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361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44989/psn-pdf
     July 01, 2016 - hospitalized patients have identified safety issues using retrospective chart review combined with trigger tools … trigger-tool-detect-harm-pediatric-inpatient-settings https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45673/psn-pdf
     December 07, 2016 - //psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings Standard term selection tools—like … The report includes recommendations and resources to help enhance medication safety when using these tools

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60548/psn-pdf
     May 28, 2020 - In the past we have had limited surveillance tools available to us. … Different agencies may have different tools available to them. … In the case of the FDA and medical devices, the surveillance tools we have had historically had important … JS: The limitations we were experiencing with our surveillance tools, as well as the challenge of getting … We then want to make sure we have put in place good surveillance tools to capture any new risks or increased

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836877/psn-pdf
     May 16, 2022 - One of the really interesting pieces of research that's out there has to do with trigger tools. … But these trigger tools help us pinpoint records where we think that a safety event was more likely … Sarah Mossburg: How do you see these trigger tools being used in practice? … Sarah Mossburg: You talked a little bit about trigger tools and their uses as one way to monitor and … Sarah Mossburg: One of the things that I think I understood about trigger tools, was they're looking

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863649/psn-pdf
     February 28, 2024 - please tell us a little bit about yourselves and your interest and involvement with Team Strategies and Tools … In 2006, AHRQ, in collaboration with the Department of Defense, developed Team Strategies and Tools … It provides tools and resources to improve communication and teamwork of healthcare teams. … important to think about the impact of TeamSTEPPS by linking specific impacts to specific TeamSTEPPS tools … The revised curriculum highlights tools, resources, and strategies that patients and family caregivers

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44662/psn-pdf
     January 25, 2016 - stories-clinicians-tell-achieving-high-reliability-and-improving-patient-safety Stories can be powerful tools … psnet.ahrq.gov/issue/josies-story https://psnet.ahrq.gov/issue/seeking-high-reliability-primary-care-leadership-tools-and-organization

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45309/psn-pdf
     July 13, 2016 - This formative work fills a gap in available trigger tools. … development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36086/psn-pdf
     June 14, 2011 - both retrospective (eg, root cause analysis) and prospective (eg, failure mode and effect analysis) tools … discussing probabilistic risk assessment, a case example is provided to illustrate the use of these tools

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845358/psn-pdf
     March 29, 2023 - Two of the academic medical centers (AMC 1, AMC 2) implemented risk stratification scoring tools developed … In addition to implementation of the risk stratification tools, each of the medical centers introduced

370. In Conversation With… Wanda Pratt, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
     November 01, 2017 - We've developed a lot of interesting technology tools. … Health information technology (IT) represents one of the most important tools providers can employ to … to promote patient engagement and empowerment.( 3,4 ) All in all, some of these patient-facing tools … Together, these tools can increase transparency, manage expectations, and instill trust when patients … in particular depends less on the tools themselves than on getting buy-in at all levels from the start

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33759/psn-pdf
     October 01, 2012 - Health Care Simulation Some of most promising patient safety research methods and tools have historically … The project team, whose goal is to develop implementation tools and a framework for the reduction of … There is a persistent need for agreed-upon metrics, nomenclatures, skill taxonomies, and tools to guide … AHRQ projects are also supporting improving and spreading tools, and providing technical assistance to … AHRQ Patient Safety Tools and Resources.

372. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
     April 26, 2023 - This whole approach of engaging customers and giving them the tools and information they need to drive … You use highly powerful tools, such as Lean, to reduce waste. … We're now teaching hospitals and systems how to use these tools as part of transformation, embed them … One of the key obstacles is that most hospital executives don't have any experience with these tools. … Many of the ones that have been around a while saw the previous generation of industrial tools, like

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45810/psn-pdf
     May 05, 2017 - adverse-event-and-error-unexpected-life-threatening-events-within-24h- emergency-department Trigger tools … adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46099/psn-pdf
     May 31, 2017 - /quality-improvement-approach-standardization-and-sustainability-hand- process Electronic handoff tools … quality-improvement-approach-standardization-and-sustainability-hand-process https://psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47300/psn-pdf
     October 13, 2018 - The accuracy and reliability of trigger tools have been questioned in other studies. … ihi-global-trigger-tool-measuring-adverse-events-2nd-edition https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46538/psn-pdf
     February 21, 2018 - adverse-events-patients-home-healthcare-retrospective-record-review-using- trigger-tool In this study, researchers used trigger tools … adverse-events-patients-home-healthcare-retrospective-record-review-using-trigger-tool https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35553/psn-pdf
     July 03, 2013 - report, generated by the National Academy for State Health Policy, provides practical guidance and tools … Additional initiatives from the report include development of a central Web-based repository of tools

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42362/psn-pdf
     July 10, 2013 - growing body of research, this systematic review found that the optimal structure and content of handoff tools … /handoffs-and-signouts https://psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research-and-practice

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35227/psn-pdf
     June 15, 2011 - The group was brought together with a mission to identify engineering tools and technologies that foster … engineering and medicine, a framework for a systems approach in health care, the role of engineering tools

380. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/865308
     January 01, 2024 - Learning from safety incidents in high reliability organizations: a systematic review of learning tools … psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools … psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools … Learning from safety incidents in high reliability organizations: a systematic review of learning tools … psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools