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8601. Premature Closure: Was It Just Syncope? | PSNet
      psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
      February 10, 2021 - Patients Receiving Direct Oral Anticoagulants for Stroke Prevention in Atrial Fibrillation: A Practice Tool

8602. In Conversation with...Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
      October 01, 2010 - these projects we ask all these hospitals to tell their own Josie King story, and we have a little tool

8603. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
      October 28, 2020 - For example, they were asked to use a post-acute transfer tool and to closely analyze each transfer and … training that is available online, along with a requirements compliance facility self-assessment survey tool

8604. In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
      April 26, 2023 - lot of these nuances and ways that people learn to use the system to their advantage and use it as a tool … Perspectives on Safety Annual Perspective Technology as a Tool

8605. Long-Term Care and the Response to COVID-19 | PSNet
      psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
      October 28, 2020 - training that is available online, along with a requirements compliance facility self-assessment survey tool … For example, they were asked to use a post-acute transfer tool and to closely analyze each transfer and

8606. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33658/psn-pdf
      October 01, 2007 - we have a gap analysis tool that looks at perceptions of staff.

8607. On O.R. Off? | PSNet
      psnet.ahrq.gov/web-mm/or
      August 22, 2013 - Site marking is one tool to prevent communication mishaps.

8608. Chest Tube Complications | PSNet
      psnet.ahrq.gov/web-mm/chest-tube-complications
      September 27, 2023 - transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool

8609. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49638/psn-pdf
      January 01, 2012 - An automated tool was introduced a decade ago (3) for adult perioperative cardiovascular procedures.

8610. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49432/psn-pdf
      February 09, 2004 - Residents in our program have embraced this anonymous reporting tool as a way to improve the system

8611. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60543/psn-pdf
      May 27, 2020 - Verbal orders are an important tool that can help expedite care by allowing a proxy to enter orders

8612. Misdiagnosis of a Pelvic Mass versus Pregnancy | PSNet
      psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
      November 25, 2020 - Finally, non-judgmental feedback about mistakes is a highly effective tool to prevent future diagnostic

8613. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840175/psn-pdf
      November 16, 2022 - Contrast-enhanced CT of the aorta with lower extremity run-off has become a useful tool in the ED to

8614. Breathe Easy: Safe Tracheostomy Management | PSNet
      psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
      June 07, 2023 - Take-Home Points Tracheostomy is a safe and beneficial tool in critically ill patients when managed

8615. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet
      psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
      July 28, 2021 - 2018 Standardized handoff report form in clinical nursing education: an educational tool

8616. One Bronchoscopy, Two Errors | PSNet
      psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
      December 09, 2020 - Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool

8617. 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.

8618. 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

8619. 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

8620. 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