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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/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
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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
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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/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/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/45922/psn-pdf
April 19, 2017 - Two sides to every story: the Dual Perspectives Method
for examining interruptions in healthcare. … Two sides to every story: The Dual Perspectives Method for
examining interruptions in healthcare. … https://psnet.ahrq.gov/issue/two-sides-every-story-dual-perspectives-method-examining-interruptions- … This commentary describes an observational method to explore factors that contribute to interruptions … https://psnet.ahrq.gov/issue/differentiating-between-detrimental-and-beneficial-interruptions-mixed-methods-study
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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/40233/psn-pdf
December 29, 2014 - The impact of type of manual medication cart filling
method on the frequency of medication administration … The impact of type of manual medication cart filling
method on the frequency of medication administration … https://psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication- … significant difference in medication administration errors regardless of whether
medication cart filling methods … https://psnet.ahrq.gov/issue/impact-type-manual-medication-cart-filling-method-frequency-medication-administration-errors
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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/node/40476/psn-pdf
September 09, 2011 - Medication administration technologies and patient
safety: a mixed-method systematic review. … Medication administration technologies and patient safety: a mixed-
method systematic review. … https://psnet.ahrq.gov/issue/medication-administration-technologies-and-patient-safety-mixed-method- … systematic-review
This systematic review of methods to reduce medication administration errors, including … https://psnet.ahrq.gov/issue/medication-administration-technologies-and-patient-safety-mixed-method-systematic-review
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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/33812/psn-pdf
August 01, 2016 - First, there are
problems with the methods of disinfection and sterilization of dental instruments, … A good example is the problem with disinfection and sterilization procedures. … The usual situation is that the dentist teaches the procedure to a dental assistant, and afterward he's … Actually our research group has not really invented any new methods in patient safety. … But it's also true that the rapid
transmission of information makes the working methods spread quickly
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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
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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
-
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/node/47368/psn-pdf
September 12, 2018 - This commentary explains how one hospital group used codesign methods to engage
leadership in a teamwork … psnet.ahrq.gov/issue/how-guiding-coalitions-promote-positive-culture-change-hospitals-longitudinal-mixed-methods
-
psnet.ahrq.gov/node/42744/psn-pdf
September 01, 2016 - responses to clinical decision support on an
intensive care unit—comparison of four different alerting
methods … responses to clinical decision support on an
intensive care unit--comparison of four different alerting methods
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psnet.ahrq.gov/node/46678/psn-pdf
January 03, 2018 - Measuring patient safety in real time: an essential method
for effectively improving the safety of care … Measuring Patient Safety in Real Time: An Essential Method for
Effectively Improving the Safety of Care … https://psnet.ahrq.gov/issue/measuring-patient-safety-real-time-essential-method-effectively-improving … hospitals and that barriers such as data collection burden,
mismatched definitions, and ineffective methods … https://psnet.ahrq.gov/issue/measuring-patient-safety-real-time-essential-method-effectively-improving-safety-care