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61. U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument | PSNet
    psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
    February 26, 2025 - The original tool, the Safer Dx Instrument, was validated in a primary care setting, and results were … The project team made minor revisions to the original tool to address feedback from the pilot studies … Feedback following use of the instrument in several settings led to revisions to the tool. … team can first pilot the use of the tool prior to wider use. … Clinicians can also use this tool for reflection on their own records.

62. Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. | PSNet
    psnet.ahrq.gov/issue/implementation-ed-i-pass-standardized-handoff-tool-pediatric-emergency-department
    November 16, 2022 - Study Implementation of ED I-PASS as a standardized handoff tool in the pediatric … Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. … I-PASS is a structured handoff tool that aims to improve communication and reduce adverse events during … This article describes the implementation of a modified I-PASS tool for use in the emergency department … Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department.

63. Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems. | PSNet
    psnet.ahrq.gov/issue/development-and-performance-evaluation-medicines-optimisation-assessment-tool-moat-prognostic
    March 18, 2020 - Development and performance evaluation of the Medicines Optimisation Assessment Tool … Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic … This article describes the development and validation of a scoring tool to identify patients most at … The authors suggest that an external validation study is needed to determine whether this tool accurately … Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic

64. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. | PSNet
    psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia
    August 05, 2020 - and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool … and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool … patients admitted for transient ischemic attack (TIA) or ischemic stroke and found that a trigger tool … and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool … Emergency department adverse events detected using the emergency department trigger tool

65. The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study. | PSNet
    psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic
    November 17, 2021 - Study The accuracy of the Global Trigger Tool is higher for the identification of … The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater … The IHI Global Trigger Tool (GTT) is used to detect adverse events (AE) in hospitalized patients, but … The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater … November 17, 2021 Predictive power of the "trigger tool" for the detection of adverse

66. Association of a web-based handoff tool with rates of medical errors. | PSNet
    psnet.ahrq.gov/issue/association-web-based-handoff-tool-rates-medical-errors
    April 12, 2023 - Study Association of a web-based handoff tool with rates of medical errors. … Association of a Web-Based Handoff Tool With Rates of Medical Errors. … In this prospective cohort study, investigators introduced a web-based handoff tool and provided formal … This study suggests that a web-based standardized tool may help mitigate errors associated with current … Association of a Web-Based Handoff Tool With Rates of Medical Errors.

67. Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. | PSNet
    psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
    December 18, 2019 - a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool … a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool … This study compared medication errors detected using incident reports , the Global Trigger Tool method … Incident reports and the Global Trigger Tool more commonly identified medication errors likely to cause … November 24, 2021 The trigger tool as a method to measure harmful medication errors in

68. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. | PSNet
    psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses
    May 25, 2022 - Study Adaption of a trigger tool to identify harmful incidents, no harm incidents … Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital … This study describes the adaptation of an ambulance trigger tool (ATT) to a version for pediatric patients … Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital … August 25, 2021 Reliability and usability of a 7-minute chart review tool to identify

69. How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. | PSNet
    psnet.ahrq.gov/issue/how-safe-are-outpatient-electronic-health-records-evaluation-medication-related-decision
    March 17, 2021 - evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool … evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool … this study, ten outpatient clinics used the Ambulatory Electronic Health Record (EHR) Evaluation Tool … s) The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool … Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing tool

70. Performance of a trigger tool for identifying adverse events in oncology. | PSNet
    psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology
    May 23, 2018 - Study Performance of a trigger tool for identifying adverse events in oncology. … Performance of a Trigger Tool for Identifying Adverse Events in Oncology. … After narrowing it to the 49 best-performing triggers, the tool had a positive predictive value of 0.48 … A past PSNet interview featured David Classen, one of the pioneers of the trigger tool methodology … Performance of a Trigger Tool for Identifying Adverse Events in Oncology.

71. Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing tool with current practice: a mixed methods randomised user testing study. | PSNet
    psnet.ahrq.gov/issue/comparing-safety-performance-and-user-perceptions-patient-specific-indication-based
    December 18, 2019 - Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing tool … Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing tool … Participants stated that integrating patient-specific information into the ordering tool could be especially … Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing tool … Perspectives on Safety Annual Perspective Technology as a Tool

72. Description of the development and validation of the Canadian Paediatric Trigger Tool. | PSNet
    psnet.ahrq.gov/issue/description-development-and-validation-canadian-paediatric-trigger-tool
    January 25, 2017 - Description of the development and validation of the Canadian Paediatric Trigger Tool … Description of the development and validation of the Canadian Paediatric Trigger Tool. … This study reports on a novel trigger tool for detection of preventable errors in hospitalized children … Description of the development and validation of the Canadian Paediatric Trigger Tool. … October 6, 2016 Development, testing, and findings of a pediatric-focused trigger tool

73. A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. | PSNet
    psnet.ahrq.gov/issue/machine-learning-based-clinical-predictive-tool-identify-patients-high-risk-medication-errors
    March 29, 2012 - Study A machine learning-based clinical predictive tool to identify patients at high … A machine learning-based clinical predictive tool to identify patients at high risk of medication errors … In this study, a machine learning (ML) tool was developed to identify hospitalized patients at risk of … tool. … A machine learning-based clinical predictive tool to identify patients at high risk of medication errors

74. A practical tool to learn from defects in patient care. | PSNet
    psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care
    September 28, 2010 - Commentary A practical tool to learn from defects in patient care. … A practical tool to learn from defects in patient care. … The authors describe a tool for investigating incidents and making necessary safety improvements. … The tool was developed at Johns Hopkins and funded by the Agency for Healthcare Research and Quality. … A practical tool to learn from defects in patient care.

75. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool. | PSNet
    psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
    August 14, 2018 - Study Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool … Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. … This study reports on the development and refinement of a novel trigger tool for hospitalized children … The authors state that the tool can be used for measurement purposes , allowing institutions to track … Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool.

76. Development of an electronic pediatric all-cause harm measurement tool using a modified Delphi method. | PSNet
    psnet.ahrq.gov/issue/development-electronic-pediatric-all-cause-harm-measurement-tool-using-modified-delphi-method
    July 03, 2016 - Study Development of an electronic pediatric all-cause harm measurement tool using … Development of an Electronic Pediatric All-Cause Harm Measurement Tool Using a Modified Delphi Method … Experts therefore sought to achieve consensus around an all-cause pediatric harm measurement tool using … Development of an Electronic Pediatric All-Cause Harm Measurement Tool Using a Modified Delphi Method … Download Citation Related Resources From the Same Author(s) A trigger tool

77. High fidelity simulation as a research tool. | PSNet
    psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool
    February 19, 2020 - Review High fidelity simulation as a research tool. … High fidelity simulation as a research tool. … High fidelity simulation as a research tool.

78. Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. | PSNet
    psnet.ahrq.gov/issue/assessing-content-validity-and-user-perspectives-team-check-tool-expert-survey-and-user-focus
    January 02, 2017 - Study Assessing content validity and user perspectives on the Team Check-up Tool: … Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus … The Team Checkup Tool stemmed from work done as part of the Keystone ICU project and is designed … In this study, investigators used focus groups and feedback sessions to assess the content of the tool … They conclude that the Team Checkup Tool measures meaningful aspects of team-based quality improvement

79. I-CaRe: a case review tool focused on improving inpatient care. | PSNet
    psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpatient-care
    February 18, 2011 - Commentary I-CaRe: a case review tool focused on improving inpatient care. … I-CaRe: a case review tool focused on improving inpatient care. … This article describes the development and implementation of a tool for retrospective case review by … I-CaRe: a case review tool focused on improving inpatient care. … February 18, 2011 Patient whiteboards as a communication tool in the hospital setting

80. An adverse event screening tool based on routinely collected hospital-acquired diagnoses. | PSNet
    psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses
    July 23, 2008 - Study An adverse event screening tool based on routinely collected hospital-acquired … An adverse event screening tool based on routinely collected hospital-acquired diagnoses. … This study found high levels of physician agreement using an adverse event screening tool for patients … An adverse event screening tool based on routinely collected hospital-acquired diagnoses. … August 28, 2013 Comparison of traditional trigger tool to data warehouse based screening