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psnet.ahrq.gov/issue/patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care-analysis-using
February 10, 2021 - and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods … and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods … This mixed-method study explored the reasons why out-of-hours discharges from the ICU to the ward, and … September 7, 2022
A mixed-methods analysis of patient safety incidents involving opioid … 30, 2020
Adverse events in intensive care and continuing care units during bed-bath procedures
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psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events
November 23, 2016 - Review
Time to listen: a review of methods to solicit patient reports of adverse … Time to listen: a review of methods to solicit patient reports of adverse events. … Identification of adverse events relies primarily on well-tested methods such as voluntary error reporting … shown that patient reports can identify errors that were not found through traditional detection methods … Time to listen: a review of methods to solicit patient reports of adverse events.
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psnet.ahrq.gov/issue/adapting-rapid-assessment-procedures-implementation-research-using-team-based-approach
November 09, 2022 - Study
Adapting rapid assessment procedures for implementation research using a team-based … Adapting rapid assessment procedures for implementation research using a team-based approach to analysis … Rapid assessment procedures (RAP) describe a group of methods for studying organizational processes, … facilitators to successful intervention implementation and produced contextually-rich information using robust methods … Adapting rapid assessment procedures for implementation research using a team-based approach to analysis
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psnet.ahrq.gov/issue/acute-care-nurses-perceptions-leadership-teamwork-turnover-intention-and-patient-safety-mixed
September 16, 2015 - Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods … Acute care nurses’ perceptions of leadership, teamwork, turnover intention and patient safety – a mixed methods … In this mixed-methods study, researchers found that acute care nurses’ perceptions of senior leadership … Acute care nurses’ perceptions of leadership, teamwork, turnover intention and patient safety – a mixed methods
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psnet.ahrq.gov/issue/clinical-reasoning-assessment-methods-scoping-review-and-practical-guidance
August 15, 2018 - Review
Clinical reasoning assessment methods: a scoping review and practical guidance … Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. … This review analyzed evidence on clinical reasoning assessment methods used outside the practice environment … Although a variety of methods were identified, the authors highlight the need for further research to … Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance.
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psnet.ahrq.gov/issue/lost-information-during-handover-critically-injured-trauma-patients-mixed-methods-study
October 04, 2023 - Lost information during the handover of critically injured trauma patients: a mixed-methods … Lost information during the handover of critically injured trauma patients: a mixed-methods study. … This mixed-methods study used chart review, focus groups, and interviews with nurses and physicians to … Lost information during the handover of critically injured trauma patients: a mixed-methods study.
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psnet.ahrq.gov/issue/comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse-events-emergency
May 04, 2017 - Study
Comparing the outcomes of reporting and trigger tool methods to capture adverse … Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency … Trigger tools and incident reporting are widely utilized methods for detecting harm in health care … The most useful method for capturing safety events in the emergency department remains unknown. … The system included two event reporting methods and five trigger tools.
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psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
October 20, 2021 - Commentary
Methods to increase reliability in quality improvement projects. … Methods to increase reliability in quality improvement projects. … Methods to increase reliability in quality improvement projects. … October 20, 2021
Using improvement science methods to increase accuracy of surgical consents
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psnet.ahrq.gov/issue/exploration-rapid-response-team-model-care-descriptive-dual-methods-study
March 24, 2021 - Study
Exploration of a rapid response team model of care: a descriptive dual methods … Exploration of a rapid response team model of care: a descriptive dual methods study. … This mixed-methods study examined the characteristics of a collaborative RRT model in one Australian … Exploration of a rapid response team model of care: a descriptive dual methods study.
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psnet.ahrq.gov/issue/dissemination-lean-methods-improve-pap-testing-quality-and-patient-safety
June 14, 2011 - Study
Dissemination of Lean methods to improve Pap testing quality and patient safety … Dissemination of Lean methods to improve Pap testing quality and patient safety. … Lean methodology is a quality improvement method to increase safety and efficiency in healthcare. … In this small study, five clinicians in a gynecology practice used Lean methods to redesign the workflow … Dissemination of Lean methods to improve Pap testing quality and patient safety.
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psnet.ahrq.gov/issue/improving-papanicolaou-test-quality-and-reducing-medical-errors-using-toyota-production
April 08, 2008 - Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods … Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods … outcomes with implementation of an office redesign in workflow based on Toyota production systems methods … Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods … Citation
Related Resources From the Same Author(s)
Dissemination of Lean methods
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psnet.ahrq.gov/issue/methods-used-obtain-pediatric-patient-weights-their-accuracy-and-associated-drug-dosing
March 01, 2023 - Study
Methods used to obtain pediatric patient weights, their accuracy and associated … Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in … pre-hospital emergency medical services (EMS) crews obtained patient weight using one or more of three methods … BLT was the most frequent method used and patient age resulted in the most frequent dosing errors. … Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in
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psnet.ahrq.gov/issue/closing-loop-mixed-methods-study-about-resident-learning-outcome-feedback-after-patient
November 17, 2016 - Study
"Closing the loop": a mixed-methods study about resident learning from outcome … "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient … In this mixed-methods study, residents identified both a lack of time and inadequate systems for tracking … "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient
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psnet.ahrq.gov/issue/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review
April 07, 2019 - Review
Using automated methods to detect safety problems with health information … Using automated methods to detect safety problems with health information technology: a scoping review … found that machine learning and statistical modeling are the most commonly used automated , HIT-based methods … Using automated methods to detect safety problems with health information technology: a scoping review
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psnet.ahrq.gov/issue/risks-analogue-and-digitally-supported-medication-process-and-potential-solutions-increase
April 24, 2019 - digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods … digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods … Solutions for improving analog methods focused on strengthening healthcare professional competence; digital … digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods
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psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity
March 17, 2014 - quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods … quality improvement support strategies to improve Plan-Do-Study-Act cycle fidelity: a retrospective mixed-methods … This mixed-methods study used direct observation and interviews to determine whether plan–do–study–act … redesigned training, and hands-on support were all required to support frontline teams in using the PDSA method … From the Same Author(s)
Systematic review of the application of the plan-do-study-act method
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psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
May 05, 2021 - Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods … Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly … This mixed methods study looked at the prevalence, risk factors, and contributors to potentially harmful … Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly
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psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods
December 07, 2022 - Barcode medication administration technology use in hospital practice: a mixed-methods … A mixed-methods study with a focus on user experience. … July 29, 2020
Timeout procedure in paediatric surgery: effective tool or lip service? … 2021
Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method … September 26, 2016
Medication administration technologies and patient safety: a mixed-method
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psnet.ahrq.gov/issue/developing-agreement-never-events-primary-care-dentistry-international-edelphi-study
October 05, 2016 - resulting list of 23 events includes medication errors, retained objects, and wrong patient and wrong procedure … December 16, 2020
A mixed-methods analysis of patient safety incidents involving opioid … , 2016
Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method … November 13, 2019
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Eleven basic procedures … April 1, 2020
Assessment of incorrect surgical procedures within and outside the operating
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psnet.ahrq.gov/issue/how-guiding-coalitions-promote-positive-culture-change-hospitals-longitudinal-mixed-methods
February 21, 2018 - How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods … How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional … In this mixed-methods longitudinal study, investigators prospectively ascertained how 10 hospitals changed … How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional … culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods