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  1. 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

  2. Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet

    psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
    October 30, 2024 - with a goal of reducing or abstaining from non-prescribed opioid use, MOUD is an extremely helpful tool … Perspectives on Safety Annual Perspective Technology as a Tool

  3. In Conversation with Elizabeth Salisbury-Afshar about Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet

    psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
    October 30, 2024 - with a goal of reducing or abstaining from non-prescribed opioid use, MOUD is an extremely helpful tool … Perspectives on Safety Annual Perspective Technology as a Tool

  4. 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

  5. Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
    January 01, 2024 - Use of Maternal Early Warning Trigger tool reduces maternal morbidity.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33652/psn-pdf
    June 01, 2007 - Patient safety reporting represents just one tool to promote patient safety.

  7. Safety in Radiology | PSNet

    psnet.ahrq.gov/perspective/safety-radiology
    October 01, 2013 - Related Resources From the Same Author(s) Predictive power of the "trigger tool … February 14, 2024 Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug

  8. 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

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33703/psn-pdf
    November 01, 2010 - Are We Getting Better at Measuring Patient Safety? November 1, 2010 Rosen AK. Are We Getting Better at Measuring Patient Safety? PSNet [internet]. 2010. https://psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety Perspective The past decade has witnessed unprecedented interest in patient safe…

  10. Tacit Handover, Overt Mishap | PSNet

    psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
    August 01, 2006 - cardiac arrest by an interprofessional team: a positive-exemplar case study of a new patient safety tool

  11. Discharging Our Responsibility | PSNet

    psnet.ahrq.gov/web-mm/discharging-our-responsibility
    January 16, 2019 - Discharging Our Responsibility Citation Text: Fonarow GC. Discharging Our Responsibility. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861881/psn-pdf
    January 31, 2024 - In Conversation with...Richard Ricciardi about Office- Based Patient Safety January 31, 2024 Ricciardi R, Lee M, Mossburg S. In Conversation with..Richard Ricciardi about Office-Based Patient Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-pa…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850675/psn-pdf
    June 14, 2023 - Patient and Family Roles in Safety June 14, 2023 Johnson B, Lee M, Mossburg S. Patient and Family Roles in Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/patient-and-family-roles-safety Moving From Engagement to Partnership Involving patients and families in healthcare decisions about patient c…

  14. Who Nose Where the Airway Is? | PSNet

    psnet.ahrq.gov/web-mm/who-nose-where-airway
    May 01, 2016 - August 4, 2021 Development of an emergency department trigger tool using a systematic

  15. Resuscitation Errors: A Shocking Problem | PSNet

    psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
    October 19, 2022 - Such checklists are a proven tool in such industries as aviation, where a highly complex set of equipment

  16. 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

  17. 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.

  18. 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

  19. 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

  20. 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
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