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41. Implementing a human factors approach to RCA(2) : tools, processes and strategies. | PSNet
    psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies
    July 21, 2021 - Study Implementing a human factors approach to RCA(2) : tools, processes and strategies … Implementing a human factors approach to RCA(2) : tools, processes and strategies. … the Human Factors Intervention Matrix (HFIX), and a decision tool called FACES and describe how these tools … Implementing a human factors approach to RCA(2) : tools, processes and strategies.

42. A prospective study of suicide screening tools and their association with near-term adverse events in the ED. | PSNet
    psnet.ahrq.gov/issue/prospective-study-suicide-screening-tools-and-their-association-near-term-adverse-events-ed
    October 07, 2020 - Study A prospective study of suicide screening tools and their association with near-term … Suicide screening tools and their association with near-term adverse events in the ED. … These results highlight the need for improved tools to identify which patients are most at risk for instability … Suicide screening tools and their association with near-term adverse events in the ED.

43. Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional ultrasound practice. | PSNet
    psnet.ahrq.gov/issue/practice-and-quality-improvement-successful-implementation-teamstepps-tools-academic
    April 17, 2019 - Study Practice and quality improvement: successful implementation of TeamSTEPPS tools … Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional … measured by the Safety Attitudes Questionnaire , following the implementation of AHRQ's TeamSTEPPS tools … Practice and quality improvement: successful implementation of TeamSTEPPS tools into an academic interventional

44. Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/effect-diagnostic-accuracy-cognitive-reasoning-tools-workplace-setting-systematic-review-and
    February 02, 2022 - Review Effect on diagnostic accuracy of cognitive reasoning tools for the workplace … Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review … This meta-analysis of 26 studies estimated that cognitive reasoning tools can lead to small improvements … Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review

45. Patient safety measurement tools used in nursing homes: a systematic literature review. | PSNet
    psnet.ahrq.gov/issue/patient-safety-measurement-tools-used-nursing-homes-systematic-literature-review
    January 11, 2023 - Review Patient safety measurement tools used in nursing homes: a systematic literature … Patient safety measurement tools used in nursing homes: a systematic literature review. … This review identified seven measurement tools, and the most frequently used tool was the Nursing Home … Patient safety measurement tools used in nursing homes: a systematic literature review.

46. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. | PSNet
    psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm
    January 15, 2020 - Systems engineering and human factors support of a system of novel EHR-integrated tools … Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm … within an AHRQ-funded Patient Safety Learning Laboratory that focused on implementing digital health tools … Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm

47. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. | PSNet
    psnet.ahrq.gov/issue/triangulating-case-finding-tools-patient-safety-surveillance-cross-sectional-case-study
    February 08, 2012 - Study Triangulating case-finding tools for patient safety surveillance: a cross-sectional … Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture … This study found that four existing case detection tools, including the AHRQ Patient Safety Indicators … Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture

48. The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. | PSNet
    psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives
    April 03, 2009 - Book/Report Classic The Silent Treatment: Why Safety Tools … Citation Text: The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. … Key findings suggested that existing safety tools, such as checklists , are not in themselves solutions … Cite Citation Citation Text: The Silent Treatment: Why Safety Tools

49. The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. | PSNet
    psnet.ahrq.gov/issue/surgical-safety-checklist-and-teamwork-coaching-tools-study-inter-rater-reliability
    May 11, 2016 - Study The surgical safety checklist and teamwork coaching tools: a study of inter-rater … The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability. … This study created reliable observation tools for measuring surgical safety checklist performance and … The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability.

50. Higher accuracy of complex medication reconciliation through improved design of electronic tools. | PSNet
    psnet.ahrq.gov/issue/higher-accuracy-complex-medication-reconciliation-through-improved-design-electronic-tools
    April 05, 2017 - Higher accuracy of complex medication reconciliation through improved design of electronic tools … Higher accuracy of complex medication reconciliation through improved design of electronic tools. … This head-to-head comparison of two different medication reconciliation tools in electronic health … Higher accuracy of complex medication reconciliation through improved design of electronic tools.

51. Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. | PSNet
    psnet.ahrq.gov/issue/using-prospective-risk-analysis-tools-improve-safety-pharmacy-settings-systematic-review-and
    January 24, 2018 - Review Using prospective risk analysis tools to improve safety in pharmacy settings … Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and … The authors recommend wider use of these tools across inpatient and outpatient health care settings. … Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and

52. Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review. | PSNet
    psnet.ahrq.gov/issue/observer-based-tools-non-technical-skills-assessment-simulated-and-real-clinical-environments
    September 02, 2015 - Review Emerging Classic Observer-based tools for non-technical … Observer-based tools for non-technical skills assessment in simulated and real clinical environments … Researchers analyzed 118 articles that discussed 76 unique tools for measuring nontechnical skills. … Observer-based tools for non-technical skills assessment in simulated and real clinical environments

53. Health Literacy Tools for Providers of Medication Therapy Management. | PSNet
    psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management
    May 01, 2017 - Toolkit Health Literacy Tools for Providers of Medication Therapy Management. … Citation Text: Health Literacy Tools for Providers of Medication Therapy Management. … Copy URL Cite Citation Citation Text: Health Literacy Tools … May 29, 2024 TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety

54. Understanding liability risk from using health care artificial intelligence tools. | PSNet
    psnet.ahrq.gov/issue/understanding-liability-risk-using-health-care-artificial-intelligence-tools
    April 03, 2024 - Commentary Understanding liability risk from using health care artificial intelligence tools … Understanding liability risk from using health care artificial intelligence tools. … Understanding liability risk from using health care artificial intelligence tools.

55. Patient handoffs: standardized and reliable measurement tools remain elusive. | PSNet
    psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-measurement-tools-remain-elusive
    July 13, 2010 - Review Patient handoffs: standardized and reliable measurement tools remain elusive … Patient handoffs: standardized and reliable measurement tools remain elusive. … Patient handoffs: standardized and reliable measurement tools remain elusive. … September 24, 2016 A systematic review of the literature on the evaluation of handoff tools

56. Patient Safety Tools: Improving Safety at the Point of Care. | PSNet
    psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
    September 08, 2021 - Multi-use Website Patient Safety Tools: Improving Safety at the Point of Care.

57. Improving patient safety using interactive, evidence-based decision support tools. | PSNet
    psnet.ahrq.gov/issue/improving-patient-safety-using-interactive-evidence-based-decision-support-tools
    September 14, 2022 - Commentary Improving patient safety using interactive, evidence-based decision support tools … Improving patient safety using interactive, evidence-based decision support tools. … Improving patient safety using interactive, evidence-based decision support tools.

58. Development and testing of tools to detect ambulatory surgical adverse events. | PSNet
    psnet.ahrq.gov/issue/development-and-testing-tools-detect-ambulatory-surgical-adverse-events
    June 04, 2014 - Study Development and testing of tools to detect ambulatory surgical adverse events … Development and testing of tools to detect ambulatory surgical adverse events. … Development and testing of tools to detect ambulatory surgical adverse events. … June 20, 2011 Development of trigger tools for surveillance of adverse events in ambulatory … November 10, 2010 Applying trigger tools to detect adverse events associated with outpatient

59. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet
    psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
    February 26, 2025 - Summary The Patient Safe-D(ischarge) program used standardized tools to educate patients about their … nursing staff who can incorporate the Discharge Patient Education Tool and other discharge planning tools … Costs:  Project BOOST tools are available free of charge (see Tools and Other Resources section below … , if not the actual tools themselves. … Costs:  Project BOOST tools are available free of charge (see Tools and Other Resources section below

60. Development of trigger tools for surveillance of adverse events in ambulatory surgery. | PSNet
    psnet.ahrq.gov/issue/development-trigger-tools-surveillance-adverse-events-ambulatory-surgery
    October 01, 2014 - Study Development of trigger tools for surveillance of adverse events in ambulatory … Development of trigger tools for surveillance of adverse events in ambulatory surgery. … Development of trigger tools for surveillance of adverse events in ambulatory surgery. … March 19, 2019 Applying trigger tools to detect adverse events associated with outpatient … October 1, 2014 Development and testing of tools to detect ambulatory surgical adverse