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101. Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. | PSNet
     psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
     July 03, 2016 - Study Using a pediatric trigger tool to estimate total harm burden hospital-acquired … Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. … Researchers used an all-cause harm trigger tool to assess what proportion of harms that occurred at … Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. … July 11, 2017 Development of an electronic pediatric all-cause harm measurement tool

102. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. | PSNet
     psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
     April 11, 2011 - in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool … in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool … The trigger tool appeared to be a sensitive (though nonspecific) method for identifying AEs.  … October 13, 2010 A trigger tool to detect harm in pediatric inpatient settings. … April 4, 2011 Development, testing, and findings of a pediatric-focused trigger tool

103. Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis. | PSNet
     psnet.ahrq.gov/issue/patient-and-family-contributions-improve-diagnostic-process-through-ourdx-electronic-health
     October 27, 2021 - and family contributions to improve the diagnostic process through the OurDX electronic health record tool … and family contributions to improve the diagnostic process through the OurDX electronic health record tool … OurDX is a previsit online engagement tool to help identify opportunities to improve diagnostic safety … and family contributions to improve the diagnostic process through the OurDX electronic health record tool … with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool

104. Development of an emergency department trigger tool using a systematic search and modified Delphi process. | PSNet
     psnet.ahrq.gov/issue/development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi
     August 30, 2017 - Study Development of an emergency department trigger tool using a systematic search … Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process … Researchers sought to develop an emergency-department specific trigger tool to identify adverse events … Their Delphi process resulted in a 46-item proposed tool that will require validation and testing in … Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process

105. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. | PSNet
     psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary
     January 19, 2011 - Study The preliminary development and testing of a global trigger tool to detect … The preliminary development and testing of a global trigger tool to detect error and patient harm in … A novel trigger tool successfully identified errors in primary care patients, but concerns were raised … The preliminary development and testing of a global trigger tool to detect error and patient harm in … Development of a web based tool to assess attitude and knowledge.

106. Detection of adverse drug events using an electronic trigger tool. | PSNet
     psnet.ahrq.gov/issue/detection-adverse-drug-events-using-electronic-trigger-tool
     October 02, 2013 - Study Detection of adverse drug events using an electronic trigger tool. … Detection of adverse drug events using an electronic trigger tool. … In this study, implementation of a trigger tool successfully uncovered adverse drug events, but there … Detection of adverse drug events using an electronic trigger tool. … June 8, 2011 Identifying causes of adverse events detected by an automated trigger tool

107. Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. | PSNet
     psnet.ahrq.gov/issue/validation-and-use-second-victim-experience-and-support-tool-questionnaire-scoping-review
     July 09, 2008 - Review Validation and use of the Second Victim Experience and Support Tool questionnaire … Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review. … The Second Victim Experience and Support Tool (SVEST) was developed to assist organizations in identifying … Results suggest the tool is generally a reliable and valid tool, but further research and modifications … Validation and use of the Second Victim Experience and Support Tool questionnaire: a scoping review.

108. Use of maternal early warning trigger tool reduces maternal morbidity. | PSNet
     psnet.ahrq.gov/issue/use-maternal-early-warning-trigger-tool-reduces-maternal-morbidity
     September 27, 2017 - Study Use of maternal early warning trigger tool reduces maternal morbidity. … Use of Maternal Early Warning Trigger tool reduces maternal morbidity. … This prospective study evaluated a maternal early warning trigger tool that was internally developed … The tool was pathway specific and targeted the four most common causes of maternal morbidity: hemorrhage … Use of Maternal Early Warning Trigger tool reduces maternal morbidity.

109. Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study. | PSNet
     psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse-communication
     December 24, 2008 - Newspaper/Magazine Article Health IT implementation stories: HANDS care plan tool … Citation Text: Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication … This article describes an AHRQ-funded project to discern whether a standardized, computerized tool can … Cite Citation Citation Text: Health IT implementation stories: HANDS care plan tool … Ensuring effective care transition communication: implementation of an electronic medical record-based tool

110. Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology. | PSNet
     psnet.ahrq.gov/issue/adverse-events-patients-home-healthcare-retrospective-record-review-using-trigger-tool
     August 05, 2020 - Adverse events in patients in home healthcare: a retrospective record review using trigger tool … Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology … January 25, 2023 Development of a trigger tool to identify adverse events and no-harm … An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." … June 19, 2018 Development of a trigger tool to identify adverse drug events in elderly

111. Developing a tool for assessing competency in root cause analysis. | PSNet
     psnet.ahrq.gov/issue/developing-tool-assessing-competency-root-cause-analysis
     May 01, 2014 - Study Developing a tool for assessing competency in root cause analysis. … Developing a tool for assessing competency in root cause analysis. … This study describes an educational assessment tool to evaluate competency in conducting an RCA. … Developing a tool for assessing competency in root cause analysis. … May 1, 2014 The Objective Structured Clinical Examination as an educational tool

112. IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. | PSNet
     psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
     February 15, 2017 - Book/Report IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events … Citation Text: IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. … This toolkit outlines steps to use a trigger tool in skilled nursing facilities, reviews types of … events that take place in this setting, and discusses how to analyze trigger tool data to inform improvement … Cite Citation Citation Text: IHI Skilled Nursing Facility Trigger Tool

113. Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. | PSNet
     psnet.ahrq.gov/issue/measurement-and-training-teamstepps-dimensions-using-medical-team-performance-assessment-tool
     March 09, 2009 - Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool … Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. … This commentary describes the development and implementation of a computerized tool that incorporated … Measurement and training of TeamSTEPPS dimensions using the Medical Team Performance Assessment Tool. … January 6, 2017 View More Related Resources The Team Checkup Tool

114. Failed Interpretation of Screening Tool: Delayed Treatment | PSNet
     psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
     August 20, 2018 - Failed Interpretation of Screening Tool: Delayed Treatment Citation Text: Cable CA, Murphy … Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. … Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet]. … provides an important example of diagnostic error as an unintended consequence of a decision support tool … Failed Interpretation of Screening Tool: Delayed Treatment. PSNet [internet].

115. Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities. | PSNet
     psnet.ahrq.gov/issue/large-scale-deployment-global-trigger-tool-across-large-hospital-system-refinements
     November 23, 2014 - Study Large-scale deployment of the Global Trigger Tool across a large hospital system … Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the … This study describes a single hospital system's application of the IHI Global Trigger Tool to create … Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the … November 23, 2014 Description and evaluation of adaptations to the Global Trigger Tool

116. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. | PSNet
     psnet.ahrq.gov/issue/comparison-traditional-trigger-tool-data-warehouse-based-screening-identifying-hospital
     June 11, 2010 - Study Comparison of traditional trigger tool to data warehouse based screening for … Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse … This study found poor agreement between a traditional trigger tool and the use of automated queries of … Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse … March 10, 2011 Identifying causes of adverse events detected by an automated trigger tool

117. Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. | PSNet
     psnet.ahrq.gov/issue/our-pharmacy-meeting-patients-needs-pharmacy-health-literacy-assessment-tool-users-guide
     December 24, 2008 - Measurement Tool/Indicator Is Our Pharmacy Meeting Patients' Needs? … A Pharmacy Health Literacy Assessment Tool User's Guide. … A Pharmacy Health Literacy Assessment Tool User's Guide. … This AHRQ-funded publication provides a tool to help organizations identify health literacy issues, as … A Pharmacy Health Literacy Assessment Tool User's Guide.

118. SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations. | PSNet
     psnet.ahrq.gov/issue/sbar-mm-feasible-reliable-and-valid-tool-assess-quality-surgical-morbidity-and-mortality
     July 02, 2014 - Study SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical … SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality … This study reports on the development of an assessment tool for surgical morbidity and mortality conferences … SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality … October 23, 2013 SBAR: electronic handoff tool for noncomplicated procedural patients

119. Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. | PSNet
     psnet.ahrq.gov/issue/teamwork-and-team-performance-multidisciplinary-cancer-teams-development-and-evaluation
     August 11, 2010 - performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool … performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool … This study piloted an observational tool to evaluate the performance of multidisciplinary cancer teams … and found the tool to demonstrate content validity and feasibility. … performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool

120. The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care. | PSNet
     psnet.ahrq.gov/issue/daily-goals-communication-sheet-simple-and-novel-tool-improved-communication-and-care
     October 14, 2009 - Commentary The Daily Goals Communication Sheet: a simple and novel tool for improved … The daily goals communication sheet: a simple and novel tool for improved communication and care. … This commentary describes a tool that supports structured communication between clinical care team members … The daily goals communication sheet: a simple and novel tool for improved communication and care. … December 11, 2024 A practical tool to learn from defects in patient care.