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psnet.ahrq.gov/primer/surgical-site-infections
December 15, 2024 - The most common types of inpatient surgical procedures include obstetrical procedures (e.g., cesarean … type of procedure . … Surgical Quality Improvement Program (NSQIP), although NSQIP uses slightly different surveillance methods … However, implementing the recommended methods as standard practice and sustaining the use of preventive … hospitals implemented the CUSP with mentorship from a national project team, used either the NHSN or NSQIP method
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psnet.ahrq.gov/issue/standardized-formulary-reduce-pediatric-medication-dosing-errors-mixed-methods-study
August 25, 2021 - A standardized formulary to reduce pediatric medication dosing errors: a mixed methods … A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. … A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. … Factors influencing medication errors in the prehospital paramedic environment: a mixed method … Factors influencing medication errors in the prehospital paramedic environment: a mixed method
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psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international-survey
September 07, 2022 - mandatory or voluntary or both depending on incident severity; local versus central analysis; barriers and methods … ' willingness and ability to identify and respond to errors in their personal health records: mixed methods … August 3, 2022
Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, … June 22, 2022
Comparison of methods to reduce bias from clinical prediction models of
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psnet.ahrq.gov/issue/literature-review-training-offered-qualified-prescribers-use-electronic-prescribing-systems
December 21, 2022 - This literature review assessed the evidence on training methods, such as simulation scenarios and … (s)
Electronic prescribing systems in hospitals to improve medication safety: a multi-methods … 2023
Electronic prescribing systems in hospitals to improve medication safety: a multi-methods … February 13, 2018
Patients and families as teachers: a mixed methods assessment of a
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - This Primer reviews both prospective and retrospective methods to identify safety hazards that can lead … includes root cause analysis (RCA), mortality reviews, and related methods of in-depth investigation … What is clear, however, is that no single method is comprehensive enough to provide a full picture of … Similarly, an institution's picture of patient safety will hinge on which method they emphasize for error … detection, and a comprehensive picture can only be obtained by integrating multiple methods.
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psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-national-survey-paramedics
August 25, 2021 - Respondents used varied methods for estimating weight of pediatric patients in order to calculate drug … doses, and they advocated for pediatric training and standardized weight estimation methods to reduce … August 25, 2021
Pediatric prehospital medication dosing errors: a mixed-methods study … 2014
A standardized formulary to reduce pediatric medication dosing errors: a mixed methods … Factors influencing medication errors in the prehospital paramedic environment: a mixed method
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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/understanding-facilitators-and-barriers-barcode-medication-administration-nursing-staff-using
August 28, 2024 - A mixed methods study.
Citation Text:
Grailey K, Hussain R, Wylleman E, et al. … A mixed methods study. BMC Nurs. 2023;22(1):378. doi:10.1186/s12912-023-01382-x. … A mixed methods study. BMC Nurs. 2023;22(1):378. doi:10.1186/s12912-023-01382-x. … January 20, 2021
A mixed-methods study of challenges experienced by clinical teams in … 2021
Barcode medication administration technology use in hospital practice: a mixed-methods
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psnet.ahrq.gov/issue/multi-professional-patterns-and-methods-communication-during-patient-handoffs
January 30, 2019 - Study
Multi-professional patterns and methods of communication during patient handoffs … Multi-professional patterns and methods of communication during patient handoffs. … Multi-professional patterns and methods of communication during patient handoffs.
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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/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
October 12, 2016 - Study
Nature of blame in patient safety incident reports: mixed methods analysis … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … April 1, 2020
Sources of unsafe primary care for older adults: a mixed-methods analysis … September 24, 2017
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/toward-safer-opioid-prescribing-hiv-care-tower-mixed-methods-cluster-randomized-trial
September 07, 2022 - Study
Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized … Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. … Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. … December 2, 2020
A mixed-methods analysis of patient safety incidents involving opioid … July 21, 2021
Comparison of methods to reduce bias from clinical prediction models of
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psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
October 12, 2016 - Study
Harms from discharge to primary care: mixed methods analysis of incident reports … Harms from discharge to primary care: mixed methods analysis of incident reports. … Harms from discharge to primary care: mixed methods analysis of incident reports. … April 1, 2020
Sources of unsafe primary care for older adults: a mixed-methods analysis … September 26, 2018
Nature of blame in patient safety incident reports: mixed methods
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psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-counts
May 08, 2013 - Retained foreign objects after surgical procedures are considered a never event . … 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/comparison-three-methods-estimating-rates-adverse-events-and-rates-preventable-adverse-events
March 23, 2011 - Study
Comparison of three methods for estimating rates of adverse events and rates … Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events … Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events … 20, 2017
Adverse events in intensive care and continuing care units during bed-bath 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/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
October 12, 2016 - Health and social care-associated harm amongst vulnerable children in primary care: mixed methods … Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis … September 26, 2018
Nature of blame in patient safety incident reports: mixed methods … December 15, 2021
A mixed-methods analysis of patient safety incidents involving opioid … discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method
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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/patient-hand-initiation-and-evaluation-phone-study-randomized-trial-patient-handoff-methods
December 20, 2023 - Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods … Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods … Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods … perspectives on the adoption of OR black box technology and simulations to improve patient safety: a multi-methods