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Showing results for "methods".

161. Nature of blame in patient safety incident reports: mixed methods analysis of a national database. | PSNet
     psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
     October 12, 2016 - Study Nature of blame in patient safety incident reports: mixed methods analysis … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … , 2018 Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method … November 16, 2022 Defining avoidable healthcare-associated harm in prisons: a mixed-method … discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method

162. Incident reporting behaviours following the Francis report: a cross-sectional survey. | PSNet
     psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey
     October 12, 2016 - In this mixed-methods study across 11 hospitals in England, researchers surveyed physicians on incident … Health and social care-associated harm amongst vulnerable children in primary care: mixed methods … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods … Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method … A mixed-methods study with a focus on user experience.

163. Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population. | PSNet
     psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
     May 24, 2017 - analysis of medication administration errors using incident reports, the Global Trigger Tool method, … cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures … October 28, 2020 The trigger tool as a method to measure harmful medication errors in … May 13, 2015 A comprehensive quality assurance program for personnel and procedures in … Monitoring preventable adverse events and near misses: number and type identified differ depending on method

164. Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
     January 01, 2023 - Describe how high-quality communication is essential, especially during shift changes and/or difficult procedures … prohibitive, limiting availability.8 – Due to these limitations, blind NGT insertion remains the most common method … Assessments include marking and evaluating tube depth at the insertion site, evaluating the securement method … However, this procedure – blind insertion of an NGT – is not free of risk. … of the conditions associated with new-onset agitation, and limitations on risky, blindly performed procedures

165. Harms from discharge to primary care: mixed methods analysis of incident reports. | PSNet
     psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
     October 12, 2016 - Study Harms from discharge to primary care: mixed methods analysis of incident reports … April 1, 2020 Sources of unsafe primary care for older adults: a mixed-methods analysis … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods … December 16, 2020 A mixed-methods analysis of patient safety incidents involving opioid … , 2019 Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method

166. Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. | PSNet
     psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
     June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of … Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level … A mixed methods study of 15 organisations in England. … November 16, 2022 Incorrect surgical procedures within and outside of the operating room … October 16, 2013 Systematic review of the application of the plan-do-study-act method

167. Examining medication errors in a tertiary hospital. | PSNet
     psnet.ahrq.gov/issue/examining-medication-errors-tertiary-hospital
     December 20, 2006 - The researchers used observational methods to identify types of medication errors and found few errors … January 31, 2006 The Shift Coupon: an innovative method to monitor adverse events. … analysis of medication administration errors using incident reports, the Global Trigger Tool method, … Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures … November 8, 2017 Impact of interruptions, distractions, and cognitive load on procedure

168. Support methods for healthcare professionals who are second victims: an integrative review. | PSNet
     psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-review
     April 27, 2022 - Review Support methods for healthcare professionals who are second victims: an integrative … 2020 Electronic prescribing systems in hospitals to improve medication safety: a multi-methods … February 24, 2021 Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing … June 2, 2021 Application of human factors methods to ensure appropriate infant identification

169. Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis. | PSNet
     psnet.ahrq.gov/issue/reasons-why-physicians-and-advanced-practice-clinicians-work-while-sick-mixed-methods
     November 14, 2018 - Classic Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods … Reasons Why Physicians and Advanced Practice Clinicians Work While Sick: A Mixed-Methods Analysis. … Reasons Why Physicians and Advanced Practice Clinicians Work While Sick: A Mixed-Methods Analysis. … June 1, 2022 Assessment of incorrect surgical procedures within and outside the operating

170. Safety and risk management interventions in hospitals: a systematic review of the literature. | PSNet
     psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature
     September 16, 2009 - April 15, 2009 Mix of methods is needed to identify adverse events in general practice … 10, 2021 Adverse events in intensive care and continuing care units during bed-bath procedures … October 30, 2013 Economic evaluation in patient safety: a literature review of methods … February 20, 2008 Comparison of three methods for estimating rates of adverse events … August 1, 2018 Interventional procedures outside of the operating room: results from

171. Defining technical errors in laparoscopic surgery: a systematic review. | PSNet
     psnet.ahrq.gov/issue/defining-technical-errors-laparoscopic-surgery-systematic-review
     September 11, 2013 - surgery but concluded that none of the existing methods are optimal. … October 18, 2023 Society of Interventional Radiology IR Pre-Procedure Patient Safety … June 1, 2022 Surgical site infections in colon surgery: the patient, the procedure, the … January 29, 2014 Overview of adverse events related to invasive procedures in the intensive … February 19, 2020 Use of a prospective risk analysis method to improve the safety of

172. Safety Culture: Theory, Method and Improvement. | PSNet
     psnet.ahrq.gov/issue/safety-culture-theory-method-and-improvement
     March 14, 2012 - Book/Report Safety Culture: Theory, Method and Improvement. … February 18, 2015 Patient Safety Culture: Theory, Methods and Application. … Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method

173. Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. | PSNet
     psnet.ahrq.gov/issue/use-daily-goals-checklist-morning-icu-rounds-mixed-methods-study
     August 04, 2021 - Study Use of a daily goals checklist for morning ICU rounds: a mixed-methods study … Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. … Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. … 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods … 2008 Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods

174. Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care-systematic-review-and
     September 21, 2022 - Retrospective error detection methods, such as trigger tools , are widely used to uncover the incidence … : Global Trigger Tool (GTT), the Trigger Tool (TT) or the Harvard Medical Practice Study (HMPS) method … June 16, 2021 Timeout procedure in paediatric surgery: effective tool or lip service? … Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures … April 26, 2023 Defining avoidable healthcare-associated harm in prisons: a mixed-method

175. Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
     November 16, 2022 - Commentary Quality improvement: Universal Protocol use in office-based gastrointestinal procedure … Quality improvement: universal protocol use in office-based gastrointestinal procedure units. … Quality improvement: universal protocol use in office-based gastrointestinal procedure units. … ' willingness and ability to identify and respond to errors in their personal health records: mixed methods … cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures

176. Using Safety-II and resilient healthcare principles to learn from Never Events. | PSNet
     psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
     November 21, 2018 - Using a Safety-II framework, the authors used a mixed-methods approach to retrospectively analyze … A mixed methods study of 15 organisations in England. … November 14, 2012 Current teaching and evaluation methods in critical care medicine: … April 26, 2023 Using the Generic Analysis Method to analyze sentinel event reports across … March 1, 2023 Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person

177. Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal. | PSNet
     psnet.ahrq.gov/issue/anticoagulation-patient-safety-goal-compliance-university-health-system-methods-achieving
     March 09, 2022 - Commentary Anticoagulation patient safety goal compliance at a university health system: methods … Anticoagulation Patient Safety Goal Compliance at a University Health System: Methods for Achieving the … Anticoagulation Patient Safety Goal Compliance at a University Health System: Methods for Achieving the … ' willingness and ability to identify and respond to errors in their personal health records: mixed methods … April 4, 2012 Utilizing improvement science methods to improve physician compliance with

178. What Was in Those Platelets? | PSNet
     psnet.ahrq.gov/web-mm/what-was-those-platelets
     October 20, 2023 - The procedure went well, and he was stable and transferred to a general surgical ward postoperatively … and new procedures remain under development ( Table 3 ). … Methods to Interdict Platelet Bacterial Contamination. ( 20 ) Methods Currently in Use in the … United States Method Mechanism Discarding the first 20-30cc of … Methods Under Investigation Method Mechanism A system that uses

179. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. | PSNet
     psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process
     May 29, 2019 - Study Use of a prospective risk analysis method to improve the safety of the cancer … June 1, 2022 Surgical site infections in colon surgery: the patient, the procedure, the … 17, 2021 Adverse events in intensive care and continuing care units during bed-bath procedures … January 29, 2014 Overview of adverse events related to invasive procedures in the intensive … Experience of hospital-initiated medication changes in older people with multimorbidity: a multicentre mixed-methods

180. A new method to guard inpatient medication safety by the implementation of RFID. | PSNet
     psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
     February 27, 2019 - A new method to guard inpatient medication safety by the implementation of RFID. … A new method to guard inpatient medication safety by the implementation of RFID. … May 31, 2023 Hospital and procedure incidence of pediatric retained surgical items. … Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures … December 3, 2014 Does an insulin double-checking procedure improve patient safety?