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POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool to identify inappropriate prescribing. | PSNet

psnet.ahrq.gov/issue/popi-pediatrics-omission-prescriptions-and-inappropriate-prescriptions-development-tool

June 30, 2011 - POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool … POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool to … This study describes the development of a novel tool for identifying errors of both omission and commission … This promising tool requires testing to assess validity and reliability in clinical practice. … POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool to

The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. | PSNet

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September 19, 2016 - Study The Second Victim Experience and Support Tool: validation of an organizational … The Second Victim Experience and Support Tool: validation of an organizational resource for assessing … This study presents the development and validation of a survey tool, the SVEST, to examine clinicians … The Second Victim Experience and Support Tool: validation of an organizational resource for assessing … June 28, 2017 Validation of the second victim experience and support tool-revised in

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit

September 24, 2017 - Study Validation of the second victim experience and support tool-revised in the … Validation of the second victim experience and support tool-revised in the neonatal intensive care unit … article describes the validation of a revised version of the Second Victim Experience and Support Tool … Validation of the second victim experience and support tool-revised in the neonatal intensive care unit … supportive resources in pediatric clinical specialties using the second victim experience and support tool

Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. | PSNet

psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using

August 05, 2020 - Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool … Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool … Adverse events in patients in home healthcare: a retrospective record review using trigger tool … February 21, 2018 Development of a trigger tool to identify adverse events and no-harm … November 10, 2021 Predictive power of the "trigger tool" for the detection of adverse

In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative. | PSNet

psnet.ahrq.gov/issue/situ-simulation-quality-improvement-tool-identify-and-mitigate-latent-safety-threats

February 22, 2023 - Study In situ simulation as a quality improvement tool to identify and mitigate latent … In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency … June 8, 2022 Debrief it all: a tool for inclusion of Safety-II. … November 8, 2023 In situ simulation as a tool to longitudinally identify and track latent … Emergency department adverse events detected using the emergency department trigger tool

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

July 24, 2017 - Study Comparison of a voluntary safety reporting system to a global trigger tool … Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events … In this comparison study, the Global Trigger Tool identified 79 AE in 88 oncology patients, compared … Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool

Assessing hospital safety on nights and weekends: the SWAN tool. | PSNet

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September 28, 2010 - Commentary Assessing hospital safety on nights and weekends: the SWAN tool. … Assessing hospital safety on nights and weekends: the SWAN tool. … This article describes an assessment tool that helps hospitals determine the reliability of care during … Assessing hospital safety on nights and weekends: the SWAN tool.

Use of e-triggers to identify diagnostic errors in the paediatric ED. | PSNet

psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed

October 27, 2021 - This retrospective study compared the performance of an electronic trigger tool plus manual screening … Of the diagnostic errors identified by the trigger tool and substantiated by manual review, less than … October 27, 2021 Timeout procedure in paediatric surgery: effective tool or lip service … August 8, 2018 Reliability and usability of a 7-minute chart review tool to identify … August 1, 2018 Use of an expedited review tool to screen for prior diagnostic error in

The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care

August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute … The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric … Use of a structured communication tool within an electronic medical record resulted in increased high-quality … The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric … April 27, 2019 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician

Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance

May 07, 2014 - hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool … hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool … In this study of randomly selected inpatients at three hospitals, the Global Trigger Tool (developed … hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool … June 15, 2016 A tool for the concise analysis of patient safety incidents.

Risk-sensitive events during laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool. | PSNet

psnet.ahrq.gov/issue/risk-sensitive-events-during-laparoscopic-cholecystectomy-influence-integrated-operating-room

March 18, 2013 - laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool … laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool … This study found that use of an integrated operating room (OR) system and a digital checklist tool … laparoscopic cholecystectomy: the influence of the integrated operating room and a preoperative checklist tool … October 16, 2024 Predictive power of the "trigger tool" for the detection of adverse

Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU. | PSNet

psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool-cpert

May 25, 2016 - Development and preliminary testing of the Coordination Process Error Reporting Tool … Development and Preliminary Testing of the Coordination Process Error Reporting Tool (CPERT), a Prospective … Researchers developed and tested a prospective surveillance tool to identify teamwork errors in the … They found that this tool helped uncover safety issues not captured by the hospital's patient safety … Development and Preliminary Testing of the Coordination Process Error Reporting Tool (CPERT), a Prospective

BONE break: a hot debrief tool to reduce second victim syndrome for nurses. | PSNet

psnet.ahrq.gov/issue/bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses

August 02, 2015 - Study BONE break: a hot debrief tool to reduce second victim syndrome for nurses. … BONE break: a hot debrief tool to reduce second victim syndrome for nurses. … This article describes a debriefing tool for nurses who have just experienced an adverse event. … The tool, BONE Break (Buoy/Break, Open-Up, Needs, Exit/Evaluate), is intended to be used as soon as possible … BONE break: a hot debrief tool to reduce second victim syndrome for nurses.

Evaluation of a physician informatics tool to improve patient handoffs. | PSNet

psnet.ahrq.gov/issue/evaluation-physician-informatics-tool-improve-patient-handoffs

January 07, 2015 - Study Evaluation of a physician informatics tool to improve patient handoffs. … Evaluation of a physician informatics tool to improve patient handoffs. … This study found that a patient handoff tool can reliably extract information from the electronic health … Evaluation of a physician informatics tool to improve patient handoffs.

Disparities in adverse event reporting for hospitalized children. | PSNet

psnet.ahrq.gov/issue/disparities-adverse-event-reporting-hospitalized-children

July 27, 2022 - against those identified using the Global Assessment of Pediatric Patient Safety (GAPPS) trigger tool … The GAPPS tool identified 37 AE in patients with limited English proficiency ; none of these were reported … July 27, 2022 Comparison of a voluntary safety reporting system to a global trigger tool … June 29, 2022 'Global Trigger Tool' shows that adverse events in hospitals may be ten … October 30, 2010 A trigger tool fails to identify serious errors and adverse events in

Implementing a perioperative handoff tool to improve postprocedural patient transfers. | PSNet

psnet.ahrq.gov/issue/implementing-perioperative-handoff-tool-improve-postprocedural-patient-transfers

February 29, 2012 - Commentary Implementing a perioperative handoff tool to improve postprocedural patient … Implementing a perioperative handoff tool to improve postprocedural patient transfers. … This commentary describes how to implement a perioperative handoff tool to improve interdisciplinary … Implementing a perioperative handoff tool to improve postprocedural patient transfers.

Potentially inappropriate medications and their effect on falls during hospital admission. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-their-effect-falls-during-hospital-admission

January 12, 2022 - PIMs identified by section K of the Screening Tool of Older Persons' Prescriptions (STOPP) had the … June 3, 2020 Mortality review as a tool to assess the contribution of healthcare-associated … March 23, 2022 Performance of a trigger tool for detecting drug-related hospital admissions … Emergency department adverse events detected using the emergency department trigger tool … and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool

Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after

March 15, 2017 - Study Impact of an original methodological tool on the identification of corrective … Impact of an Original Methodological Tool on the Identification of Corrective and Preventive Actions … Investigators added a standardized tool to identify corrective and preventive actions to their root cause … They found that the new tool led to identification of more corrective and preventive actions than the … Impact of an Original Methodological Tool on the Identification of Corrective and Preventive Actions

Technology as a Tool for Improving Patient Safety | PSNet

psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety

April 26, 2023 - Annual Perspective Technology as a Tool for Improving Patient Safety A Jay Holmgren, Susan McBride … Technology as a Tool for Improving Patient Safety . PSNet [internet]. … Technology as a Tool for Improving Patient Safety . PSNet [internet]. … use of the tool was low. … Technology as a Tool for Improving Patient Safety . PSNet [internet].

The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: An Instrument to Assess the Understandability and Actionability of Print and Audiovisual Patient Education Materials. | PSNet

psnet.ahrq.gov/issue/patient-education-materials-assessment-tool-pemat-and-users-guide-instrument-assess

December 24, 2008 - Toolkit The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: … Citation Text: The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: An Instrument … This tool offers a method to assess patients' ability to understand and use education materials, including … Cite Citation Citation Text: The Patient Education Materials Assessment Tool

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