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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent … are associated with a healthcare episode such as hospitalization, surgery, or another treatment or procedure … VTE) Collaborative (the VTE Collaborative) is a multidisciplinary group that studies and implements methods … persistent VTE from year to year is due, in part, to increasing hospitalizations and the use of surgical procedures … focus on: Assembling a multidisciplinary team Obtaining leadership buy-in Setting up data collection methods
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psnet.ahrq.gov/issue/designing-patient-safety-developing-methods-integrate-patient-safety-concerns-design-process
December 14, 2010 - Book/Report
Designing for Patient Safety: Developing Methods to Integrate Patient … Citation Text:
Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns … report discusses patient safety issues to consider when designing health care facilities and includes methods … Cite
Citation
Citation Text:
Designing for Patient Safety: Developing Methods
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psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study
April 15, 2009 - Study
Mix of methods is needed to identify adverse events in general practice: a … Mix of methods is needed to identify adverse events in general practice: a prospective observational … Five methods of adverse event detection—physician reporting, pharmacist reporting, patient surveys, medical … No single method was unequivocally superior. … Mix of methods is needed to identify adverse events in general practice: a prospective observational
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psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation-therapy
March 22, 2011 - Study
The use of human factors methods to identify and mitigate safety issues in … The use of human factors methods to identify and mitigate safety issues in radiation therapy. … This ethnographic field study demonstrated the opportunities to apply human factors methods in the … The use of human factors methods to identify and mitigate safety issues in radiation therapy.
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psnet.ahrq.gov/issue/one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
July 01, 2016 - Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience … Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience … This study used robust research methods to examine the expected and unanticipated effects of moving to … Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience … A mixed methods study of 15 organisations in England.
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psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay
December 23, 2011 - Study
A simulation-based evaluation of methods to estimate the impact of an adverse … A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length … study showed that inverse probability weighting demonstrated less bias than conventional regression methods … A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length
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psnet.ahrq.gov/issue/safety-hazards-cancer-care-findings-using-three-different-methods
September 27, 2017 - Study
Safety hazards in cancer care: findings using three different methods. … Safety hazards in cancer care: findings using three different methods. … problems in this patient population included treatment-related harm (from chemotherapy and other procedures … Safety hazards in cancer care: findings using three different methods.
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psnet.ahrq.gov/issue/5-sure-fire-methods-complying-npsg030401
May 10, 2006 - Newspaper/Magazine Article
5 sure-fire methods: complying with NPSG.03.04.01.
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psnet.ahrq.gov/issue/identifying-patients-sepsis-hospital-wards
October 19, 2022 - This review describes proactive methods of monitoring patients to augment detection and early treatment … 12, 2015
A dynamic risk management approach for reducing harm from invasive bedside procedures … March 12, 2011
Systematic review of medication safety assessment methods.
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psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures
September 07, 2011 - Review
Interventions for reducing wrong-site surgery and invasive procedures. … Interventions for reducing wrong-site surgery and invasive clinical procedures. … This systematic review did not identify any high-quality studies of successful methods to prevent wrong-site … , wrong-patient, or wrong-procedure errors. … Interventions for reducing wrong-site surgery and invasive clinical procedures.
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psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-mixed-methods-study
August 25, 2021 - Pediatric prehospital medication dosing errors: a mixed-methods study. … Pediatric prehospital medication dosing errors: a mixed-methods study. … Factors influencing medication errors in the prehospital paramedic environment: a mixed method … A mixed-methods study with a focus on user experience. … 2023
Medication safety in emergency medical services: approaching an evidence-based method
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psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
February 20, 2019 - Using a Safety-II framework, the authors used a mixed-methods approach to retrospectively analyze … A mixed methods study of 15 organisations in England. … Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience … Primers
Never Events
September 7, 2019
Incorrect surgical procedures
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psnet.ahrq.gov/issue/automated-search-methods-identifying-wrong-patient-order-entry-scoping-review
June 14, 2023 - Study
Automated search methods for identifying wrong patient order entry-a scoping … Automated search methods for identifying wrong patient order entry—a scoping review. … The most common organizational detection method is the retract-and-reorder method whereby a medication … Automated search methods for identifying wrong patient order entry—a scoping review.
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psnet.ahrq.gov/issue/medication-adverse-events-ambulatory-setting-mixed-methods-analysis
October 21, 2020 - Study
Medication adverse events in the ambulatory setting: a mixed-methods analysis … Medication adverse events in the ambulatory setting: a mixed-methods analysis. … Medication adverse events in the ambulatory setting: a mixed-methods analysis. … October 21, 2020
Patient and caregiver factors in ambulatory incident reports: a mixed-methods … 2022
Implementation and sustainability of a medication reconciliation toolkit: a mixed methods
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psnet.ahrq.gov/issue/patient-safety-chiropractic-teaching-programs-mixed-methods-study
November 04, 2020 - Study
Patient safety in chiropractic teaching programs: a mixed methods study. … Patient safety in chiropractic teaching programs: a mixed methods study. … Patient safety in chiropractic teaching programs: a mixed methods study. … July 15, 2020
Safety trade-offs in home care during COVID-19: a mixed methods study capturing
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psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents
December 16, 2020 - system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods … system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods … October 12, 2016
Patient safety in palliative care: a mixed-methods study of reports … incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods … February 1, 2017
Harms from discharge to primary care: mixed methods analysis of incident
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psnet.ahrq.gov/issue/patient-safety-during-sedation-anesthesia-professionals-during-routine-upper-endoscopy-and
August 20, 2018 - anesthesia professionals during routine upper endoscopy and colonoscopy: an analysis of 1.38 million procedures … anesthesia professionals during routine upper endoscopy and colonoscopy: an analysis of 1.38 million procedures … observational study of more than 1.3 million patients who underwent either a colonoscopy or upper endoscopy procedure … 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods … January 7, 2015
Accuracies of diagnostic methods for acute appendicitis.
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psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review
March 05, 2025 - Review
Medication administration in aged care facilities: a mixed-methods systematic … Medication administration in aged care facilities: a mixed‐methods systematic review. … Medication administration in aged care facilities: a mixed‐methods systematic review. … Resources From the Same Author(s)
Medication administration in aged care facilities: a mixed-methods … Related Resources
Medication administration in aged care facilities: a mixed-methods
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psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
April 21, 2021 - Study
Toward the translation of systems thinking methods in patient safety practice … Toward the translation of systems thinking methods in patient safety practice: assessing the validity … Net-HARMS) to identify risks associated with patient medication administration and an accident analysis method … Toward the translation of systems thinking methods in patient safety practice: assessing the validity … analysis of medication administration errors using incident reports, the Global Trigger Tool method,
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psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis
February 22, 2019 - Patient safety incidents in advance care planning for serious illness: a mixed-methods … Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. … Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. … October 12, 2016
Harms from discharge to primary care: mixed methods analysis of incident … September 26, 2018
Nature of blame in patient safety incident reports: mixed methods