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6301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36308/psn-pdf
      January 05, 2017 - A trigger tool to identify adverse events in the intensive care unit.  … A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. … https://psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit This study describes … https://psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit https://psnet.ahrq.gov

6302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45509/psn-pdf
      September 28, 2016 - This observational study used a trigger tool to detect diagnostic delays related to chest imaging follow-up … clinician then reviewed the medical records for a random sample of cases identified by the trigger tool … They found that the trigger tool had 99% sensitivity and 38% specificity in detecting delays in follow-up … The authors suggest that this trigger tool may help identify patients at risk for diagnostic delay following

6303. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42270/psn-pdf
      December 31, 2014 - Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool … Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool … early pioneer in calling for wider CPOE implementation, and this study reports on the validation of a tool … The tool, which uses simulated cases, proved to be effective, as the incidence of errors it detected

6304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43067/psn-pdf
      November 23, 2014 - of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool … of adverse events detected in a large health care delivery system using an enhanced global trigger tool … characterization-adverse-events-detected-large-health-care-delivery-system- using-enhanced Using the Institute for Healthcare Improvement's Global Trigger Tool … characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events

6305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36366/psn-pdf
      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.  … active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients https://psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit

6306. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42112/psn-pdf
      March 13, 2013 - Anger management courses are a new tool for dealing with out-of-control doctors.   … https://psnet.ahrq.gov/issue/anger-management-courses-are-new-tool-dealing-out-control-doctors This … https://psnet.ahrq.gov/issue/anger-management-courses-are-new-tool-dealing-out-control-doctors https:

6307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41711/psn-pdf
      September 26, 2012 - https://psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards This commentary describes … a proactive risk assessment tool designed to address process concerns and to be more efficient than … https://psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards https://psnet.ahrq.gov/issue

6308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37169/psn-pdf
      October 06, 2011 - The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. … https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking … https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking

6309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44155/psn-pdf
      June 24, 2015 - Patient Safety Tool Kit. June 24, 2015 WHO Regional Office for the Eastern Mediterranean. … https://psnet.ahrq.gov/issue/patient-safety-tool-kit Patient safety programs should reflect local needs … https://psnet.ahrq.gov/issue/patient-safety-tool-kit https://psnet.ahrq.gov/issue/safety-leadership-meta-analytic-review-transformational-and-transactional-leadership-styles

6310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44053/psn-pdf
      November 16, 2015 - ANA CAUTI Prevention Tool. … https://psnet.ahrq.gov/issue/ana-cauti-prevention-tool Nurses play an important role in reducing catheter–associated … https://psnet.ahrq.gov/issue/ana-cauti-prevention-tool https://psnet.ahrq.gov/issue/successful-implementation-unit-based-quality-nurse-reduce-central-line-associated-bloodstream

6311. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39332/psn-pdf
      July 24, 2010 - 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 … integrated-operating-room This study found that use of an integrated operating room (OR) system and a digital checklist tool

6312. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47503/psn-pdf
      October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs. October 24, 2018 Peeples L. … https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs Structured handoffs can … https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs https://psnet.ahrq.gov/issue

6313. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45182/psn-pdf
      June 08, 2016 - evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool … Evaluate the Usability and Intent to Adopt an Artificial Intelligence-Powered Medication Reconciliation Tool … The researchers observed 10 patients using the tool and collected survey feedback on its usability and

6314. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42052/psn-pdf
      December 21, 2014 - decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool … decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool … improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory- computerized-clinical A mandatory computerized clinical decision support tool

6315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43125/psn-pdf
      December 12, 2014 - Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool … Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool … detection-adverse-events-acute-geriatric-hospital-over-6-year-period-using- global-trigger This retrospective study employed the Global Trigger Tool

6316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44060/psn-pdf
      November 16, 2015 - developing-person-centred-analysis-harm-paediatric-hospital-quality- improvement-report Through an iterative process, researchers developed and tested a simple tool … The tool led to some improvements in staff reporting and other safety behaviors, but there was no measurable … This tool is an example of the increasingly utilized strategy of engaging patients in preventing errors

6317. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44047/psn-pdf
      September 09, 2015 - This study examined the use of a results manager tool by primary care physicians in Partners Healthcare … Although the vast majority of providers used the tool, many did not find that it was helpful for any … specific purpose and only 64% were satisfied with the tool.

6318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42474/psn-pdf
      September 19, 2015 - Based on analysis of four studies using the Global Trigger Tool, the study concludes that between 210,000 … Although the accuracy of the Global Trigger Tool for assessing preventability of harm has been questioned … psnet.ahrq.gov/issue/err-human-building-safer-health-system https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events

6319. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39813/psn-pdf
      October 11, 2010 - This study describes a cardiopulmonary resuscitation (CPR) debriefing tool to guide postcode discussion … The authors share the practical development of the tool, its application, and lessons learned from implementation … They highlight how the tool and postcode discussions have guided identification and resolution of issues

6320. Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety. | PSNet
      psnet.ahrq.gov/issue/tapping-front-line-knowledge-identifying-problems-they-occur-helps-enhance-patient-safety
      July 21, 2009 - July 21, 2009 A trigger tool to identify adverse events in the intensive care unit.  … Development and evaluation of the Institute for Healthcare Improvement global trigger tool … April 4, 2011 'Global Trigger Tool' shows that adverse events in hospitals may be ten … April 1, 2010 Adverse drug event trigger tool: a practical methodology for measuring