-care
https://psnet.ahrq.gov/issue/grand-rounds-methodology-key-considerations-implementing-machine-learning-solutions-quality … https://psnet.ahrq.gov/issue/grand-rounds-methodology-key-considerations-implementing-machine-learning-solutions-quality
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psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global
December 09, 2020 - Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology … Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology
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psnet.ahrq.gov/issue/identifying-and-analyzing-diagnostic-paths-new-approach-studying-diagnostic-practices
July 17, 2019 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology … analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology