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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/reasons-bias-ambulance-clinicians-assessments-non-conveyed-patients-mixed-methods-study
January 26, 2022 - Reasons for bias in ambulance clinicians' assessments of non-conveyed patients: a mixed-methods … Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study … Reasons for bias in ambulance clinicians’ assessments of non-conveyed patients: a mixed-methods study … Differences in medication reconciliation interventions between six hospitals: a mixed method … 2021
A standardized formulary to reduce pediatric medication dosing errors: a mixed methods
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psnet.ahrq.gov/issue/interventions-reliability-seeking-health-care-organizations-systematic-review-their-goals-and
October 19, 2022 - into reliability-seeking health care organizations: a systematic review of their goals and measuring methods … into reliability-seeking health care organizations: a systematic review of their goals and measuring methods … into reliability-seeking health care organizations: a systematic review of their goals and measuring methods … Root cause analysis using the prevention and recovery information system for monitoring and analysis method … May 24, 2023
Human factors and safety analysis methods used in the design and redesign
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psnet.ahrq.gov/node/72852/psn-pdf
March 17, 2021 - Declaring uncertainty: using quality improvement
methods to change the conversation of diagnosis. … Declaring Uncertainty: Using Quality Improvement Methods to
Change the Conversation of Diagnosis. … https://psnet.ahrq.gov/issue/declaring-uncertainty-using-quality-improvement-methods-change-
conversation-diagnosis … https://psnet.ahrq.gov/issue/declaring-uncertainty-using-quality-improvement-methods-change-conversation-diagnosis … https://psnet.ahrq.gov/issue/declaring-uncertainty-using-quality-improvement-methods-change-conversation-diagnosis
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psnet.ahrq.gov/node/73178/psn-pdf
April 28, 2021 - Risk perception on the labour ward: a mixed methods
study. … Risk perception on the labour ward: a mixed methods study. … https://psnet.ahrq.gov/issue/risk-perception-labour-ward-mixed-methods-study
Labor and delivery wards … This mixed-methods study found that risk
(characterized as harm, danger, hazards, or uncertainty) is … https://psnet.ahrq.gov/issue/risk-perception-labour-ward-mixed-methods-study
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/844801/psn-pdf
January 01, 2021 - A mixed-methods study of challenges experienced by
clinical teams in measuring improvement. … A mixed-methods study of challenges experienced by clinical
teams in measuring improvement. … https://psnet.ahrq.gov/issue/mixed-methods-study-challenges-experienced-clinical-teams-measuring-
improvement … This mixed-methods study of a large-scale improvement program
in the United Kingdom provides important … https://psnet.ahrq.gov/issue/mixed-methods-study-challenges-experienced-clinical-teams-measuring-improvement
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psnet.ahrq.gov/node/843413/psn-pdf
February 01, 2023 - Toward the translation of systems thinking methods in
patient safety practice: assessing the validity … Toward the translation of systems thinking methods in patient safety
practice: assessing the validity … https://psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-
assessing-validity-net … Net-HARMS) to identify risks associated
with patient medication administration and an accident analysis method … https://psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
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psnet.ahrq.gov/node/60872/psn-pdf
September 02, 2020 - 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 … psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-
mixed-methods … psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods … psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
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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/application-human-factors-methods-ensure-appropriate-infant-identification-and-abduction
April 27, 2022 - Commentary
Application of human factors methods to ensure appropriate infant identification … Application of human factors methods to ensure appropriate infant identification and abduction prevention … Application of human factors methods to ensure appropriate infant identification and abduction prevention … ' willingness and ability to identify and respond to errors in their personal health records: mixed methods
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psnet.ahrq.gov/node/866318/psn-pdf
July 17, 2024 - Methods to increase reliability in quality improvement
projects. … Methods to increase reliability in quality improvement projects. … https://psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
For quality improvement … https://psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/838136/psn-pdf
September 21, 2022 - Exploration of a rapid response team model of care: a
descriptive dual methods study. … Exploration of a rapid response team model of care: a descriptive dual
methods study. … https://psnet.ahrq.gov/issue/exploration-rapid-response-team-model-care-descriptive-dual-methods-study … This mixed-methods study examined the characteristics of a
collaborative RRT model in one Australian … https://psnet.ahrq.gov/issue/exploration-rapid-response-team-model-care-descriptive-dual-methods-study
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psnet.ahrq.gov/node/73562/psn-pdf
August 04, 2021 - Medication safety in mental health hospitals: a mixed-
methods analysis of incidents reported to the … Medication safety in mental health hospitals: a mixed-
methods analysis of incidents reported to the … https://psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents … https://psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national … https://psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national
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psnet.ahrq.gov/node/73560/psn-pdf
August 04, 2021 - Barcode medication administration technology use in
hospital practice: a mixed-methods observational … Barcode medication administration technology use in hospital
practice: a mixed-methods observational … https://psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-
methods … https://psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods … https://psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods
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psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-surgery-residency
July 14, 2021 - August 26, 2020
A national mixed-methods evaluation of preparedness for general surgery … incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods … February 16, 2022
Methods used to obtain pediatric patient weights, their accuracy and … and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method … Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures
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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/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/node/837502/psn-pdf
June 22, 2022 - 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. … https://psnet.ahrq.gov/issue/toward-safer-opioid-prescribing-hiv-care-tower-mixed-methods-cluster-
randomized-trial … https://psnet.ahrq.gov/issue/toward-safer-opioid-prescribing-hiv-care-tower-mixed-methods-cluster-randomized-trial … https://psnet.ahrq.gov/issue/toward-safer-opioid-prescribing-hiv-care-tower-mixed-methods-cluster-randomized-trial
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psnet.ahrq.gov/node/73913/psn-pdf
January 01, 2022 - 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. … https://psnet.ahrq.gov/issue/standardized-formulary-reduce-pediatric-medication-dosing-errors-mixed-
methods-study … https://psnet.ahrq.gov/issue/standardized-formulary-reduce-pediatric-medication-dosing-errors-mixed-methods-study … https://psnet.ahrq.gov/issue/standardized-formulary-reduce-pediatric-medication-dosing-errors-mixed-methods-study
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psnet.ahrq.gov/node/847541/psn-pdf
April 12, 2023 - Improving medication safety in a paediatric hospital: a
mixed-methods evaluation of a newly implemented … https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hospital-mixed-methods-evaluation … This mixed-methods study examined the impact of CPOE on medication safety in the
pediatric department … https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hospital-mixed-methods-evaluation-newly-implemented … https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hospital-mixed-methods-evaluation-newly-implemented