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psnet.ahrq.gov/node/46973/psn-pdf
June 25, 2018 - Balancing innovation and safety when integrating digital
tools into health care. … Balancing Innovation and Safety When Integrating Digital Tools Into
Health Care. … https://psnet.ahrq.gov/issue/balancing-innovation-and-safety-when-integrating-digital-tools-health-care … This commentary argues that digital tools that alter diagnosis or treatment require examination to ensure … https://psnet.ahrq.gov/issue/balancing-innovation-and-safety-when-integrating-digital-tools-health-care
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psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
March 15, 2025 - Background This primer provides a broad overview of three widely used tools for investigating and responding … Tools covered in this primer include incident reporting systems , Root Cause Analysis (RCA) , and … These tools have been used in high-risk industries and occupations such as aviation , manufacturing, … processes to prevent patient falls. 4 Although incident reporting systems, RCA, and FMEA are all key tools … Using tools to assess and prevent inpatient falls.
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psnet.ahrq.gov/node/40296/psn-pdf
October 01, 2014 - Applying trigger tools to detect adverse events
associated with outpatient surgery. … Applying trigger tools to detect adverse events associated with
outpatient surgery. … https://psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery … This study demonstrated the utility of trigger tools to detect adverse events related to outpatient … https://psnet.ahrq.gov/issue/applying-trigger-tools-detect-adverse-events-associated-outpatient-surgery
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psnet.ahrq.gov/node/38565/psn-pdf
June 26, 2009 - Assessing organisational culture for quality and safety
improvement: a national survey of tools and … Assessing organisational culture for quality and safety improvement:
a national survey of tools and … psnet.ahrq.gov/issue/assessing-organisational-culture-quality-and-safety-improvement-national-
survey-tools-and … 275 English National Health Services organizations and found that
they were satisfied with existing tools … assess safety culture but sought greater practical application of the
information obtained from the tools
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psnet.ahrq.gov/node/46802/psn-pdf
March 21, 2018 - The accuracy of trigger tools to detect preventable
adverse events in primary care: a systematic review … The Accuracy of Trigger Tools to Detect Preventable Adverse
Events in Primary Care: A Systematic Review … https://psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care- … systematic-review
Trigger tools employ electronic health record data to automatically detect safety … https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
https://psnet.ahrq.gov/primer/detection-safety-hazards
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psnet.ahrq.gov/node/42347/psn-pdf
January 07, 2015 - A systematic review of the literature on the evaluation of
handoff tools: implications for research … A systematic review of the literature on the evaluation of handoff
tools: implications for research … https://psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research … As a result, multiple
investigators have developed standardized tools to improve the quality of information … This systematic review of 36 studies examining the effectiveness of handoff tools found that most
tools
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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.
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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.
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psnet.ahrq.gov/issue/strengthening-use-artificial-intelligence-within-healthcare-delivery-organizations-balancing
September 18, 2024 - released new guidance which impacts how artificial intelligence -based clinical decision support (CDS) tools … This article explores the impact of these changes on CDS tools for sepsis care and how healthcare organizations … can ensure safe, equitable use of CDS tools.
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psnet.ahrq.gov/node/41920/psn-pdf
October 08, 2013 - Review of computerized physician handoff tools for
improving the quality of patient care. … Review of computerized physician handoff tools for improving the quality of
patient care. … https://psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care … Although this systematic review identified six controlled studies of computerized handoff tools, it … improve the accuracy and completeness of physician tools, and may improve physician
efficiency.
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psnet.ahrq.gov/node/42905/psn-pdf
July 30, 2014 - The surgical safety checklist and teamwork coaching
tools: a study of inter-rater reliability. … The Surgical Safety Checklist and Teamwork Coaching Tools: a study
of inter-rater reliability. … https://psnet.ahrq.gov/issue/surgical-safety-checklist-and-teamwork-coaching-tools-study-inter-rater- … This study
created reliable observation tools for measuring surgical safety checklist performance and … https://psnet.ahrq.gov/issue/surgical-safety-checklist-and-teamwork-coaching-tools-study-inter-rater-reliability
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psnet.ahrq.gov/node/41166/psn-pdf
February 29, 2012 - Triangulating case-finding tools for patient safety
surveillance: a cross-sectional case study of
puncture … Triangulating case-finding tools for patient safety surveillance: a
cross-sectional case study of puncture … https://psnet.ahrq.gov/issue/triangulating-case-finding-tools-patient-safety-surveillance-cross-sectional … -
case-study
This study found that four existing case detection tools, including the AHRQ Patient Safety … https://psnet.ahrq.gov/issue/triangulating-case-finding-tools-patient-safety-surveillance-cross-sectional-case-study
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psnet.ahrq.gov/node/44365/psn-pdf
November 20, 2015 - A prospective study of suicide screening tools and their
association with near-term adverse events in … Suicide screening tools and their association with near-term adverse events in the ED. … https://psnet.ahrq.gov/issue/prospective-study-suicide-screening-tools-and-their-association-near-term … These results highlight the
need for improved tools to identify which patients are most at risk for … https://psnet.ahrq.gov/issue/prospective-study-suicide-screening-tools-and-their-association-near-term-adverse-events-ed
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Triggers and Trigger Tools
March 15, 2025
Triggers and Trigger Tools. PSNet [internet]. 2019. … https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
PSNet primers are regularly reviewed and updated … Current use of trigger tools
The Harvard Medical Practice Study and other classic studies used fairly … Also, trigger tools are designed to detect
all adverse events; reviewers are explicitly instructed to … data
on the accuracy and reliability of these tools.
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psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care
December 24, 2008 - Grant Recipient
Patient Safety Tools: Improving Safety at the Point of Care. … Citation Text:
Patient Safety Tools: Improving Safety at the Point of Care. … Copy URL
Cite
Citation
Citation Text:
Patient Safety Tools … View More
Related Resources
Challenge Competition: Impact of Patient Safety Tools
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psnet.ahrq.gov/issue/liquid-medication-errors-and-dosing-tools-randomized-controlled-experiment
December 21, 2017 - Study
Liquid medication errors and dosing tools: a randomized controlled experiment … Liquid Medication Errors and Dosing Tools: A Randomized Controlled Experiment. … Liquid Medication Errors and Dosing Tools: A Randomized Controlled Experiment. … Related Resources From the Same Author(s)
Pictograms, units and dosing tools
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psnet.ahrq.gov/node/866202/psn-pdf
July 24, 2024 - Medication Without Harm - How Digital Healthcare Tools
Can Support Providers and Improve Patient Safety … https://psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers … quality improvement
approaches and digital healthcare interventions, such as clinical decision support tools … https://psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and-improve … https://psnet.ahrq.gov/issue/medication-without-harm-how-digital-healthcare-tools-can-support-providers-and-improve
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psnet.ahrq.gov/node/867181/psn-pdf
November 20, 2024 - Leveraging consistent communication tools and
organizational values to promote accountability among … Leveraging consistent communication tools and organizational values to promote
accountability among … https://psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-
promote-accountability … https://psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability … https://psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
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psnet.ahrq.gov/issue/electronic-trigger-based-intervention-reduce-delays-diagnostic-evaluation-cancer-cluster
April 09, 2013 - Trigger tools are algorithms that prompt clinicians to investigate a potential adverse event. … These tools are in routine practice for detection of adverse drug events and have been used to identify … These promising results suggest that trigger tools could play a role in improving diagnosis across … October 13, 2015
Application of electronic trigger tools to identify targets for improving
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psnet.ahrq.gov/issue/informatics-tools-deprescribing-and-medication-optimization-older-adults-development-and
February 05, 2020 - Study
Informatics tools in deprescribing and medication optimization in older adults … Informatics tools in deprescribing and medication optimization in older adults: development and dissemination … Informatics tools in deprescribing and medication optimization in older adults: development and dissemination … December 7, 2022
The diagnostic and triage accuracy of digital and online symptom checker tools