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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/node/46980/psn-pdf
June 19, 2018 - A mixed-methods evaluation of a pre-clerkship
curriculum that uses education as the context for
learning … A mixed-methods evaluation of a pre-clerkship curriculum
that uses education as the context for learning
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psnet.ahrq.gov/node/40543/psn-pdf
March 23, 2012 - https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events
Traditional methods of error … could identify unique adverse effects of hospitalization
that may not have been identified by other methods
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psnet.ahrq.gov/node/35934/psn-pdf
February 24, 2011 - The authors
discuss recommendations and specific educational methods that may promote improved learning … A past study discussed one of these methods, Morbidity and Mortality Conferences, as
a place to discuss
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psnet.ahrq.gov/node/34649/psn-pdf
June 11, 2014 - Helmreich provides background on the methods and use of error data in aviation, and how
those processes … psnet.ahrq.gov/issue/error-management-lessons-aviation
https://psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
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psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
March 13, 2013 - July 8, 2009
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
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psnet.ahrq.gov/node/34103/psn-pdf
February 24, 2011 - The methods discussed include incident reporting systems, autopsies and morbidity and
mortality conferences … They also explain how the different methods fit into previously presented and contrasting paradigms (
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psnet.ahrq.gov/node/37927/psn-pdf
March 10, 2011 - randomized-trial-electronic-clinical-reminders-improve-medication-laboratory-
monitoring
Electronic reminders to clinicians are one of the earliest methods … //psnet.ahrq.gov/issue/identifying-barriers-effective-use-clinical-reminders-bootstrapping-multiple-methods
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psnet.ahrq.gov/issue/resident-uncertainty-clinical-decision-making-and-impact-patient-care-qualitative-study
March 28, 2011 - 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 … January 16, 2019
"Closing the loop": a mixed-methods study about resident learning from
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psnet.ahrq.gov/issue/achieving-rapid-door-balloon-times-how-top-hospitals-improve-complex-clinical-systems
November 07, 2012 - culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods … How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods … culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods
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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/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/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/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/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.
-
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
-
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
-
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
-
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