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psnet.ahrq.gov/issue/stroke-hospitalization-after-misdiagnosis-benign-dizziness-lower-specialty-care-general
May 12, 2021 - specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods … specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods … specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods … in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method … March 1, 2023
Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized
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psnet.ahrq.gov/issue/surgical-simulation-systematic-review
June 15, 2011 - trials and found that surgical simulation has not been shown to be more effective than other training methods … 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 … February 1, 2017
Harms from discharge to primary care: mixed methods analysis of incident … May 1, 2019
Simulation-based clinical rehearsals as a method for improving patient safety
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psnet.ahrq.gov/issue/electronic-prescribing-systems-hospitals-improve-medication-safety-multi-methods-research
November 09, 2022 - Electronic prescribing systems in hospitals to improve medication safety: a multi-methods … September 18, 2024
Human factors and safety analysis methods used in the design and redesign
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psnet.ahrq.gov/periodic-issue/periodic-issue-307
September 29, 2021 - 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. … outcomes (e.g., complications, readmissions, reoperation, mortality) undergoing common general surgery procedures … Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system? … During the procedure, she was fully monitored with a continuous arterial oxygen saturation probe, heart
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psnet.ahrq.gov/issue/medication-errors-older-people-mental-health-problems-review
April 27, 2022 - error rates in elderly patients with mental health diagnoses but found that varied definitions and methods … April 14, 2021
Application of human factors methods to ensure appropriate infant identification … risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods
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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
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psnet.ahrq.gov/issue/investigating-workplace-support-and-importance-psychological-safety-general-surgery-residency
July 16, 2015 - This mixed-methods study explored general surgery residents’ perceptions of psychological safety support … March 14, 2022
Toward the translation of systems thinking methods in patient safety practice … Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure
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psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
November 04, 2020 - How incident reporting systems can stimulate social and participative learning: a mixed-methods … How incident reporting systems can stimulate social and participative learning: a mixed-methods study … How incident reporting systems can stimulate social and participative learning: a mixed-methods study … A mixed-methods study with a focus on user experience.
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psnet.ahrq.gov/issue/parents-perspective-safety-neonatal-intensive-care-mixed-methods-study
November 08, 2017 - Study
Parents' perspective on safety in neonatal intensive care: a mixed-methods … Parents' perspectives on safety in neonatal intensive care: a mixed-methods study. … Parents' perspectives on safety in neonatal intensive care: a mixed-methods study.
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psnet.ahrq.gov/issue/identifying-barriers-effective-use-clinical-reminders-bootstrapping-multiple-methods
March 11, 2011 - Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods … Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. … Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods.
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psnet.ahrq.gov/node/60181/psn-pdf
April 01, 2020 - Adapting rapid assessment procedures for
implementation research using a team-based approach to
analysis … Adapting rapid assessment procedures for implementation
research using a team-based approach to analysis … https://psnet.ahrq.gov/issue/adapting-rapid-assessment-procedures-implementation-research-using-team- … based-approach
Rapid assessment procedures (RAP) describe a group of methods for studying organizational … to successful intervention implementation and produced
contextually-rich information using robust methods
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psnet.ahrq.gov/issue/french-national-survey-inpatient-adverse-events-prospectively-assessed-ward-staff
March 06, 2005 - Rather than using traditional retrospective methods , this study employed an observational technique … Citation
Related Resources From the Same Author(s)
Comparison of three methods … 20, 2017
Adverse events in intensive care and continuing care units during bed-bath procedures
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psnet.ahrq.gov/issue/comparing-safety-performance-and-user-perceptions-patient-specific-indication-based
December 18, 2019 - perceptions of a patient-specific indication-based prescribing tool with current practice: a mixed methods … perceptions of a patient-specific indication-based prescribing tool with current practice: a mixed methods … perceptions of a patient-specific indication-based prescribing tool with current practice: a mixed methods … October 5, 2022
Improving feedback on junior doctors' prescribing errors: mixed-methods
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psnet.ahrq.gov/node/41835/psn-pdf
May 19, 2015 - Interventions for reducing wrong-site surgery and
invasive procedures. … Interventions for reducing wrong-site surgery and invasive clinical
procedures. … This systematic review did not identify any high-quality studies of
successful methods to prevent wrong-site … , wrong-patient, or wrong-procedure errors. … //psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/issue/root-cause-analysis-using-prevention-and-recovery-information-system-monitoring-and-analysis
May 18, 2022 - Root cause analysis using the prevention and recovery information system for monitoring and analysis method … Root cause analysis using the prevention and recovery information system for monitoring and analysis method … )-method. … This review identified 25 studies that used the PRISMA method to analyze UEs. … cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures
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psnet.ahrq.gov/periodic-issue/periodic-issue-348
May 16, 2022 - Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures … patients undergoing coronary artery bypass graft (CABG) performed as a surgeons’ first versus non-first procedure … CABG surgery, with increases in adverse events, myocardial infarction, and stroke compared to first procedures … patient being transported from the Emergency Department (ED) to other parts of the hospital for tests or procedures … In one case, the wrong patient was identified before undergoing an unnecessary procedure; in the second
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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - Describe how high-quality communication is essential, especially during shift
changes and/or difficult procedures … prohibitive, limiting availability.8
– Due to these limitations, blind NGT insertion remains the most common method … Assessments include marking and evaluating tube depth at the
insertion site, evaluating the securement method … However,
this procedure – blind insertion of an NGT – is not free of risk. … of the
conditions associated with new-onset agitation, and limitations on risky, blindly performed
procedures
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psnet.ahrq.gov/issue/utilizing-improvement-science-methods-improve-physician-compliance-proper-hand-hygiene
April 13, 2011 - Study
Utilizing improvement science methods to improve physician compliance with … Utilizing improvement science methods to improve physician compliance with proper hand hygiene. … Utilizing improvement science methods to improve physician compliance with proper hand hygiene. … Related Resources From the Same Author(s)
Utilising improvement science methods
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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/comparison-error-rates-between-intravenous-push-methods-prospective-multisite-observational
December 20, 2017 - Study
A comparison of error rates between intravenous push methods: a prospective … A Comparison of Error Rates Between Intravenous Push Methods: A Prospective, Multisite, Observational … A Comparison of Error Rates Between Intravenous Push Methods: A Prospective, Multisite, Observational … 2019
Errors and discrepancies in the administration of intravenous infusions: a mixed methods