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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/node/34059/psn-pdf
March 11, 2011 - strategies-detecting-adverse-drug-events-among-older-persons-ambulatory-
setting
This study used multiple methods … Most of the
ADEs were found through electronic or computerized methods, rather than by voluntary reporting
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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/node/47458/psn-pdf
January 01, 2019 - psnet.ahrq.gov/issue/systems-science-primer-high-reliability
High-reliability organizations have developed methods … This review summarizes the systems science, organizational structure, and interpersonal working methods
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psnet.ahrq.gov/node/33926/psn-pdf
March 07, 2005 - problems-detecting-medication-errors-hospitals
Perhaps the first of its kind in the early 1960s, this study explored the methods … definition and types of medication errors before presenting findings from
their contrasting data collection methods … Conclusions suggest that direct and disguised observation may
be the best method for estimating medication
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psnet.ahrq.gov/node/42893/psn-pdf
March 13, 2014 - https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods … https://psnet.ahrq.gov/issue/comparison-hospital-adverse-events-identified-three-widely-used-detection-methods
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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/34969/psn-pdf
June 22, 2009 - fataldisabling-adverse
The authors compare the efficacy of two data-mining strategies with traditional methods … improve existing
pharmacovigilance strategies, no clear benefit was demonstrated over traditional methods
-
psnet.ahrq.gov/node/45986/psn-pdf
March 29, 2017 - 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
-
psnet.ahrq.gov/node/43557/psn-pdf
October 01, 2014 - 5th National Audit Project (NAP5) on accidental
awareness during general anaesthesia: protocol,
methods … al. 5th National Audit Project (NAP5) on accidental awareness during
general anaesthesia: protocol, methods
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psnet.ahrq.gov/node/37365/psn-pdf
March 04, 2011 - AHRQ-funded study describes different approaches to analyzing administrative data, along with
how these methods … The authors use these methods to uncover
characteristics associated with the occurrence of patient safety
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psnet.ahrq.gov/issue/underreporting-patient-safety-incidents-reduces-health-cares-ability-quantify-and-accurately
June 08, 2011 - 2010
Patient safety incidents in advance care planning for serious illness: a mixed-methods … Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods … 2011
A comparison of hospital adverse events identified by three widely used detection methods
-
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/node/35619/psn-pdf
June 24, 2010 - studying-patient-safety-health-care-organizations-accentuate-qualitative
This commentary argues for the inclusion of diverse research methods … Finally, a series of action steps are given for organizations to implement
qualitative methods into
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psnet.ahrq.gov/node/43637/psn-pdf
April 25, 2016 - improvement-methodologies
High-reliability organizations like the aviation industry have developed methods … improvement techniques
from industry in health care—such as skepticism about the applicability of the methods
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psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
January 01, 2006 - necessarily true, in large part because the fixed teams actually start to ignore standard operating procedures … In aviation, we have a lot of emergency checklists and procedures because we deal with a more limited … In health care, the tasks are not as routine, and that makes checklists and emergency procedures less … This can be just a short briefing before going into a procedure or even before starting the day. … Feel free to openly express any kind of questions or concerns that you have as we go through this procedure
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psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Related Resources From the Same Author(s)
Utilising improvement science methods … October 18, 2018
Utilizing improvement science methods to improve physician compliance … July 24, 2017
Using improvement science methods to increase accuracy of surgical consents
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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/39858/psn-pdf
September 22, 2010 - understanding of
communication with their primary care physicians (PCPs)
among hospitalized seniors: a mixed methods … understanding of communication
with their primary care physicians among hospitalized seniors: a mixed methods