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Showing results for "analyses".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42430/psn-pdf
    February 19, 2014 - Framework for analysing risk and safety in clinical medicine. February 19, 2014 Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-7. https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine This commentary outlin…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40756/psn-pdf
    September 07, 2011 - How reliable is your hospital? A qualitative framework for analysing reliability levels. September 7, 2011 Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790. https://psnet.ahrq.gov/issue/how-reliable-your-hospital-qualit…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842435/psn-pdf
    January 26, 2023 - psnet.ahrq.gov/perspective/rethinking-root-cause-analysis https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34706/psn-pdf
    December 23, 2012 - Analysing potential harm in Australian general practice: an incident-monitoring study. December 23, 2012 Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident- monitoring study. Med J Aust. 1998;169(2):73-6. https://psnet.ahrq.gov/issue/analysing-potential-harm…

  5. The economic burden of patient safety targets in acute care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/economic-burden-patient-safety-targets-acute-care-systematic-review
    April 05, 2013 - Citation Related Resources From the Same Author(s) Comparative economic analyses … September 9, 2013 Comparative economic analyses of patient safety improvement strategies

  6. Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. | PSNet

    psnet.ahrq.gov/issue/systemic-vulnerabilities-suicide-among-veterans-iraq-and-afghanistan-conflicts-review-case
    January 22, 2017 - February 10, 2021 Root cause analyses of reported adverse events occurring during gastrointestinal … September 19, 2016 Root cause analyses of suicides of mental health clients.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43790/psn-pdf
    October 23, 2023 - complaints-about-acute-trusts-2016-2017 The National Health Service broadly reports the results of system-level analyses

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74735/psn-pdf
    February 02, 2022 - addressing-intimate-partner-violence-and-helping-protect-patients https://psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60820/psn-pdf
    August 19, 2020 - Thematic analyses revealed that organizational learning was more effective when closely aligned with

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43040/psn-pdf
    March 05, 2014 - Framework for analysing risk and safety in clinical medicine. March 5, 2014 Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157. https://psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0 This commentary outli…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842775/psn-pdf
    January 18, 2023 - national-steering-committee-patient-safety https://psnet.ahrq.gov/issue/prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review

  12. Adverse events are common on the intensive care unit: results from a structured record review. | PSNet

    psnet.ahrq.gov/issue/adverse-events-are-common-intensive-care-unit-results-structured-record-review
    January 28, 2010 - actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses … August 2, 2011 Risk and pharmacoeconomic analyses of the injectable medication process

  13. Sharing lessons learned to prevent adverse events in anesthesiology nationwide. | PSNet

    psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
    April 12, 2019 - August 18, 2010 Root cause analyses of reported adverse events occurring during gastrointestinal … October 18, 2023 Root cause analyses of reported adverse events occurring during gastrointestinal

  14. Swiss Cheese Model | PSNet

    psnet.ahrq.gov/taxonomy/term/3460
    November 10, 2025 - Swiss Cheese Model Reason developed the "Swiss cheese model" to illustrate how analyses of major accidents

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33820/psn-pdf
    December 01, 2016 - the influential National Patient Safety Foundation (NPSF) report entitled RCA2: Improving Root Cause Analyses … Wachter: Given your aviation and astronautics background, when you began thinking about root cause analyses … conversation-james-p-bagian-md-pe http://www.ihi.org/resources/Pages/Tools/RCA2-Improving-Root-Cause-Analyses-and-Actions-to-Prevent-Harm.aspx … So, the first recommendation is that the analyses need to be risk, not harm, based. … oversight committees, The Joint Commission, the https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm

  16. A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment. | PSNet

    psnet.ahrq.gov/issue/qualitative-study-why-general-practitioners-may-participate-significant-event-analysis-and
    October 29, 2008 - April 9, 2013 Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led

  17. Safer Together Annual Report. | PSNet

    psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
    May 27, 2020 - This annual publication provides common cause analyses of incidents submitted to a pediatric patient

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34768/psn-pdf
    March 07, 2005 - psnet.ahrq.gov/issue/man-made-disasters-2nd-ed For those interested in potential lessons drawn from analyses

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36574/psn-pdf
    March 09, 2009 - issue/studying-organisational-cultures-and-their-effects-safety The author shares examples of cultural analyses

  20. Complaints to the Parliamentary and Health Service Ombudsman. | PSNet

    psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
    April 17, 2024 - The National Health Service broadly reports the results of system-level analyses and investigations
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