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psnet.ahrq.gov/issue/liquid-based-papanicolaou-tests-endometrial-carcinoma-diagnosis-performance-error-root-cause
September 01, 2012 - March 24, 2021
Dissemination of Lean methods to improve Pap testing quality and patient … February 2, 2022
Application of human factors methods to understand missed follow-up … February 24, 2011
Dissemination of Lean methods to improve Pap testing quality and patient
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psnet.ahrq.gov/issue/anesthesiology-patient-handoff-education-interventions-systematic-review
April 28, 2021 - 2021
Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods … March 29, 2023
Toward the translation of systems thinking methods in patient safety practice … November 18, 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/node/73698/psn-pdf
September 15, 2021 - Compared
with conventional drug preparation methods, use of the mobile app significantly decreased the … pediatric-prehospital-medication-dosing-errors-national-survey-paramedics
https://psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-mixed-methods-study
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psnet.ahrq.gov/node/852746/psn-pdf
August 23, 2023 - analyzed more than 100
serious adverse event (SAE) reports in acute care using four investigation methods … Using multiple investigative methods supports
more targeted interventions in each phase of diagnosis
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psnet.ahrq.gov/node/73429/psn-pdf
June 23, 2021 - Wrong Site Surgery - Wrong Patient: Invasive Procedures
in Outpatient Settings. … https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings … The authors recommend that the NHS use human factors methods to design control
processes to target and … https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings … https://psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
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psnet.ahrq.gov/issue/transitions-one-electronic-health-record-another-challenges-pitfalls-and-recommendations
March 17, 2021 - March 17, 2021
Application of human factors methods to understand missed follow-up of … December 15, 2021
Methods used to obtain pediatric patient weights, their accuracy and … April 10, 2024
Using automated methods to detect safety problems with health information
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psnet.ahrq.gov/issue/longitudinal-study-impact-simulation-positive-deviance-through-speaking
August 24, 2022 - A mixed-methods study with a focus on user experience. … How incident reporting systems can stimulate social and participative learning: a mixed-methods … May 18, 2022
Patient safety in chiropractic teaching programs: a mixed methods study.
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psnet.ahrq.gov/issue/implementation-evidence-based-extubation-checklist-reduce-extubation-failure-patients-trauma
March 07, 2018 - Download Citation
Related Resources From the Same Author(s)
Interventional procedures … May 1, 2019
A systematic review of methods for medical record analysis to detect adverse … January 21, 2017
Use of a daily goals checklist for morning ICU rounds: a mixed-methods … Hospitals
Health Care Providers
Quality and Safety Professionals
Critical Care
Bedside Procedures
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psnet.ahrq.gov/issue/remote-assessment-real-world-surgical-safety-checklist-performance-using-or-black-box-multi
March 17, 2021 - Operating room (OR) ‘black boxes’ collect audio-video recordings of operative procedures and are increasingly … This retrospective study examined 7,243 surgical procedures from seven academic medical centers using … Perspectives on perioperative team-based morbidity and mortality conferences: a mixed-methods … Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods
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psnet.ahrq.gov/issue/clarifying-adverse-drug-events-clinicians-guide-terminology-documentation-and-reporting
February 03, 2011 - November 4, 2015
A simulation-based evaluation of methods to estimate the impact of an … 10, 2010
A dynamic risk management approach for reducing harm from invasive bedside procedures … June 23, 2010
Epidemiology, comparative methods of detection, and preventability of adverse
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psnet.ahrq.gov/issue/medical-and-surgical-comanagement-after-elective-hip-and-knee-arthroplasty-randomized
January 22, 2014 - 2014
A comparison of hospital adverse events identified by three widely used detection methods … June 27, 2018
Critical errors in infrequently performed trauma procedures after training … January 29, 2010
Understanding communication during hospitalist service changes: a mixed methods
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psnet.ahrq.gov/issue/prescribing-errors-children-why-they-happen-and-how-prevent-them
December 13, 2017 - Resources From the Same Author(s)
Intravenous fluid prescribing errors in children: mixed methods … September 9, 2015
Automated search methods for identifying wrong patient order entry-a … of consultant surgeon sleep deprivation and outcomes in more than 4000 consecutive cardiac surgical procedures
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psnet.ahrq.gov/issue/assessment-latent-factors-contributing-error-addressing-surgical-pathology-error-wisely
September 01, 2012 - October 20, 2014
Dissemination of Lean methods to improve Pap testing quality and patient … Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods … August 28, 2019
Incorrect surgical procedures within and outside of the operating room
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psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states
March 03, 2011 - Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure … September 28, 2010
Application of human factors methods to understand missed follow-up … October 3, 2017
Medication safety in the operating room: a survey of preparation methods
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psnet.ahrq.gov/issue/standardized-handoff-simulation-promotes-recovery-auditory-distractions-resident-physicians
March 09, 2016 - Related Resources From the Same Author(s)
Patient safety room of horrors: a novel method … understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods … physician remote access of the electronic health record and implications for resident supervision: a mixed methods … August 21, 2019
Lack of standard dosing methods contributes to IV errors.
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psnet.ahrq.gov/issue/characterising-physician-listening-behaviour-during-hospitalist-handoffs-using-hear-checklist
March 11, 2013 - understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods … September 22, 2010
Patient safety room of horrors: a novel method to assess medical students … physician remote access of the electronic health record and implications for resident supervision: a mixed methods … Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods
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psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
December 18, 2013 - patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods … October 12, 2016
Harms from discharge to primary care: mixed methods analysis of incident … Health and social care-associated harm amongst vulnerable children in primary care: mixed methods … , 2014
Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method
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psnet.ahrq.gov/node/41497/psn-pdf
April 05, 2013 - Avoiding handover fumbles: a controlled trial of a
structured handover tool versus traditional handover
methods … Avoiding handover fumbles: a controlled trial of a structured handover
tool versus traditional handover methods
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psnet.ahrq.gov/node/39546/psn-pdf
May 26, 2010 - https://psnet.ahrq.gov/issue/avoiding-wrong-site-surgery-systematic-review
This systematic review of methods … /issue/avoiding-wrong-site-surgery-systematic-review
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery … https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
August 12, 2015 - patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods … October 12, 2016
Harms from discharge to primary care: mixed methods analysis of incident … February 8, 2017
Parents' perspective on safety in neonatal intensive care: a mixed-methods