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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - Retrospective medical chart review remains the "gold standard" for identifying adverse events. … Automated surveillance is also becoming a standard method for safety event detection and measurement … events rather than as definitive measures because their criterion validity (i.e., their agreement with a standard … Patient Safety: Achieving A New Standard For Care. … Measurement Strategies
Advantages
Disadvantages
Retrospective Chart Review
Considered the "gold standard
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psnet.ahrq.gov/node/40519/psn-pdf
June 08, 2011 - identifying hazards, assessing dose responses, and evaluating
exposure) could help create a universal standard
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psnet.ahrq.gov/node/39989/psn-pdf
December 21, 2014 - within an existing electronic medical record detected many more post-
procedural adverse events than standard
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psnet.ahrq.gov/node/37881/psn-pdf
July 02, 2008 - simulated-laparoscopic-operating-room-crisis-approach-enhance-surgical-team-performance
https://psnet.ahrq.gov/issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
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psnet.ahrq.gov/node/35976/psn-pdf
August 10, 2010 - guidelines-prevention-diagnosis-and-treatment-ventilator-associated-
pneumonia-vap-trauma
The investigators used existing data and guidelines to develop this standard
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psnet.ahrq.gov/node/43477/psn-pdf
May 19, 2015 - tools, and voluntary reporting as approaches to monitor
adverse events and explores how lack of a standard
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psnet.ahrq.gov/node/43525/psn-pdf
July 16, 2015 - relationships that affect information transfer between prehospital and hospital staff before implementing
standard
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psnet.ahrq.gov/node/46079/psn-pdf
June 28, 2017 - state-wide-initiative-standardize-compounding-oral-liquids-pediatrics
https://psnet.ahrq.gov/issue/use-standard-design-medication-room-promote-medication-safety-organizational-implications
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psnet.ahrq.gov/node/46130/psn-pdf
June 21, 2017 - This commentary describes a World Health Organization initiative to define and implement
a standard
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - frequent presence of an active procedure (one that is underway, not so in the case presented here), non-standard … drug preparations, and various types of personal, non-standard practices and preferences. … have at least some individual drug preferences of type or dose and may label drugs in different, non-standard … Standard guidelines dictate that systemic anticoagulant therapy or low-molecular-weight heparin thromboprophylaxis … of Care (TOC) Patient Safety Initiative for Anesthesia Professionals" has been formed to recommend standard
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psnet.ahrq.gov/node/44298/psn-pdf
July 08, 2015 - effect-bar-code-technology-safety-medication-administration
https://psnet.ahrq.gov/issue/safe-practice-standard-barcode-technology
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psnet.ahrq.gov/node/41493/psn-pdf
July 11, 2012 - that unsolicited patient ratings of hospitals in the United Kingdom correlated reasonably
well with standard
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psnet.ahrq.gov/node/40428/psn-pdf
May 04, 2011 - format for computerized provider order entry order sets proved to be more efficient
and usable than standard
-
psnet.ahrq.gov/node/45038/psn-pdf
February 18, 2017 - re-examining-high-reliability-actively-organising-safety
Health care has recently adopted high reliability as a goal, but progress to reaching that standard
-
psnet.ahrq.gov/node/856641/psn-pdf
January 01, 2009 - issue/classification-system-incidents-and-accidents-health-care-system
https://psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
-
psnet.ahrq.gov/node/38630/psn-pdf
May 13, 2009 - what-does-simulation-add-teamwork-training
https://psnet.ahrq.gov/issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
-
psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - Or perhaps, because it is not standard
for patients to receive preoperative LMWH, the anesthesiologist … approaches could help prevent this error in the future: educational campaigns, forcing functions, and
standard … The most effective intervention might be creating standard procedures, such as implementing a DVT
prophylaxis … Neuraxial anesthesia and analgesia in the presence of standard heparin.
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psnet.ahrq.gov/web-mm/outbreak
January 29, 2015 - aerosolized particles.( 1,5 ) Accordingly, CDC guidelines for controlling risk of VZV transmission include standard … outbreak.( 7 ) Most bioterrorism agents are not transmitted person-to-person, and the CDC recommends only standard … person-to-person, and fatal in up to 30% of cases.( 7 ) Known or suspected cases of smallpox should adhere to standard … Prevention strategies focus on appropriate health screening of HCWs, standard precautions to limit transmission
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psnet.ahrq.gov/web-mm/harm-alarm-fatigue
February 14, 2018 - While a standard diagnostic ECG acquires data from 12 different leads (via 10 electrodes placed on the … telemetry monitoring systems are less diagnostic and less accurate than computer interpretations from the standard … For example, the resident and nurse could have checked the patient's full diagnostic standard 12-lead … low-voltage QRS complexes were a major cause of false cardiac monitor alarms.( 1 ) The Figure shows the standard … Standard 12-lead ECG in the patient who generated more (mostly false) arrhythmia alarms than any other
-
psnet.ahrq.gov/node/43552/psn-pdf
December 16, 2014 - were recorded—and discusses the
challenges introduced as robotic-assisted surgery becomes accepted as standard