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401. 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

402. 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

403. Webmm Spotlight Suicide Risk Assessment (pdf file)
     psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
     January 01, 2019 - Suicide Screening (3) • Standardized assessment tools have been developed and validated • Protocols … Suicide Risk Assessment (3) • Publicly available standardized assessment tools have been integrated … of suicide assessment for high risk patients • Goal: Create ED systems to ensure evidence-based risk tools … ICAR2E as guide, quality improvement plan should include: – Implement risk screening evidence-based tools … , embed in EMR – Educate multidisciplinary staff on the issue and built in communication tools – Educate

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33729/psn-pdf
     May 01, 2012 - record.(23) The IHI adult Global Trigger Tool (27), the most well studied of the published trigger tools … Although not perfect, trigger tools have better operator characteristics than other measurement approaches … Methodology and rationale for the measurement of harm with trigger tools. … intensive• Retrospective review of charts challenging if poor/incomplete documentation Trigger Tools … • Resource intensive: IHI recommends 20 charts per month at 20 minutes per chart• Global trigger tools

405. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
     February 01, 2018 - A systematic review of the literature on the evaluation of handoff tools: implications for research and … I-PASS (or similar efforts), programs should perform assessments of handoff skills Direct observation tools … I-PASS Handoff Curriculum: Faculty Observation Tools. … I-PASS Handoff Curriculum: Faculty Observation Tools. … been shown to improve the quality of handoff communication, including mnemonics, computerized handoff tools

406. Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). | PSNet
     psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use-research-r18
     December 20, 2023 - 8, 2020 Medication Safety: Advancing the Development of Improvement Strategies and Tools … 11, 2023 Medication Safety: Advancing the Development of Improvement Strategies and Tools

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46191/psn-pdf
     July 19, 2017 - https://psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology Trigger tools … performance-trigger-tool-identifying-adverse-events-oncology https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40213/psn-pdf
     February 16, 2011 - From incident reporting (IR) systems to trigger tools to MEDMARX, limitations in whether these systems … Trigger tools were the least labor-intensive and most sensitive strategy.

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47115/psn-pdf
     August 15, 2018 - children's hospitals and speculates that these discordant findings could be due to the fact that trigger tools … issue/adverse-events-hospitalized-pediatric-patients https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43157/psn-pdf
     May 07, 2014 - As widely promoted tools for leadership engagement—such as executive walkrounds—have recently been shown … to have disappointing real-world performance, tools like the HLQAT may prove useful in objectively

411. Suicide Prevention | PSNet
     psnet.ahrq.gov/perspective/suicide-prevention
     March 24, 2025 - Using these tools and strategies can help identify individuals in need early, enabling them to receive … Specialized settings, such as pediatric settings and OBGYN offices, use screening tools to meet the … For example, pediatricians can use age-appropriate adaptations of tools like the Ask Suicide Screening … By selecting the specific screening tools tailored to the unique patient and care delivery needs in each … In emergency departments, several different tools are used to screen for suicide risk.

412. In Conversation with Edwin Boudreaux about Suicide Prevention | PSNet
     psnet.ahrq.gov/perspective/conversation-edwin-boudreaux-about-suicide-prevention
     March 25, 2025 - Edwin Boudreaux : Most of the principles remain similar, although the tools that the different settings … In emergency departments, several different tools are used to screen for suicide risk. … There are other tools, like the Ask Suicide Questionnaire (ASQ), and then there is the Columbia Suicide … Edwin Boudreaux : Interestingly, there are more and more tools available, so it gets more complicated … Specialized settings, such as pediatric settings and OBGYN offices, use screening tools to meet the

413. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
     February 26, 2025 - When we think about tools for patient safety, we should consider how we are improving the safety culture … People have started to think about root cause analysis and other patient safety tools along these lines … change and implement these new tools. … I encourage organizations to use the tools that their organization is ready for. … As they go through the process, they may be able to add additional tools. 

414. The Evolution of Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/evolution-root-cause-analysis
     February 26, 2025 - People have started to think about root cause analysis and other patient safety tools along these lines … change and implement these new tools. … I encourage organizations to use the tools that their organization is ready for. … As they go through the process, they may be able to add additional tools.  … We can only achieve that if we have some organizational agreements and alignment around these tools.

415. The PRIDx framework to engage payers in reducing diagnostic errors in healthcare. | PSNet
     psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare
     January 22, 2025 - September 4, 2024 Application of electronic trigger tools to identify targets for improving … February 14, 2024 Challenge Competition: Impact of Patient Safety Tools.

416. Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). | PSNet
     psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-examining-impact-artificial
     July 22, 2024 - 8, 2020 Medication Safety: Advancing the Development of Improvement Strategies and Tools … December 20, 2023 Challenge Competition: Impact of Patient Safety Tools.

417. A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study. | PSNet
     psnet.ahrq.gov/issue/closer-look-associations-between-hospital-leadership-walkrounds-and-patient-safety-climate
     December 31, 2012 - 17, 2019 Practice and quality improvement: successful implementation of TeamSTEPPS tools … March 11, 2015 Variation in detected adverse events using trigger tools: a systematic … : The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care

418. Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
     August 17, 2018 - August 17, 2018 Development of trigger tools for surveillance of adverse events in ambulatory … 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

419. The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. | PSNet
     psnet.ahrq.gov/issue/effects-patient-handoff-characteristics-subsequent-care-systematic-review-and-areas-future
     January 19, 2011 - November 13, 2019 Using prospective risk analysis tools to improve safety in pharmacy … September 24, 2016 A systematic review of the literature on the evaluation of handoff tools … January 19, 2014 Review of computerized physician handoff tools for improving the quality

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867035/psn-pdf
     October 30, 2024 - //psnet.ahrq.gov//#1 https://psnet.ahrq.gov//#15 https://psnet.ahrq.gov//#16 Fall risk assessment tools … These tools systematically evaluate individual factors such as age, mobility, medications, and cognitive … TeamSTEPPS, an evidence-based set of tools to improve communication and teamwork skills, may facilitate … Systematic review of fall risk screening tools for older patients in acute hospitals. … Risk factors and risk assessment tools for falls in hospital in- patients: a systematic review.