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381. Factors associated with emergency department visits and hospital admissions after invasive outpatient procedures in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/factors-associated-emergency-department-visits-and-hospital-admissions-after-invasive
     August 17, 2018 - September 25, 2018 Development of trigger tools for surveillance of adverse events in … November 10, 2010 Applying trigger tools to detect adverse events associated with outpatient … June 4, 2014 Development and testing of tools to detect ambulatory surgical adverse events

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838190/psn-pdf
     September 28, 2015 - Because these reviews can be time-intensive, electronic trigger tools are frequently used to expedite … //psnet.ahrq.gov/primer/detection-safety-hazards https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47097/psn-pdf
     June 26, 2018 - more than five prescribers or more than five pharmacies) in a manner conceptually similar to trigger tools … patterns-potential-opioid-misuse-and-subsequent-adverse-outcomes-medicare-2008-2012 https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

384. 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

385. 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

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49807/psn-pdf
     October 01, 2017 - Translation tools, such as Google Translate, are not adequate in their current form for translating … Nevertheless, these tools alone are not yet sufficient for use in clinical settings without bilingual … Rule-based tools specifically designed for a given language pair and domain generally perform better … As this case illustrates, serious errors and misunderstandings can result if machine translation tools … Speech-to-speech translation tools that combine a speech recognizer with machine translation are also

387. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/840940
     March 22, 2024 - Resources PSNet has over 17,000 patient safety resources available - discover the benefits of our search tools … Learn about our main search bar, search by author, saved search, and other tools designed to help you

388. Promising Areas for Patient Safety Research | PSNet
     psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
     November 02, 2016 - 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 … It is critical that researchers test the effectiveness of prospective tools and resources in real world … AHRQ Patient Safety Tools and Resources.

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33636/psn-pdf
     July 01, 2006 - Patient safety officers need training on tools such as failure mode and effects analysis (FMEA), root … safety officer needs to be informed about and involved with the deployment and tailoring of these tools … the frontline teams start to understand the need to improve safety on their units and are given the tools … Available at: http://www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/Tools/GlobalTriggerToolforMeasuringAEs.htm … 12792009 https://psnet.ahrq.gov//#ref6back http://www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/Tools

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45950/psn-pdf
     July 18, 2017 - https://psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system Trigger tools … developing-and-evaluating-automated-all-cause-harm-trigger-system https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39709/psn-pdf
     September 20, 2011 - The authors provide a number of practical tools for adoption and share examples of using these tools

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41775/psn-pdf
     December 18, 2014 - Paul Sharek discusses trigger tools and other approaches for measuring adverse event rates in an AHRQ … development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37271/psn-pdf
     December 19, 2011 - Lives Campaign, Michigan’s efforts to eliminate central line infections, the development of trigger tools … intervention-decrease-catheter-related-bloodstream-infections-icu https://psnet.ahrq.gov/issue/introduction-trigger-tools-identifying-adverse-events

394. Risk of unintentional overdose with non-prescription acetaminophen products. | PSNet
     psnet.ahrq.gov/issue/risk-unintentional-overdose-non-prescription-acetaminophen-products
     January 22, 2014 - June 20, 2018 Pictograms, units and dosing tools, and parent medication errors: a randomized … May 31, 2017 Liquid medication errors and dosing tools: a randomized controlled experiment … April 19, 2017 Liquid medication errors and dosing tools: a randomized controlled experiment

395. Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. | PSNet
     psnet.ahrq.gov/issue/association-postoperative-readmissions-surgical-quality-using-delphi-consensus-process
     September 25, 2018 - September 25, 2018 Development of trigger tools for surveillance of adverse events in … November 10, 2010 Applying trigger tools to detect adverse events associated with outpatient … January 31, 2018 Development and testing of tools to detect ambulatory surgical adverse

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847934/psn-pdf
     April 26, 2023 - retrospective medical record review, voluntary error reporting systems, automated surveillance or trigger tools … Patient safety indicators can be viewed as a subset of tools that are designed to assess the frequency … Patient safety indicators may differ from other measurement tools (such as voluntary error reporting … systems, sentinel events, never events and trigger tools) in that they have numerator and denominator … and providing better guidance to surveyors who assess hospital compliance with these tools.

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49698/psn-pdf
     December 01, 2013 - Meticulous medication reconciliation is essential at the time of SNF admission, and tools are available … INTERACT is a quality improvement program with related clinical practice tools that can help SNF staff … teamwork for patient safety http://teamstepps.ahrq.gov/ QAPI for Nursing Homes—CMS has produced tools … Consult your state QIO's Web site     Advancing Excellence in America's Nursing Homes has many tools … information technology to improve communication and documentation across settings of care Many tools

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44972/psn-pdf
     February 15, 2017 - The Institute of Medicine recently suggested that further research is needed regarding electronic tools … Clinicians need prospective studies in order to determine whether such tools enhance diagnosis in actual

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43544/psn-pdf
     December 07, 2016 - They vetted 108 possible trigger tools that can indicate an incipient safety risk, including use of … psnet.ahrq.gov/primer/health-care-associated-infections https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

400. Regulating patient safety: The Patient Protection and Affordable Care Act. | PSNet
     psnet.ahrq.gov/issue/regulating-patient-safety-patient-protection-and-affordable-care-act
     June 17, 2020 - The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools … The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools