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psnet.ahrq.gov/issue/identifying-patients-sepsis-hospital-wards
October 19, 2022 - This review describes proactive methods of monitoring patients to augment detection and early treatment … 12, 2015
A dynamic risk management approach for reducing harm from invasive bedside procedures … March 12, 2011
Systematic review of medication safety assessment methods.
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psnet.ahrq.gov/node/44646/psn-pdf
November 11, 2015 - psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-counts
Retained foreign objects after surgical procedures … The traditional method of
preventing such incidents is the count—manually tracking and reconciling the … number of sponges and
instruments used during the procedure. … Prior studies have shown counting to be inaccurate and an
inadequate method of preventing retained foreign … the fact that it is associated with worsened efficiency and
increased costs may prompt use of newer methods
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psnet.ahrq.gov/issue/incidence-nature-and-causes-avoidable-significant-harm-primary-care-england-retrospective
November 13, 2019 - The authors suggest several methods to reduce avoidable harm in primary care, including optimizing existing … Author(s)
Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method … patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods … July 20, 2022
Harms from discharge to primary care: mixed methods analysis of incident … 12, 2022
Identifying factors leading to harm in English general practices: a mixed-methods
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psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
February 03, 2011 - Review
Methods for studying medication safety following electronic health record … Methods for studying medication safety following electronic health record implementation in acute care … Methods for studying medication safety following electronic health record implementation in acute care … discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method … analysis of medication administration errors using incident reports, the Global Trigger Tool method,
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psnet.ahrq.gov/issue/systematic-review-prevalence-frequency-and-comparative-value-adverse-events-data-social-media
October 06, 2021 - examine whether social media could provide unique insights into safety issues compared to standard methods … determine whether routine analysis of social media is of added benefit to traditional surveillance methods … "It is not the fault of the health care team - it is the way the system works": a mixed-methods … 23, 2011
Clinicians' insights on emergency department boarding: an explanatory mixed methods
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psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
December 16, 2015 - patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods … Patient Safety Incident Reports In The England And Wales National Reporting And Learning System: A Mixed-Methods … Related Resources From the Same Author(s)
Harms from discharge to primary care: mixed methods … Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods … November 16, 2016
A mixed-methods analysis of patient safety incidents involving opioid
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psnet.ahrq.gov/issue/negative-emotions-experienced-healthcare-staff-following-medication-administration-errors
December 18, 2019 - Using qualitative methods and text mining of medication error incident reports, researchers in this study … analysis of medication administration errors using incident reports, the Global Trigger Tool method, … February 15, 2023
Toward the translation of systems thinking methods in patient safety … July 29, 2020
Differences between methods of detecting medication errors: a secondary … analysis of medication administration errors using incident reports, the Global Trigger Tool method,
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psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
November 16, 2022 - Study
A mixed methods evaluation of medication reconciliation in the primary care … A mixed methods evaluation of medication reconciliation in the primary care setting. … A mixed methods evaluation of medication reconciliation in the primary care setting. … 2022
Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods … 2021
Implementation and sustainability of a medication reconciliation toolkit: a mixed methods
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psnet.ahrq.gov/issue/clinical-handovers-between-prehospital-and-hospital-staff-literature-review
March 23, 2022 - that affect information transfer between prehospital and hospital staff before implementing standard methods … patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods … December 19, 2018
A mixed method study of the merits of e-prescribing drug alerts in … February 18, 2011
Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods
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psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study
November 11, 2020 - Study
Feasibility of prospective error reporting in home palliative care: a mixed methods … Feasibility of prospective error reporting in home palliative care: a mixed methods study. … Feasibility of prospective error reporting in home palliative care: a mixed methods study. … Download Citation
Related Resources From the Same Author(s)
A mixed-methods … Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method
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psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
April 13, 2022 - 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 … September 19, 2016
Applying Lean methods to improve quality and safety in surgical sterile … May 10, 2010
Incidence and root cause analysis of wrong-site pain management procedures
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psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
January 15, 2020 - Based on the coroner's findings, clinical process and procedures, medication/IV fluids, and healthcare-association … December 15, 2021
A mixed-methods analysis of patient safety incidents involving opioid … Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods … February 1, 2017
Harms from discharge to primary care: mixed methods analysis of incident … the Process in Patients With Emerging Critical Illness
October 2, 2019
A mixed-method
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psnet.ahrq.gov/issue/automated-search-methods-identifying-wrong-patient-order-entry-scoping-review
June 14, 2023 - Study
Automated search methods for identifying wrong patient order entry-a scoping … Automated search methods for identifying wrong patient order entry—a scoping review. … The most common organizational detection method is the retract-and-reorder method whereby a medication … Automated search methods for identifying wrong patient order entry—a scoping review.
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psnet.ahrq.gov/issue/safe-home-care-intervention-study-implementation-methods-and-effectiveness-evaluation
July 19, 2023 - Study
The Safe Home Care Intervention Study: implementation methods and effectiveness … The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. … The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation.
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psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children
August 03, 2022 - Study
The trigger tool as a method to measure harmful medication errors in children … The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. … The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. … August 17, 2022
Differences between methods of detecting medication errors: a secondary … June 11, 2010
Paediatric nurses' understanding of the process and procedure of double-checking
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psnet.ahrq.gov/node/73652/psn-pdf
September 01, 2021 - Dimensions of safety culture: a systematic review of
quantitative, qualitative and mixed methods for … Dimensions of safety culture: a systematic review of quantitative,
qualitative and mixed methods for … Safety culture has been studied in healthcare settings using a variety of methods. … Most used quantitative surveys, and only 31 used
qualitative or mixed methods. … The authors recommend that future
research include both qualitative and quantitative methods.
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psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
December 06, 2023 - While most retained items were detected on the day of the procedure (n=7), about 16% of items were detected … 6-months or later post-procedure. … The study found that complex or lengthy procedures were more likely to lead to a retained item, and many … patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods … Health and social care-associated harm amongst vulnerable children in primary care: mixed methods
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psnet.ahrq.gov/issue/deciphering-harm-measurement
December 01, 2010 - This editorial discusses methods to measure patient harm in the United States and advocates for consensus … April 4, 2011
A mixed-methods analysis of patient safety incidents involving opioid substitution … patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods … Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods … July 11, 2017
Harms from discharge to primary care: mixed methods analysis of incident
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psnet.ahrq.gov/node/849124/psn-pdf
May 17, 2023 - Human factors and safety analysis methods used in the
design and redesign of electronic medication … Human factors and safety analysis methods used in the design and
redesign of electronic medication management … This review identifies human factors and
safety analysis methods applied to EMMS. … Most methods focused on usability or design, and only one
used a safety-oriented approach. … Increased inclusion of human factors specialists could increase the use of
safety-oriented methods of
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psnet.ahrq.gov/issue/differentiating-between-detrimental-and-beneficial-interruptions-mixed-methods-study
May 03, 2017 - Study
Differentiating between detrimental and beneficial interruptions: a mixed-methods … Differentiating between detrimental and beneficial interruptions: a mixed-methods study. … Differentiating between detrimental and beneficial interruptions: a mixed-methods study. … October 11, 2017
Two sides to every story: the Dual Perspectives Method for examining