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  1. Psn-Pdf (pdf file)

    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
  2. 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.
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. 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.
  8. 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.
  9. 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.
  10. Psn-Pdf (pdf file)

    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.
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    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.
  15. 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
  16. 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
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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
  19. 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
  20. 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

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