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8501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49726/psn-pdf
      March 01, 2015 - As this case has demonstrated, the Universal Protocol can be a useful tool in preventing wrong-site

8502. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33629/psn-pdf
      March 01, 2006 - Yet, simulation is clearly a critical tool in the conduct of teamwork training.

8503. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
      psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
      November 01, 2012 - cardiac arrest by an interprofessional team: a positive-exemplar case study of a new patient safety tool

8504. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865342/psn-pdf
      March 27, 2024 - /development-and-evaluation-i-pass-picu-standard-electronic-template- improve-referral The I-PASS tool … is a commonly-used tool to improve handoff quality. … This study evaluated the usability of the I-PASS-to-PICU (Pediatric Intensive Care Unit) tool, which

8505. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860721/psn-pdf
      January 17, 2024 - 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 … In this study, ten outpatient clinics used the Ambulatory Electronic Health Record (EHR) Evaluation Tool

8506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843056/psn-pdf
      January 25, 2023 - This review sought AEs identified by three trigger tools: Global Trigger Tool (GTT), the Trigger Tool … ://psnet.ahrq.gov/primer/triggers-and-trigger-tools https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events

8507. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50779/psn-pdf
      January 08, 2020 - stoppstart-criteria-potentially-inappropriate-medications-potential-prescribing- omissions STOPP (Screening Tool … of Older Persons' Prescriptions) and START (Screening Tool to Alert to Right Treatment) are criteria … used as a tool for clinicians to review potentially inappropriate medications in older adults and have

8508. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838126/psn-pdf
      September 21, 2022 - sustained-improvement-quality-patient-handoffs-after-orthopaedic-surgery-i- pass-intervention The I-PASS structured handoff tool … In this study, researchers modified the I-PASS tool for use in orthopedic surgery and assessed the impact … After 18 months, there was sustained adherence to the tool and the quality of handoffs improved, but

8509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837764/psn-pdf
      August 03, 2022 - VER 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 … few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems https://psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool

8510. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74035/psn-pdf
      January 01, 2022 - This study explored whether an existing tool for measuring the severity of patient complaints – the … Healthcare Complaints Analysis Tool – can effectively analyze complaints specific to general practice … patient-complaints-healthcare-systems-systematic-review-and-coding-taxonomy https://psnet.ahrq.gov/issue/healthcare-complaints-analysis-tool-development-and-reliability-testing-method-service

8511. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836923/psn-pdf
      April 13, 2022 - Hospitals in the US can evaluate the safety of their computerized provider order entry using a simulation tool … This study developed a similar simulation tool for use in the UK. … extreme or high-risk prescribing scenarios were developed and will be used to create the evaluation tool

8512. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72719/psn-pdf
      February 10, 2021 -  (RCAs), voluntary reporting system, morbidity & mortality conference, and abdominal pain  trigger tool … identify cases of diagnostic error; Morbidity & mortality conferences, RCAs and abdominal trigger tool … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety

8513. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836964/psn-pdf
      April 20, 2022 - adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool … 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

8514. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50707/psn-pdf
      December 04, 2019 - complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool … complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool … spinal-surgery-complications-unsolved-problem-world-health-organization- safety-surgical Checklists are one tool

8515. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853959/psn-pdf
      September 27, 2023 - transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool … transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool … This article describes intensivists' perspectives on a potential handoff tool (ICU-PAUSE) for handoff

8516. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74030/psn-pdf
      November 03, 2021 - supportive resources in pediatric clinical specialties using the second victim experience and support tool … supportive resources in pediatric clinical specialties using the second victim experience and support tool … second-victims-support-clinicians-involved-errors-and-adverse-events https://psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second

8517. 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.

8518. 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

8519. 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

8520. 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